- Wider Circle (Brownsville, TX)
- …through processes that foster LEARNING and self-empowerment. Qualifications: + Experience in case management , social work, or healthcare advocacy. + Strong ... in building strong communities by connecting individuals with the services they need to thrive. The Case ...advancing our "LOVE, LEARN, GROW" philosophy, ensuring that each member feels valued and supported in their journey. Company… more
- Molina Healthcare (Albuquerque, NM)
- …communication, both internally and externally to enhance effectiveness of case management services . + Processes member and provider correspondence. **JOB ... Management assignment. + Reviews data to identify principal member needs and works under the direction of the...Molina policies and processes, assisting clinical Case Management staff as they identify appropriate medical services… more
- Molina Healthcare (IL)
- …assessments by phone to determine the resources we need to provide as well as case management with the member . Our ideal applicant would be someone ... members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member 's health or psychosocial… more
- Fallon Health (Worcester, MA)
- …the homeless, those with SPMI, substance use disorders, and disabilities + Effective case management , care coordination, and member advocacy skills + ... change) to assign a rating category which determines BH case management level of involvement + May...for all the member 's recommended behavioral health services , including outpatient supports, therapy, and medication management… more
- Highmark Health (Dover, DE)
- …, Behavioral Health, and Complex Case Management . + Collaborate with the member 's health care and service delivery team including the DSHP Plus LTSS ... of contact for members to coordinate all of the member 's care needs across the various service ...and formulating an appropriate action plan. + Document all case management services and intervention… more
- Healthfirst (NY)
- **Duties/Responsibilities:** + Provides case management services for assigned member caseloads which includes: + Pre-certification performing ... overtime as necessary + Additional duties as assigned **Minimum Qualifications:** + For Medical Case Management : + RN, LPN, LMSW, LMHC,LMFT, LCSW, PT, OT, and/or… more
- DESC (Seattle, WA)
- …with severe and persistent mental illness in their journey towards recovery. Long-term case management services are provided including help with obtaining ... Recovery model. **MAJOR DUTIES AND RESPONSIBILITIES:** ** Case Management :** + Participate as a member of... of a multi-disciplinary and multi-departmental team providing on-going case management services to adults… more
- Beth Israel Lahey Health (Boston, MA)
- …as necessary. + Documents avoidable days (if not captured by another Care Transitions Team member ), case management assessments, and care plans in a thorough ... you're making a difference in people's lives.** The RN Case Manager working in the Triad Model of Care...discharge for the patient. This role navigates health system services to support effective transitions while advising the team… more
- DESC (Seattle, WA)
- …supplies to meet basic needs and build rapport, as appropriate. ** Case Management ** + Participate as a member of a multi-disciplinary team of clinical, ... services to those who are highly vulnerable, lack service connections or other support, and are unwilling or...area, empty alcohol containers, and/or skin sores. The SUD Case Manager provides outreach, engagement, and ongoing services… more
- Sanford Health (Bismarck, ND)
- …holidays **Job Summary** The Case Manager, D-SNP is responsible for providing case management services for medically and/or socially complex members. The ... The Case Manager is responsible for providing case management services to D-SNP...desired level of involvement in the case management plan to meet the member 's needs.… more
- Sanford Health (Fargo, ND)
- …perform authorizations for services as indicated for specialty case management . Provides educational resources to member based on medical and behavioral ... Social Worker Education. Nursing: Will consider applicant with significant background in case management , transplant services and/or other utilization review… more
- HCA Healthcare (Richmond, VA)
- …engagement in high risk social behaviors, limited finances and/or physical disabilities. + As a member of Case Management team you will provides crisis and ... of social work experience in an acute care setting preferred. + Previous case management or utilization review experience preferred. CJW Medical Center… more
- HCA Healthcare (Richmond, VA)
- …maintains legible documentation as directed by the Utilization Management Plan + As a member of Case Management team you will apply the rules of Severity ... preferred. + Graduate of an accredited school of nursing. + Commercial Utilization Management and/or Case Management experience; Quality Management … more
- Johns Hopkins University (Baltimore, MD)
- … management and non-medical case management nursing duties as a member of the health care and support service team providing services to people ... wellness clinics. **Specific Duties & Responsibilities** _HIV program duties_ + Case management of a panel of HIV continuity patients including monitoring and… more
- CVS Health (Tampa, FL)
- …to enhance a member 's overall wellness through integration. Case Management Coordinators will determine appropriate services and supports due to ... sends a personal message that how we deliver our services is just as important as what we deliver....needs of the member to facilitate the member 's overall wellness. Case Management … more
- Select Medical (Gainesville, FL)
- …of being an Case Management Coordinator with us:** + You are a valued member of the Case Management Team + The ability to grow and learn new ... affiliation with Select Medical Gainesville, FL ** Case Management Coordinator** **Benefits...services for precertification/recertification purposes as delegates by the case managers. Communicates insurance and benefit issues to the… more
- VNS Health (Manhattan, NY)
- …of, processes and procedures for effective member case management , efficient department operations, and excellent customer service . + Maintains accurate ... to program guidelines. + Participates in approval for out-of-network services when member receives services ...Minimum two years of experience with strong cost containment / case management background or two years acute… more
- Fairview Health Services (Minneapolis, MN)
- …to perform services encompassed in the essential activities of case management , which are, assessment, planning, implementation, coordination, monitoring, ... ongoing needs of the individual being served by the case management process. These services ...5 - 7 years full time case management experience encompassing work with all member … more
- CVS Health (Columbus, OH)
- …- Reviews prior claims to address potential impact on current case management and eligibility. - Assessments include the member 's level of work capacity ... with the expertise of highly trained clinical and concierge member services . Our mission is to meet...face to face assessing, planning, implementing, and coordinating all case management activities with members to evaluate… more
- Molina Healthcare (Roanoke, VA)
- …members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member 's health or psychosocial ... assessment. + Develops and implements a case management plan in collaboration with the member ,... case load for regular outreach and management . + Promotes integration of services for… more