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Reports to: Care Coordination Program Manager. The care coordination supervisor must be committed to serving clients from diverse backgrounds and promoting equity and inclusion in service delivery.
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Reporting Relationships: Reports to: Care Coordination Program Manager Direct reports include: Care Coordinators Primary Responsibilities: Supervision Responsible for the day-to-day oversight of services provided by direct reports in home, school and community settings.
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Act as coordination point for local and regional emergency response networks, including interfacing CNMC and city-wide response with government disaster command centers and EMS systems. The Transfer Coordination Specialist (TCS) serves as the highly visible and critical role within the communications center, a 24/7 function that provides rapid and efficient transport and coordination of emergency patient referrals.
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As part of the multidisciplinary team, the Acute RN Care Coordinator works closely with physicians, nursing and ancillary departments, and provides support and clinical expertise to nursing personnel regarding patient care coordination issues.
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Will attend in the absence of the Direct Care Aide Coordinator in all IDT Meetings Communication of in-center and home care PCAs for shifts, and work assignments with the approval of the Direct Care Aide Coordinator for schedule changes, PTO or OT. Will complete the master schedule, center assignments, home care schedules, and Participant scheduling in Alaya Care. Assists with the coordination of the participant supply process including coordination of delivery.
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Ensure timely and accurate facility claims processing in accordance with member benefit and eligibility parameters, Summary Plan Description (SPD) and Coordination of Benefits (COB) guidelines, regulatory and pre-authorization requirements, Claim Check/National Correct Coding Initiative (NCCI) rules, provider contract terms and timeframes, and Fund/departmental policies.
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The RN Care Manager provides education to nurses, physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge Planning and care coordination.
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Provide case management and care coordination services, as outlined in the CPA, BRS, and King County Contracts, Statements of Work, Handbooks, and Policy/Procedures, to clients enrolled in the Permanency Programs including, traditional/long-term foster care, extended foster care, therapeutic foster care, intensive in-home stabilization services, and Outpatient Mental Health services.
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Assists in the coordination of patient services, including but not limited to specialty referrals, hospital and SNF coordination, durable medical equipment and home health care. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients.
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Humana's Primary Care Organization is one of the largest and fastest growing value-based care, senior-focused primary care providers in the country, operating multiple centers across eight states under two brands: CenterWell & Conviva.
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Collaborate with interdisciplinary healthcare teams to ensure comprehensive care coordination and continuity for patients enrolled in chronic care management programs. Prior experience in care coordination or patient enrollment preferred.
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Humana's Primary Care Organization is one of the largest and fastest growing value-based care, senior-focused primary care providers in the country, operating over 175 centers across eight states under two brands: CenterWell & Conviva.
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The Care Navigator is a member of the Patient Care Coordination Team and works to improve the health outcomes of our. The Care Navigator provides communication and support to the primary care providers regarding HEDIS, health.
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We are a value-based care provider focused on quality of care for the patients we serve. Willingness and ability to learn/adapt to practice in a value-based care setting. The Primary Care Physician (PCP) works as a lead in our team-based care environment.
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As an OBAT Staff Nurse, your duties include providing care management, care coordination, counseling, and community engagement and education; monitoring and protocol-driven adjustment of ongoing buprenorphine and stimulant treatment medications; administering injectable medications including long-acting buprenorphine and long-acting naltrexone; and administering methadone for withdrawal management and linkage to longer-term methadone care.
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care coordination jobs Title: case manager registered nurse Company: Novant Health
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