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PRIMARY PURPOSE: To provide comprehensive quality telephonic case management to proactively drive a medically appropriate return to work through engagement with the injured employee, provider and employer.
$72,000 - $88,000Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Five (5) years of related experience or equivalent combination of education and experience required to include two (2) years of direct clinical care OR two (2) years of case management/utilization management required.
$72,000 - $88,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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AmTrust Financial Services, a fast growing commercial insurance company, has a need for a Telephonic Medical Case Manager, RN. These responsibilities may include utilization review, pharmacy oversight and care coordination.
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Certification in case management, pharmacy, rehabilitation nursing or a related specialty is highly preferred. Responsible for accurate comprehensive documentation of case management activities in case management system.
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Collaborates and communicates with the patient/family, Primary Nurse, Patient Care Coordinator, Physician, Referral Source, and Hospice Interdisciplinary Team to ensure optimal coordination of care for each patient/family and to participate in the development and monitoring of the plan of care to ensure effective patient case management.
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Documents the case management process in the medical record; completes and documents a care coordination assessment on the patient. Serves as a liaison to patient, family, admitting, primary care physician, health care team, and hospital departments.
$90,000 - $145,000 a yearFull-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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Certified Nurse Care Manager certification preferred. Knowledge of health care fiscal management goals and strategies including trends and issues in health care reimbursement and knowledge of care delivery system across the continuum of care.
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Three (3) years recent clinical nursing experience in an acute care setting with prior Care Management experience preferred. For more than 118 years, Backus Hospital has been the primary source of healthcare services for much of Eastern Connecticut.
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Coordinates, negotiates, communicates, and manages the care of assigned patient population along a continuum to facilitate achievement of optimal patient outcomes within appropriate LOS and resource utilization parameters.
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Work Experience : 3 years RN experience in an acute care setting; Leadership experience preferred; Utilization review, discharge planning or case management experience preferred. Nuvance Health has a network of convenient hospital and outpatient locations — Danbury Hospital, New Milford Hospital, Norwalk Hospital and Sharon Hospital in Connecticut, and Northern Dutchess Hospital, Putnam Hospital Center and Vassar Brothers Medical Center in New York — plus multiple primary and specialty care physician practices locations, including The Heart Center, a leading provider of cardiology care.
$39 - $72 an hourFull-timeExpandApply NowActive JobUpdated 13 days ago - UpvoteDownvoteShare Job
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Telephonic Nurse Case Manager. Knowledge of case management practice. Communicates effectively with claims adjuster, client, vendor, supervisor and other parties as needed to coordinate appropriate medical care and return to work.
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Minimum two (2) years of RN experience in utilization review, ambulatory case management, care coordination or disease management. The Care Manager will work in 2 settings on a periodic rotating schedule, planning the discharges and follow up care for Kaiser Foundation Health Plan of Washington patients hospitalized at a nearby network facility and carrying a case load of patients in one of the Kaiser Foundation Health Plan of Washington medical centers.
$44.06 - $74.29 an hourPart-timeExpandApply NowActive JobUpdated 17 days ago - UpvoteDownvoteShare Job
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Knowledge of pharmaceuticals to treat pain, pain management process, drug rehabilitation. Performs clinical assessment via information in medical/pharmacy reports and case files; assesses client's situation to include psychosocial needs, cultural implications and support systems in place.
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As an RN Case Manager you will be partnering with clinical teams to provide complex case management and strengthen the connection between the patient and the primary care physician/medical practice staff.
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Uses clinical/nursing skills to help coordinate the individual's treatment program while maximizing quality and cost-effectiveness of care including direction of care to preferred provider networks where applicable.
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care management primary coordination case manager jobs Title: nurse case manager in Rogers, Arkansas
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