care management team and the care management of members to develop and assess high quality, cost-effective healthcare... outcomes. Manages escalations and care management issues related to members or providers. Oversees and reviews care management...
Summary We are currently hiring for an Intensive Care Management Coordinator to join BlueCross BlueShield of South.../caregiver, and other healthcare professionals involved in the member’s care. Ensure care coordination and case management...
a fresh perspective on workplace flexibility. Position Purpose: Develops, assesses, and facilitates complex care management... and care management activities to ensure compliance with current state, federal, and third-party payer regulators Provides...
Director. Plans, coordinates and acts as the liaison for patient care as per the disease management agreement, including... personnel and to ensure the delivery of maximum quality care to all patients. Must complete Clinical Manager training modules...
in collaboration with the Director. Plans, coordinates and acts as the liaison for patient care as per the disease management... of maximum quality care to all patients. Must complete Clinical Manager training modules and ongoing developmental programs within the...
About this role: As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care... responsible for delivering unique care plans and providing dialysis treatment to patients facing end stage renal disease...
About this role: As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care... responsible for delivering unique care plans and providing dialysis treatment to patients facing end stage renal disease...
-oriented environment. Experience as a RN, Medical Case Manager is ideal, or a clinical background in orthopedics, neurology... to fill a Medical Case Manager position in Columbia, SC. Work from home, and on the road. As a Medical Case Manager...
(Medical Director, Case Manager, Preventive Services, Subrogation, Quality of care Referrals, etc.). Participates in data... and determine medical necessity criteria and contract benefits. Collaborates with Care Management and other areas to ensure proper...
. Promotes enrollment in care management programs and/or health and disease management programs. Provides telephonic support... MICROSOFT OFFICE DATA COLLECTION MENTAL HEALTH FINANCIAL PROJECT MANAGEMENT RN LICENSE UTILIZATION REVIEW PATIENT...
. Promotes enrollment in care management programs and/or health and disease management programs. Provides telephonic support... some travel within one's community. SKILLS: Required * MANAGED CARE RN UTILIZATION REVIEW RN LICENSE DOCUMENTATION...
. Promotes enrollment in care management programs and/or health and disease management programs. Provides telephonic support... MICROSOFT OFFICE DATA COLLECTION MENTAL HEALTH FINANCIAL PROJECT MANAGEMENT RN LICENSE UTILIZATION REVIEW PATIENT...
to appropriate staff (Medical Director, Case Manager, Preventive Services, Subrogation, Quality of care Referrals... in care management programs and/or health and disease management programs. 5% Maintains current knowledge of contracts...
(Medical Director, Case Manager, Preventive Services, Subrogation, Quality of care Referrals, etc.). Participates in data... reviews. Serves as member advocate through continued communication and education. Promotes enrollment in care management...
. Promotes enrollment in care management programs and/or health and disease management programs. Provides telephonic support... DOCUMENTATION COLLECTION RN CARDIOLOGY CUSTOMER SERVICE ORIENTED PRESENTATION SKILLS MANAGED CARE PATIENT EDUCATION...
with Program Manager Must be an RN, live in SC and have an active SC nursing license Appeals and reconsideration experience... communication and education. Promotes enrollment in care management programs and/or health and disease management programs. 5...
to appropriate staff (Medical Director, Case Manager, Preventive Services, Subrogation, Quality of Care Referrals... continued communication and education. Promotes enrollment in care management programs and/or health and disease management...
to appropriate staff (Medical Director, Case Manager, Preventive Services, Subrogation, Quality of care Referrals... in care management programs and/or health and disease management programs. · 5% Maintains current knowledge of contracts...
. We are looking to expand our team and add a Unit Manger (RN). They will also be doing Infection Control. You Must be an RN...! If you are an enthusiastic individual seeking an environment dedicated to superior patient care and an organization with a strong mission to serve...
and education. Promotes enrollment in care management programs and/or health and disease management programs. Maintains current...Job Description: Must be an RN in SC and have an active and unrestricted SC RN license. Must have certified case...