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The Case Manager is responsible for utilization reviews and resource management, discharge planning, treatment plan management and financial management, while also completing medical record documentation. You will report directly to the Director of Case Management and provide social work services, a...
Collaborate with and serve as an expert resource to the health care team to enhance the delivery of patient care services.Efficiently coordinate patient needs to assure high quality patient care, reduce length of stay and resource utilization and ensure reimbursement drawing on a broad clinical and ...
The incumbent delivers data profiling, conducts testing and systems validation to troubleshoot data anomalies, monitors data management metrics and data loads. This job understands healthcare data from end-to-end and analyzes raw data and analytic data for the enterprise. Verify analytic data for th...
Senior Business Systems Analyst . Partner with varies business stakeholders and subject matter experts to assess and document business needs. Elicit and document business requirements and user stories, utilizing business analysis techniques to align solutions. Facilitate requirement gathering sessio...
The Case Manager RN (CM RN) is responsible for telephonically and/or face to face assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member’s overall wellness. Consults with supervisor and othe...
The Business Analyst position in Transmission Portfolio Management is responsible for the creation of project master data in SAP (work orders and WBS's) as requested from Transmission Portfolio Development or other business entities. Collaborate with the Transmission Business Services Group. Two or ...
Performs modeling of data sources and flows, works with data management staff to define an operational framework that will define, develop and implement policies and security frameworks to ensure precise and secure delivery of knowledge and information. Perform modeling of data sources and flows, wo...
Ensures data integrity and compliance by performing data cleansing, data audit and/or data validation. Ensure data integrity and compliance by performing data cleansing, data audit and/or data validation. Provides business process, system support and data quality governance through data coordination...
Our operational team members focus on efficiently meeting the needs of our clients across various lines of business.If your passion is to ensure quality care to help our clients live their best life we encourage you to....
Monitor the data exchange with our external and internal data consortiums and the effectiveness of risk mitigation tools including internal controls. Do you bring a data-oriented and agile mindset to your work? Do you have a self-starter attitude that is constantly driving improvements without direc...
Uses regular judgement and discretion to collaborate with customers in order to: Understand capability needs; Gather project specifications; Create business cases and cost sheet analysis; Translate high-level business needs into detailed requirements for new capabilities (and change request/enhancem...
Collaborates with supervisor and other key stakeholders in the member’s healthcare in overcoming barriers in meeting goals and objectives, presents cases at interdisciplinary case conferences . Certified Case Manager is preferred. Our Care Managers are frontline advocates for members who cannot advo...
Help coordinate a business analyst teams duties and activities on IT projects and nurture newer team members by providing guidance and support. One or more years of experience in a relevant Business Analyst position, with 2 experience in Medicaid and Medicare experience preferred . Join the group th...
Business Analyst plays a critical role in supporting the business team by handling the configuration and home Office onboarding actions for our digital products. You will be a part of the Broadridge Advisor Solutions team using your business analysis skills to listen to clients and translate busines...
In addition to identifying the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: dev...
Perform detailed analysis of complex business process requirements and provide appropriate system solutions. Conduct workshops to collect business requirements. Map client business requirements, processes, and objectives. Proactively propose business process and system enhancements. ...
Village Caregiving - Charleston is seeking a compassionate and dedicated Caregiver to join our team on a part-time, hourly basis. As a Caregiver, you will provide essential healthcare support to our clients in the Campbells Creek and surrounding areas. As a Caregiver at Village Caregiving - Charlest...
The Case Manager RN (CM RN) is responsible for telephonically and/or face to face assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member's overall wellness. Consults with supervisor and othe...
Identify resources needed for a fully integrated care coordination approach including facilitating referrals to special programs such as Disease/Chronic Condition Management, Behavioral Health, and Complex Case Management. Document all case management services and intervention in the electronic heal...
We are looking for compassionate caregivers to join our growing team! The right candidates have a can-do attitude, a friendly demeanor, and the ability to provide many levels of support to our clients. ...