Remote telephonic case management, Care manager (CM) follows model of care to assist member in managing health care needs. CM caseload expectation is 75 actively managed members, Audit score of 90%or greater, Case duration 90 days. Job Title: “Care Manager (RN)”. Prior case management experience pre...
They are looking for a driven, experienced Case Manager to work closely with their top notch litigators. Managing and negotiating cases with insurance providers. Effectively manage a full case load. Organize and maintain case files, preparing files to be submitted to demand writers. ...
One year of hands-on experience with young children and families in a teaching, case management, or counseling role, or with individuals with special needs and/or developmental delays of any age in a case management role. Bachelor's degrees in other fields require a minimum of 3 years of experience ...
Available to work every other weekend and rotate major/minor holidays.No planned time off throughout contract.Required: +yrs recent acute CM RN exp in a hospital setting strongly preferred, BLS, Discharge planning experience, prior travel.Utilization Review exp a plus but not mandatory.Cerner, MCG e...
PATH is seeking candidates passionate about helping others make a positive change in their lives to join our Interim Housing Services as the Case Manager III at the Yale Navigation Center. As part of the Interim Housing Services team, the Case Manager III performs supports clients through all phases...
Responsible for performing case management telephonically and/or by home visits, and/or inpatient and outpatient provider facilities within the scope of licensure for members with behavioral health and substance abuse or substance abuse disorder needs. Responds to more complex cases and account spec...
Provide Case management service to clients as outlined in the case management procedure manual in accordance with Children and Families Rules and Regulations. Conduct case management activities for assigned clients to include assessment of strengths and needs, service goals, service planning, client...
Community Care Case Manager use a collaborative process of assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services to meet an individual’s and family’s comprehensive health needs through communication and available resources to promote quality, cost e...
The Case Manager role’s main function is to assist clients in breaking the cycle of homelessness by utilizing a “whatever it takes” approach. The Case Manager assists clients with accessing and maintaining necessary services among health care, social services, interpersonal support systems, and navi...
IEM is looking for a Full-time Case Manager to join our dynamic team! The Case Manager plays a vital role in guiding homeowners through various stages of the program, from intake to closeout. Requests for accommodation will be considered on a case-by-case basis. Identifies and escalates issues to th...
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...
Serving Children and Reaching Families, LLC is seeking a Targeted Case Manager to provide Outpatient Mental Health services to adults and adolescents in need. Flexible schedule, including morning, day, evening, and weekend shifts as neededHybrid position with 50% travel requiredRemote meetings and t...
Graduate of a school of nursing accredited by the Accreditation Commission for Education in Nursing (ACEN), formerly known as the National League for Nursing Accrediting Commission (NLNAC), or the Commission on Collegiate Nursing Education (CCNE) that conferred a nursing baccalaureate or an advanced...
Presents cases at case conferences/rounds to obtain multidisciplinary view in order to achieve optimal outcomes. The Pediatric Care Manager RN will support a population of primarily medically complex pediatric members across the MMA and Florida Healthy Kids Medicaid lines of business with an emphasi...
Telephonic Nurse Case Manager I. Telephonic Nurse Case Manager I. Certification as a Case Manager is preferred. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. ...
We are seeking a Case Manager Registered Nurse for an assignment in Remote Florida. ...
Acts as Case Manager when assigned by Clinical Supervisor and assumes responsibility to coordinate patient care for assigned caseload. Fulfills the obligation of requested and/or accepted case assignments. ...
Serving Children and Reaching Families LLC isseeking aTargeted Case Manager to provide Outpatient Mental Health servicesto adults and adolescents in need. ...
PATH is seeking candidates passionate about helping others make a positive change in their lives to join our Interim Housing Services Team as the Program Manager -Case Management at the Yale location. PATH operates services throughout California, connecting our clients to a comprehensive continuum o...
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...
Overview Full-time, RN Hospice Case Manager Nurse, Weekdays: Monday thru Friday w/ On-call Rotation for Lower Keys, FL Are you a highly skilled and compassionate Registered Nurse (RN) looking for a rewarding career in hospice as a case manager? If so, we invite you to join our Marathon - Lower Keys ...
The role of the Case Manager is to promote quality, cost-effective outcomes for a population by facilitating collaboration and coordination across settings, identifying member needs, planning for care, monitoring the efficacy of interventions, and advocating to ensure member’s receive services and r...
Acts as Case Manager when assigned by Clinical Supervisor and assumes responsibility to coordinate patient care for assigned caseload. Fulfills the obligation of requested and/or accepted case assignments. ...
Reporting to the Nurse Case Manager Supervisor, you will telephonically screen and manage workers’ compensation medical claims, review medical documentation, prepare written correspondence, and communicate with physicians regarding major contributing causes of medical conditions as it relates to the...
We are seeking a Telephonic Case Manager to cover the East coast. The Telephonic Case Manager provides . A Telephonic Case Manager assists consumers in their recovery so that they may return to the highest level of function as possible. The Telephonic Case Manager works with all parties to the claim...