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The Utilization Management Nurse collaborates as necessary with other members of the health care team to ensure the above according to the mission of CHRISTUS. CHRISTUS Santa Rosa Hospital - Westover Hills (CSRH-WH) is a 150-bed hospital serving the fastest growing area of San Antonio.
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This is an opportunity to change lives in your community for the better using a team approach with core members of the team that include a mental health therapist, a licensed alcohol and drug counselor, medication management provider, care coordinator, and a peer support specialist.
$21.5 - $34.5 an hourFull-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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The organization is nationally recognized for excellence in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nation’s top hospital systems for best practices, cutting-edge advancements, quality of care and healthcare technology.
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The Plant Health Care focus is on ensuring the health and well being of trees and shrubs on a clients' landscape in a specific territory. The Plant Health Care Team are specialists dedicated to inspecting plant material, identifying problems, and ethically treating or preventing the many problems that trees and shrubs may face.
$20 - $28 an hourFull-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Our approach to wellbeing focuses on “whole patient health,” which is why we provide more than primary care services, including mental health, case management, nutrition, and dental care to more than 50,000 patients in English and 15 languages: Korean, Lao, Burmese, Mandarin, Cantonese, Spanish, Portuguese, French, Mien, Karen, Mongolian, Karenni, Tagalog, Khmer, and Vietnamese.
$54,918.63 - $57,365.1 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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2 or more years of direct home health experience or care management. This entails executing tasks such as Transitional Care Management and Chronic Care Management to ensure comprehensive and effective healthcare support.
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Under the direction of the Care Management Manager and the Health Plan Operations Sr. Director, the Care Manager - RN (CM - RN) performs outlined Care Management (CM) duties for priority population members, members with mental health and addictions issues, and chronically ill Medicaid members with diagnoses that include chronic kidney disease, diabetes, chronic obstructive pulmonary disease (COPD), and cardiovascular disease.
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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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Job SummaryThis position is responsible for conducting medical management and health education programs for customers on government health care programs. Certification in Case Management, Training, Project Management or nationally recognized health care certification.
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NYC Health + Hospitals Office of Behavioral Health seeks a visionary and dynamic leader to join our Office of Behavioral Health Care Management Strategies. The Senior Director of Care Management will spearhead the design, implementation, and oversight of innovative care management programs aimed at enhancing patient well-being, addressing social determinants of health, and optimizing healthcare outcomes.
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Our Utilization Management Appeals Nurse - LPN/RN will help orchestrate the seamless resolution of appeals in line with health regulations. 2+ years of healthcare/managed care experience, preferably in the following related areas of responsibility: Utilization Management and/or Quality Management.
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Bachelor's Degree in Social Work from an accredited college/university and four (4) years of any combination of experience including working with communities on health or social service related matters, social work/case management experience, behavioral health and/or health care and licensure by the New Mexico Board of Social Work Examiners at the LBSW, LMSW, or LISW level or licensure in another state and qualified to sit for the next testing session.
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Ares offers a number of additional benefits including access to a world-class medical advisory team, a mental health app that includes coaching, therapy and psychiatry, a mindfulness and wellbeing app, financial wellness benefit that includes access to a financial advisor, new parent leave, reproductive and adoption assistance, emergency backup care, matching gift program, education sponsorship program, and much more.
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Our innovative technology allows the Orlando Health Hospital Care at Home team to provide high-quality care while improving outcomes, reducing healthcare costs and providing an overall better patient experience.
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In facility where Care Coordination has responsibility for Utilization Management functions, the Care Coordination Assistant will also be responsible for: Prioritize and manage communications relating to insurance requests, denials and Physician Advisor status recommendations to the appropriate licensed staff member, and documents any related authorizations, denials or status determinations in the designated EMR or software program.
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care management better health jobs Title: utilization management Company: Geisinger in Peoria, Arizona
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