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Clinical Case Manager I/II - High Intensity Treatment Team
WellPower - Denver, CO
WellPower envisions a community where every person's mental health is fostered through strength, resilience and hope. We empower people to overcome barriers and achieve lasting well-being through collaborative behavioral health care and comprehensive support. Our Guiding Principles: Person Centered. We honor people's ...
RN Home Palliative Case Manager - .9 FT - Full TIme Days
ProHealth Care - Waukesha, WI
What You Will Do: The RN Case Manager works collaboratively with patients, social workers, physicians, other practitioners, caregivers and community agencies in coordinating and overseeing the interdisciplinary plan of care for a patient in a home care/home hospice environment. Assesses, plans, facilitates and evaluates timely coordination of high quality, cost-effective care. Re...
Registered Nurse (RN) - Home Hospice and Palliative Case Manager -0.5 FTE- Days
ProHealth Care - Waukesha, WI
What You Will Do: The RN Case Manager works collaboratively with patients, social workers, physicians, other practitioners, caregivers and community agencies in coordinating and overseeing the interdisciplinary plan of care for a patient in a home care/home hospice environment. Assesses, plans, facilitates and evaluates timely coordination of high quality, cost-effective care. Re...
RN Team Lead Utilization Review
MedStar Health - Clinton, MD
About the Job Candidate must have acute care Utilization Review experience. Candidate must live in the DC/Baltimore region General Summary of Position Supervises the daily activities of the Utilization Review Team. Manages daily assignment ensuring all UM tasks are completed each day. Collaborates ...
Case Manager - Care Coordinator - Full Time 8 hours Days (7:30AM - 4:00PM) (Union, Non-Exempt)
Keck Medicine of USC - Arcadia, CA
The purpose of the Case Manager position is to support the physician and interdisciplinary team in the provision of patient care, with the underlying objective of enhancing the quality of clinical outcomes and patient satisfaction while managing the cost of care and providing timely and accurate information to payers. The role integrates and coordinates utilization management, care facilitat...
VNA Registered Nurse (RN)
Holyoke VNA & Hospice - Holyoke, MA
The Holyoke Visiting Nurses Association, Inc. is looking to hire a Registered Nurse working full-time for home care experience. The Registered Nurse Case Manager carries#full and ultimate responsibility for the quality of nursing care provided to patients who are at their homes based on desired outcomes consistent with evidence-based guidelines and quality care standards. Ultimately responsible...
Case Manager - Care Coordination - Full Time 8 hours Days (Union, Non-Exempt)
Keck Medicine of USC - Arcadia, CA
The purpose of the Case Manager position is to support the physician and interdisciplinary team in the provision of patient care, with the underlying objective of enhancing the quality of clinical outcomes and patient satisfaction while managing the cost of care and providing timely and accurate information to payers. The role integrates and coordinates utilization management, care facilitat...
Case Manager - Care Coordination - Full Time 8 hours Day (Union, Non-Exempt)
Keck Medicine of USC - Arcadia, CA
The purpose of the Case Manager position is to support the physician and interdisciplinary team in the provision of patient care, with the underlying objective of enhancing the quality of clinical outcomes and patient satisfaction while managing the cost of care and providing timely and accurate information to payers. The role integrates and coordinates utilization management, care facilitat...
Discharge Planning Coordinator, LVN - Case Management - Per Diem 8 Hour Days (Non-Exempt) (Union)
Keck Medicine of USC - Los Angeles, CA
Provides department support for the Continuum of Care Team to facilitate discharge planning and ensure appropriate throughput of patients. Works with Case Managers, Transitional Care Coordinator, and Social Workers to ensure discharge plans are communicated to patients and families during hospitalization and post discharge to ensure continuity and identify clinical barriers. Enables a positi...
Discharge Planning Coordinator - LVN - Case Management - Per Diem 8 Hour Days (Non-Exempt) (Union)
Keck Medicine of USC - Los Angeles, CA
Provides department support for the Continuum of Care Team to facilitate discharge planning and ensure appropriate throughput of patients. Works with Case Managers, Transitional Care Coordinator, and Social Workers to ensure discharge plans are communicated to patients and families during hospitalization and post discharge to ensure continuity and identify clinical barriers. Enables a positi...
Discharge Planning Coordinator, LVN – Case Management – Per Diem 8 Hour Days WKND (Non-Exempt) (Union)
Keck Medicine of USC - Los Angeles, CA
Provides department support for the Continuum of Care Team to facilitate discharge planning and ensure appropriate throughput of patients. Works with Case Managers, Transitional Care Coordinator, and Social Workers to ensure discharge plans are communicated to patients and families during hospitalization and post discharge to ensure continuity and identify clinical barriers. Enables a positi...
Discharge Planner - Case Management - Full Time 8 hours Days (8:00AM to 4:30PM) (Non-Union, Non-Exempt)
Keck Medicine of USC - Arcadia, CA
JOB ACCOUNTABILITIES Completes initial discharge plan, per CMS Conditions of Participation, provides appropriate level of intervention and makes referrals as necessary. The initial discharge plan must be co-signed by an RN Case Manager or LCSW. When completing the initial discharge plans, reviews the psychosocial situation and discharge planning resources as requ...
RN Manager Grievances & Appeals
MedStar Health - Columbia, MD
About the Job General Summary of Position Responsible for day to day oversight and management of Intake Clinical Appeals Claims Appeals Complaints Grievances and Intake functions. The Manager of Appeals Complaints and Grievances will be dedicated to delivering service and operational excellence through a focus on continuous improvement in the area...
Case Manager, RN - Case Management - Per Diem 8 Hour Days (Non-Exempt) (Union)
Keck Medicine of USC - Los Angeles, CA
In collaboration with the interdisciplinary team, provides care coordination services evaluating options and services required to meet an individual's health care needs to promote cost-effective, quality outcomes. Serves as a consultant to members of the health care team in the management of specific patient populations. The RN case manager role integrates the functions of utilization manage...
Case Manager RN - Patient and Family Services - Per Diem 8 Hour Day Shift (Union)
Keck Medicine of USC - Glendale, CA
Responsible for admissions, concurrent and/or retrospective reviews of all patients in accordance with the criteria, policies, and procedures approved by the Performance Improvement Committee, and consistent with Federal and State guidelines, PRO regulations, JCAHO standards and contractual agreements with insurers or outside review agencies. Minimum Education: Current R.N. licens...
