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Registered Nurse or LCSW/LMSW license; or relevant experience as approved by VP of Case Management required. Includes integration of national standards for Case Management scope of services, including utilization management supporting medical necessity and denial prevention, transition management promoting appropriate length of stay, readmission prevention and patient satisfaction.
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Supplemental Health Care is seeking a travel nurse RN Case Management for a travel nursing job in Oak Brook, Illinois. Job Description & Requirements Specialty: Case Management Discipline: RN Start Date: ASAP Duration: 13 weeks Employment Type: Travel Job Description: Supplemental Health Care is currently hiring RNs with previous OASIS experience for home health contracts in Oak Brook, Illinois, and the surrounding areas.
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The primary role of the Care Coordinator is to provide comprehensive strengths-based, trauma informed, case management services to homeless and recently housed adults. JOB QUALIFICATIONS Must have a working knowledge of Psychiatric Disorders as well as knowledge and ability to implement the following evidence-based models: Harm Reduction, Housing First, Strength-based Case Management and Motivational Interviewing.
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TotalMed Case Management Staffing is seeking a travel Sterile Processing Technician for a travel job in Yakima, Washington. Our goal is to give gold standard customer care by enhancing the recruiter - traveler partnership with a high level of integrity and fun while supporting the experience you want to have throughout your travel career.
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George Washington University Hospital is seeking a Registered Nurse (RN) Case Management for a nursing job in Arlington, Virginia. Case Management Certification preferred. Specialty: Case Management.
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George Washington University Hospital is seeking a Registered Nurse (RN) Case Management for a nursing job in Brentwood, Maryland. The George Washington University Hospital (GW Hospital) is a 395-bed tertiary care, academic medical center located in downtown Washington, DC. Featuring a Level I Trauma Center and a Level III NICU, GW Hospital offers clinical expertise in a variety of areas including cardiac, cancer, neurosciences, women’s health, and advanced surgery including robotic and minimally invasive surgery.
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Responsible for the management and communication of denials/appeals received from third party payers, managed care companies, and/or government entities/auditors related to medical necessity and/or level of care.
$33.3 - $44.49 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Job Title: Foster Care Case Manager Location: Fairview Heights, IL Job Type: Ful l: This position is a full-time role and works 40-hour weeks on Monday - Friday with participation in an after-hours emergency on-call rotation.
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The Clinical Appeals Nurse will review each case identified/referred for appeal based on Milliman Care Guidelines (MCG), InterQual, and/or other relevant guidelines, determined the viability of the appeal, and manage the appeal process.
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At least three years of any combination of experiences working in/with case management, care coordination, utilization review, patient intake, discharge planning and troubleshooting fund resources, quality assurance, clinical pathways, continuous quality improvement, or state and federal health plans or commercial insurance plans in a clinical or managed care environment.
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Experience in population health management, community health, case management, disease management, quality improvement, and/or motivational interviewing and active listening.
$75,000 - $90,000 a yearFull-timeExpandApply NowActive JobUpdated 24 days ago - UpvoteDownvoteShare Job
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The Manager for Case Management Services reports to the Case Management Director and is responsible for promoting patient-centered care by coordinating all aspects of hospital based case management for his/her assigned area of responsibility in alignment with the goals of the Case Management Department.
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The NP manages LIFE Program participants, providing primary health care and case management, focusing on disease prevention, wellness and management of chronic and acute illness in collaboration with the LIFE Program Primary Care Providers (PCPs) and Medical Director.
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Job Description & Requirements Specialty: Case Management Discipline: RN Start Date: ASAP Duration: Ongoing Employment Type: Staff Agency: The Christ Hospital Home Health Care Our culture and people are what set us apart from other post-acute care providers.
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Basic Qualifications: Experience Two (2) years combined RN experience in an acute care setting or case management required. Posted job title: Case Manager Utilization Rn-Per Diem Mid-Shift About Kaiser Permanente At the heart of health care, you'll find Kaiser Permanente.
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care management managed case gold star jobs Title: management in Rogers, Arkansas
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