The Quality Assurance and Clinical Services Manager will work closely with the VP of Quality Assurance & Clinical Services and the Quality Assurance team. The Quality Assurance and Clinical Services Manager has clinical expertise and is familiar with the field talent practices and procedures. Su...
Ensures a plan of care is developed and maintained for members receiving care management services consistent with COP/NCQA and department standards. Coordinates and facilitates communication among the member/caregivers /representative, members of the healthcare team, and other relevant parties (e. C...
The Support Coordinator / Service Coordinator / Case Manager provides case management activities necessary to meet the needs of clients assigned to the consolidated care team. This position is responsible for the development of individualized care management plans; implementation of the care plan th...
AllCare Plus Pharmacy, an IQVIA company, is seeking a Care Manager! Responsibilities will vary by program and its lifecycle. Care Manager’s may be responsible for contacting insurance companies to obtain correct eligibility information, perform benefit investigations, copay assistance and check prio...
Job Description:The Tele Emergency Department Social Work Care Manager works collaboratively with physicians and other members of the health care team to improve the health of patients with chronic conditions or complex needs. The position educates patients and caregivers to help them manage their h...
The RN Care Manager is responsible for providing assessments, planning, interventions and follow-up for patients and family members across the continuum of care. You'll help to provide continuity of care for positive outcomes in our family centered environment. ...
The field care manager partners with members, their family and/or caregivers and providers so that they can self-manage their care, optimize their functional health status, have quality outcomes and use the health system appropriately. Follows the applicable established model of care or care managem...
AmTrust Financial Services, a fast-growing commercial insurance company, has a need for a Manager, Managed Care Filings in one of our offices in FL, TX, NY, CA, or IL. To support the Director of Utilization Review and Head of Managed Care and Clinical in the development and implementation of the int...
Counts all narcotics with another Medication Care Manager (MCM) or Lead Care Manager (LCM) each shift. The Medication Care Manager is responsible for providing the highest degree of quality care and services by administering medication and treatments in a safe organized manner. Responsibilities incl...
We're on a mission to solve a human challenge we all face: finding great care for the ones we love. If you like having autonomy, if you thrive on collaboration and building new things, and if you're all about using your talent for good, Care. Manager, Data Services to lead and manage our data wareho...
We’re on a mission to solve a human challenge we all face: finding great care for the ones we love. There are plenty of options for finding household employees for all sorts of care needs, but people come to our platform to find employees they trust and can give the responsibility of a loved one. As...
The Care Manager-LCSW/LMSW coordinates the care and services for patients in the acute care, transitional, or ambulatory setting who are identified as needing assistance, meet high risk criteria, meet complex or Social Determinants of Health criteria, or meet payor model criteria for care management...
We’re on a mission to solve a human challenge we all face: finding great care for the ones we love. There are plenty of options for finding household employees for all sorts of care needs, but people come to our platform to find employees they trust and can give the responsibility of a loved one. As...
Ensures a plan of care is developed and maintained for members receiving care management services consistent with COP/NCQA and department standards. Coordinates and facilitates communication among the member/caregivers /representative, members of the healthcare team, and other relevant parties ( ref...
The Support Coordinator / Service Coordinator / Case Manager provides case management activities necessary to meet the needs of clients assigned to the consolidated care team. This position is responsible for the development of individualized care management plans; implementation of the care plan th...
Refugee Foster Care Lead Case Manager. You will support other case managers as needed, assist in training new case managers, and support the Case Management Supervisor in strategizing and implementation of improved processes and procedures. Refugee Foster Care Case Management Supervisor. The RFC Lea...
Implement care management review processes that are consistent with established industry and corporate standards and are within the care manager’s professional discipline. This job implements effective utilization management strategies including: review of appropriateness of health care services, ap...
As a(an) RN Manager Progressive Care you can be a part of change. It is an exciting time to be a nurse at HCA Healthcare! Come unlock your career potential and see how rewarding it can be to reach your personal and professional goals. Help to advance the practice of nursing and improve positive outc...
This position will work collaboratively with the entire Critical Care leadership team and report to the Director of Critical Care. Nurse Manager Critical Care Benefits:. Surgical Neuro Trauma Intensive Care Unit ICU. They have consistently been named a top place to work in healthcare, as well as one...
The Nurse Care Manager works collaboratively with physicians and other members of the health care team to improve the health of patients with chronic conditions or complex needs. Assists the care team in developing a plan of care which includes but is not limited to assuring appropriateness of servi...
Growing your career as a Full or Part- Time Remote Customer Care Manager is an incredible opportunity to develop valuable skills. If you are strong in leadership, and persuasion and have the right determination for the opportunity, then schedule a meeting today to become a Remote Customer Care...
As a Senior Engineering Manager, you're probably wondering: what do Mobile Engineering Teams do at Care?. What you'll do as a Mobile Software Engineering Manager at Care:. We’re on a mission to solve a human challenge we all face: finding great care for the ones we love. Our Mobile Engineers work al...
As the Registered Nursing/Case Manager with Ovation, you will be responsible for planning, coordinate and provide hospice care in accordance with the patient's plan of care, and ensuring the highest standards of care are upheld. Ovation Hospice, is currently seeking a highly skilled and compassionat...
The Nurse Care Manager works collaboratively with physicians and other members of the health care team to improve the health of patients with chronic conditions or complex needs. Establish care plans in collaboration with the primary care physician and the patient care team. Analyze patient care tre...
This includes promoting the adoption and utilization of Corporate Medical Advisory Board Recommended Algorithms and Standing Orders, clinical pathways and clinical policies and procedures to improve care coordination and care delivery. Mentors and trains staff to collect, trend, and analyze data on ...