, and implementing the utilization management process for acute inpatients. Case Managers perform concurrent review and denials... of stay, and avoidable delays in discharge. The Case Manager collaborates with the family, the care team, third party payors...
Field Case Manager (RN) This is a full-time permanent opportunity with a growing Case Management Company, which allows...-motivated, registered nurses (RN) who have experience with workers’ compensation nurse case management. Field Case Managers...
Job Summary As a Clinical Services Manager – RN Telephonic Case Management, you will ensure optimum recovery on every..., and competency in the application of case management standards of practice. Use advanced knowledge of types of injury, medications...
in Case Management (CCM). Three years full-time equivalent of direct clinical care to the consumer Clinical experience... to obtain an industry recognized certification in case management within four (4) years of hire. Must be able to receive...
facilities/agencies and provides case management to patients referred. Refers patients to community resources to meet post... interdisciplinary approach to providing continuity of care, including Utilization management, Transfer coordination, Discharge planning...
. Develops and maintains case management policies and procedures. Identifies and recommends opportunities for cost savings.../ population based management for patients in specifically defined geriatric or other specifically defined patient populations...
, other requirements for the position, and employer business practices. What You Will Do The Clinical Case Manager's (CCM) role... system providing information regarding services, education, funding and access to care. The Case Manager ensures service...
and social work CM services. Provide patient referrals. Interface with the MTF RN Case Manager(s) in the development... Social Worker Case Manager to coordinate services and resources for individuals and families facing complex social, emotional...
care for patients throughout the continuum. The Clinical Case Manager facilitates and coordinates services with health care... professionals and monitors the patient's progress towards the achievement of quality and cost outcomes. The Clinical Case Manager...
, other requirements for the position, and employer business practices. What You Will Do The Clinical Case Manager's (CCM) role... system providing information regarding services, education, funding and access to care. The Case Manager ensures service...
of behavioral health screenings, short term case management, coordination, and consultation with behavioral health treatment... Guides the provision of short term clinical case management to ensure continuity of behavioral health and medical services...
of an accredited Certified Professional Utilization Review (CPUR) program Certified Case Manager (CCM) issued by the Commission... for Case Manager Certification. --OR-- Possess two (2) years of full-time broad based registered nurse experience...
of an accredited Certified Professional Utilization Review (CPUR) program Certified Case Manager (CCM) issued by the Commission... for Case Manager Certification. --OR-- Possess two (2) years of full-time broad based registered nurse experience...
JOB SUMMARY: The Care Coordinator, in collaboration with specialty medical providers, performs case management... participates in Quality Management and acts as a provider extender within their scope of practice. The Care Coordinator performs...
, in collaboration with specialty medical providers, performs case management and direct patient care to assigned patients. This includes... Coordinator facilitates effective functionality of clinic operations, actively participates in Quality Management and acts...
JOB SUMMARY: The Care Coordinator, in collaboration with specialty medical providers, performs case management... participates in Quality Management and acts as a provider extender within their scope of practice. The Care Coordinator performs...
-specific workers' compensation regulations and standards. - Case Management: Collaborate with healthcare providers, claims...Description & Requirements Maximus is currently hiring for a Manager - Appeals to join our team. This is a remote...
AND EXPERIENCE: BA, LMSW/LCSW/LMHC or RN/LPN degree 2 years minimum of case management experience Strong understanding... Manager is the primary point of contact for enrollees, providing direct care management and coordination services...
targeted interventions, disease management, case management or complex case management services to help mitigate risk..., and other regulatory bodies related to PHM, CCM and DM. Required Qualifications Master's Degree in Nursing 3 Years Case management...
with state-specific workers' compensation regulations and standards - Case Management: Collaborate with healthcare providers... and objectives are established by Project Manager that support the overall Project strategies. - Oversee all project administrative...