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The PV Clinical Scientist - ICSR Case Management performs clinical review of USPS cases (processed in-house or externally by the vendor) and supports the US Patient Safety PV Clinical Manager - ICSR Case Management in all activities.
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We are seeking a compassionate, professional Social Worker and/or Case Manager to provide case management, home study assessments and adoption education and support through our Adoption Services in the St. Louis area.
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Work Experience : 3 years RN experience in an acute care setting; Leadership experience preferred; Utilization review, discharge planning or case management experience preferred. Licensure/Registration/Certification: NYS Licensure as RN required; LMSW /LCSW preferred; Case management certification preferred.
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Working knowledge of lnterQual IS-SI, Milliman and Robertson Managed Care Guidelines, Erickson Life Skills (Age Competencies}, Medicare Part A and Part B, Medi-Cal, NCQA,HEDIS and other criteria as identified by the Quality/Case Management Department.
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Current working knowledge of discharge planning, utilization management, case management, performance improvement, disease or population management and managed care reimbursement.
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Case management needs including care coordination/transition and discharge planning, consultations, advocacy, education. Requires Case Management Certification (ACM, CCM or ANCC) within 3 years of hire.
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Accredited Case Manager (ACM) - American Case Management Association (ACMA) -PREFERRED. The RN CM I will ensure effective and safe patient handovers to next level of care; work closely with ambulatory care manager (ACM) at the system level, in clinics, with SCMG and other complex care Case Managers as appropriate, and homecare and sub-acute liaisons.
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Report directly to the Administrator, Executive Director or Patient Care Manager Senior and will maintain primary control and professional management of each patient. Wellness Program and Resources including: A dedicated Accolade Care Coordinator for personalized care management support of all your healthcare needs Telemedicine Program Type 2 Diabetes Management Program via Virta Health A complete Joint and Spine Program with concierge services via Nimble Orthopedics.
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Case Manager, 82nd St. Apartments Los Angeles, CA, USA Req #10979 Monday, February 26, 2024 Job Title: Case Manger – Project-basedSetting: Site-basedSite: 82nd St. ApartmentsReports to: Program ManagerStatus: Non-Exempt (Hourly), Full-Time, Non-Management SUMMARYThrough the use of evidence-based practices such as harm reduction, housing first, and trauma-informed care, the Case Manager supports Clients’ housing stability, self-sufficiency, and community integration.
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Peer Specialist Case Manager follows-up with referrals made by the Prosecutorial Diversion Program’s Care Coordinators and Mental Health Professional. Provide ongoing case management services to persons experiencing symptoms of acute or chronic mental illness until such time as a primary therapist, medication management provider, and/or case manager can be assigned from one of the community mental health centers.
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Title: Case Management Coordinator (Care Coordinators) Uses care management tools and information/data review and conducts comprehensive evaluation of referred member’s needs/eligibility and recommends an approach to case resolution and/or meeting needs by evaluating member’s benefit plan and available internal and external programs/services.
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The Case Aide reports to the Foster Care Case Manager Supervisor. Status: Non-exemptThe Case Aide provides transportation, supervision of visits for children and families within the Foster Care Case Management (FCCM) program.
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Certified Case Manager (CCM), Accredited Case Manager (ACM-RN), or UM Certification preferred. The position's emphasis will be on care coordination, communication and collaboration with utilization management, nursing, physicians, ancillary departments, insurers and post acute service providers to progress the care toward optimal outcomes at the appropriate level of care.
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The RN Case Manager (CM) is a dynamic role that utilizes professional nursing skills to assess patient and family situations while considering clinical appropriateness for the acute or an alternate setting and establishing plans for effective management of the continuum of care (episodic and population-based) by performing assessments, plans, interventions, and reassessments in a collaborative manner.
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Utilization Review Nurse perform integrated case management (CM) and disease management (UM) activities demonstrating clinical judgment and independent analysis, collaborating with members and those involved with members’ care including clinical nurses and treating physicians.
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