Up to $10,000 Sign-On bonus for experienced Registered Nurse / RN POSITION SUMMARY Responsible for utilization review and discharge planning of all acute clinical areas.Responsible for all insurance authorizations, clinical communication, and denial and appeals.Tracking and reporting of data for ot...
This is a full-time position where you are expected to manage a caseload, so you absolutely must be able to work remotely for 50 hours per week. ...
Up to $10,000 Sign-On bonus for experienced Registered Nurse / RN POSITION SUMMARY Responsible for utilization review and discharge planning of all acute clinical areas.Responsible for all insurance authorizations, clinical communication, and denial and appeals.Tracking and reporting of data for ot...
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 ...
Develops strong relationships with case managers, physicians, etc. ...
PATH is seeking candidates passionate about helping others make a positive change in their lives to join our Care Coordination Services team as the Lead Case Manager role at the Santa Ana location. As part of the Care Coordination Services team, the Lead Case Manager is a seasoned social services pr...
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...
A Field Case Manager role is a remote, home-based position, with travel locally to doctors' offices, hospitals, and various other locations. The Case Manager works with insurance carriers, medical care providers, attorneys, employers, and employees, and closely monitors the progress of the injured w...
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...
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...
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...
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...
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...
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...
The RN Case Manager is a flexible team member who works under the direction of the Advanced Practice Clinician (APC) and activities are delegated by the APC or the team Clinical Services Manager (CSM). As a Long-term Care and Assisted living Optum Registered Nurse you will function as part of the pr...
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. ...
Certified Case Manager (CCM) or Accredited Case Manager (ACM) preferred. The RN Manager of Case Management develops, implements, and maintains a system of outcome management. The RN Manager of Case Management ensures Coordination of Care across the continuum on a financial platform. Leadership Manag...
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...
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...
The Case Manager role’s main function is to assist clients in breaking the cycle of homelessness by utilizing a “whatever it . PATH operates services throughout California, connecting our clients to a comprehensive continuum of homelessness prevention, street outreach, employment preparation and pla...
Serving Children and Reaching Families LLC isseeking aTargeted Case Manager to provide Outpatient Mental Health servicesto adults and adolescents in need. ...
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. ...
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...