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Five plus years’ experience in Chronic Care Management, Transitional Care Management and/or Care Coordination programs. Responsible for the performance of Chronic Care Management and Transitional Care Management Programs.
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BSN preferredAt least 6 months of experience as an RN. Experience in Chronic Care Management, Transitional Care Management and/or Care Coordination programs preferred.
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Works collaboratively with the Case Manager, Brewster Ambulance Services Transportation Coordinator and the VPNE care van ambassador to coordinate the various modes of discharge transportation.
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Applies clinical knowledge and experience to evaluate information regarding prospective care management members referred by health risk assessment (HRA), risk stratification, predictive modeling, provider’s utilization review vendors, members, Call Center, claims staff, Health Homes Program (HHP) eligibility or other data sources to determine whether care management intervention is necessary to meet the member's needs.
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Experience Two (2) to Five (5) years Risk Management experience; acute care experience preferred. The Women's Center maternity services include labor, delivery and recovery rooms, antepartum and postpartum care, a newborn nursery and a Level III neonatal intensive care unit.
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Building a Family: adoption, surrogacy and fertility assistance as well as paid parental and caregiver leave, Dependent Day Care FSA back-up child and adult/elder care days and childcare discounts.
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Regulatory Compliance : Ensure that all CCM activities are compliant with applicable regulatory standards, including CMS guidelines for Chronic Care Management and Transitional Care Management.
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This position is responsible for conducting care 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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The EPIC Contract Management Analyst gathers and analyzes information collected from both internal and external sources to provide accurate, timely, appropriate, and value-driven information cost-effectively to support Managed Care Contracting and negotiations.
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1-4 years in accounting, finance, asset management, or real estate; familiarity with CDFI, NMTC, or lending compliance is a plus. New Markets Tax Credits: Since 2003, NCIF has received over $401 million in NMTC allocations that are being deployed into real estate, operating companies, health care facilities, schools, other nonprofit, and for-profit impact-oriented businesses in partnership with local CDFI institutions; andLending: NCIF makes loans in partnership with CDFIs, MDIs, and MOFIs to enhance the impact of projects that benefit underserved communities.
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This position is responsible for conducting medical management and health education programs for customers on government health care programs. Registered Nurse (RN), Licensed Professional Counselor (LPC), Licensed Clinical Professional Counselor (LCPC), Licensed Master Social Worker (LMSW), Licensed Social Worker (LSW), Licensed Clinical Social Worker (LCSW) OR Licensed Mental Health Counselor (LMHC) with 2 years direct clinical care to the consumer in a clinical setting.
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PC proficiency and experience with care management workflow systems, such as Canopy Knowledge of InterQual criteria and patient status change Strong communication and leadership skills Knowledgeable of JCAHO, federal and state standards/regulations.
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Maintains current knowledge of regulatory requirements pertinent to BHI UM which includes the Department of Health Care Services (DHCS), Centers for Medicare & Medicaid Services (CMS), Managed Risk Medical Insurance Board (MRMIB) and Department of Managed Health Care (DMHC.
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Ensure the facility meets all standards and compliance with federal regulations related to emergency management planning, such as The Joint Commission (TJC), Occupational Safety and Health Administration (OSHA), Environmental Protection Agency (EPA), National Fire Protection Association (NFPA), Centers for Medicare & Medicaid Services (CMS), and Department of Homeland Security (DHS) regulations and standards.
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Implement a plan of care and monitor patient's response: Provide individual/family counseling, and social work intervention, as it relates to complex crisis management, mental illness, adjustment to illness, material assistance, healthcare decision-making, sexual assault, domestic violence, partner violence, elder abuse, competency, and any other psychosocial barriers in order to maximize the health status of patients.
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care management jobs Title: management in Rogers, Arkansas
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