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Identifies and makes referrals to appropriate staff (Medical Director, Case Manager, Preventive Services, Subrogation, Quality of Care Referrals, etc. Provides telephonic support for members with chronic conditions, high risk pregnancy or other at risk conditions that consist of: intensive assessment/evaluation of condition, at risk education based on members' identified needs, provides member-centered coaching utilizing motivational interviewing techniques in combination with reflective listening and readiness to change assessment to elicit behavior change and increase member program engagement.
ExpandApply NowActive JobUpdated 29 days ago - UpvoteDownvoteShare Job
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The Telephonic Nurse Case Manager II is responsible for care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum.
Full-timeExpandApply NowActive JobUpdated 10 days ago - UpvoteDownvoteShare Job
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Previous experience in case management and telephonic and/or in person coaching with members with a broad range of complex psychiatric/substance abuse and/or medical disorders. The Clinical Care Manager is responsible for performing case management telephonically within the scope of licensure for members with behavioral health and substance abuse or substance abuse disorder needs.
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Through analysis and review by the Case Manager, litigation-related accounts will be monitored, and support given to outside counsel to efficiently manage the foreclosure litigation and ensure maximum recovery through the court system.
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They work as part of a care team including a Nurse Practitioner, Case Manager (Behavioral Health Advocate or Registered Nurse), Care Navigator, and other supporting team members. The CHW assesses functional, social, and behavioral needs of members and collaborates to develop and implement solutions through telephonic outreach and consultations, and interdisciplinary team activities.
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Under the direction of the practice physician and/or advanced practice provider (APP) and the supervision of the Nurse Manager (RN) and/or Nurse Supervisor (RN), the RN may provide direct patient care, patient triage (in-person and telephonic), assessment, planning, directing, and evaluating of a patient’s specific care plan and clinic visit.
$33 - $47.6 an hourInternExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Complete and submit reunification packets for initial review to Lead Case Manager or Designee. Submit completed reunification packet with appropriate referral made by Case Manager for the timely release of youth to designated ORR representative.
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Certifications Required - Registered Nurse in the state of Louisiana Certification as a Case Manager (CCM) required within 2 years of hire Other Required - Three years experience in managed care, utilization or quality management, regulatory compliance, medical management or other related MCO departments/functions with BSN Knowledge Skills and Abilities (KSAs) Must have computer skills and dexterity required for data entry and retrieval of patient information.
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POSITION SUMMARY The HSC Pediatric Center (HSCPC) Case Manager oversees patients' progression through the continuum of care while at HSCPC through individualized care coordination from referral/admission through discharge.
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Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Current active, unrestricted license such as RN, LCSW, LMHC, LICSW, LPC (as allowed by applicable state laws) LMFT, LMSW (as allowed by applicable state laws) or Clinical Psychologist to practice as a health professional within the scope of licensure in Michigan.
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Workers Comp RN Certified Network Telephonic Case Manager. The Telephonic Case Manager is responsible for managing case management files following IMO protocols and in compliance with clients' directives.
Full-timeExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
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The RN case manager will be responsible for identifying (California Children Services) CCS cases, handle transfers, and retro reviews. The RN Case Manager will provide daily care coordination with concurrent review for patient in the hospital or Skilled Nursing Facilities (SNF) in person or telephonically.
Full-timeExpandApply NowActive JobUpdated 29 days ago - UpvoteDownvoteShare Job
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This RN case manager/reviewer will be making sure that the care provided to a member will be provided in compliance with the health organization's regulatory and contractual requirements.
ExpandApply NowActive JobUpdated 14 days ago - UpvoteDownvoteShare Job
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Disease Management/Outreach: Initiate new customer and ongoing telephonic connections per protocol for an identified caseload. Case Management/Care Coordination/Disease Management experience preferred.
Full-timeExpandApply NowActive JobUpdated 17 days ago - UpvoteDownvoteShare Job
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The Telephonic Nurse Case Manager will perform clinical assessments and evaluate needs for treatment in worker’s compensation claims. The Telephonic Nurse Case Manager will negotiate and coordinate appropriate medical treatment and length of disability with providers and employers while managing financial and other risk on behalf of the Company.
ExpandApply NowActive JobUpdated 6 days ago
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