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2 years of experience in Case Management (Care Coordination or Utilization Management) or successful completion of the Transitions in Practice (TIP) program for Care Manager.
$52.6 - $79.54 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Provides clinically based case management, discharge planning, and care coordination to facilitate the delivery of cost-effective quality healthcare and assists in the identification of appropriate utilization of resources across the continuum of care.
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The LVN/LPN Case Manager Assistant is responsible to conduct medical necessity screening and work collaboratively with the interdisciplinary team to provide care coordination for patients under the direction of a Registered Nurse and in compliance with evidence-based practice and regulatory requirements.
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Makes referrals for post-acute services based on needs identified by the RN Case Manager or SW staff assessment and utilizing the electronic Case Management system. Follows up on patients identified by the SW and /or RN Case Manager on factors that may affect the progression of care.
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Manage the operations and activities of the Care Coordination Department including discharge planning, utilization management and high-risk case management. Director Care Coordination- Major Responsibilities Criteria A: Establishes and coordinates communication with all Utilization Regulatory Agencies i.e. Qualidigm, NGS, etc., State and Third Party Payers to address Utilization Management Issues and Denials.
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The CCMHC is responsible for providing triage, clinical assessment, direct diagnosis of mental health disorders in conjunction with DSM, ICD-10 and Collaborative Care and/or Psychotherapy codes, psychoeducation to patients and primary care providers, care coordination, case management, direct evidence-based psychotherapy, treatment plan formulation and updates, crisis coordination, and relapse prevention planning.
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Experience with care coordination methods preferably in an academic practice and/or PCMH primary care, Care Management experience. Assist Providers with immediate on-site care management/care coordination services including: creating care plans for highly complex patients, education for care management patients, assisting patients with social determinants of health (e.g. transportation, unemployment, food, etc.
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Working knowledge of managed care, inpatient, outpatient, and the home health continuum, as well as utilization management and case management. The components/roles of the inpatient case management program consist of the following: Care Facilitation, Utilization Management, Case Management and Discharge Planning.
$45 an hourFull-timeExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
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A Bachelor’s or Master’s Degree i n Nursing (RN) currently licensed in Louisiana (one year of paid experience as a licensed RN will substitute for the degree) AND two (2) years of paid post-degree experience in providing coordination services.
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The RN Case Manager Assistant is responsible to conduct medical necessity screening and work collaboratively with the interdisciplinary team to provide care coordination for patients under the direction of a Registered Nurse and in compliance with evidence-based practice and regulatory requirements.
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Help to advance the practice of nursing and improve positive outcomes for your patients as a Case Manager RN PRN. We want your knowledge and expertise Job Summary and Qualifications The Case Manager (CM) ensures high-quality, patient-centered care by managing Rehabilitative care to ensure optimum outcomes.
$55.6 an hourExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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The positions 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.
$46.96 - $74.63 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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The RJ Case Manager Specialist I shall provide case management services with referred individuals and their families while also implementing appropriate restorative justice practices.
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The RN Care Coordinator performs this role to meet the individual's health needs while promoting quality of care, cost effective outcomes and by following hospital policies, standards of practice and Federal and State regulations.
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A Medical Care Manager enhances the reputation of AHF by utilizing your care management experience, you will screen clients for complex medical and psychosocial issues requiring medical case management services.
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practice manager case management care coordination jobs Title: rn manager Company: Avera Health Plans Careers
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