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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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Complete patient phone calls including, but not limited to, proactive care coordination, medication reminders, appointment reminders, transitional care management, and complete documentation with telephone encounters accordingly.
$22 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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KEY AREAS OF RESPONSIBILITY:Develop a keen understanding of primary care practice requirements for optimal, coordinated population healthWork as an effective team member of the care teamCollaborate with care teams to establish population-appropriate, pre-visit, and point of care processesWork with the Phamily Chronic Care Management platform to support patients with multiple chronic diseases and assists in coordination of the patients care continuum.
$45,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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This includes but is not limited to: Wardrobe Home Care program, Open Door Plus Appeals & Peer Review preparation, attending EIL, company/hourly recognition events/ awards, Team Member Service events, Town Hall events, TSAT meetings, HR Roundtable presentations, Position Management reviews, work authorization expiration notifications, No Pay Report follow-up, Average Hours report, job descriptions, talent review, staffing assistance for job fairs, and XTRAS initiatives.
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Ideal candidates have pediatric / foster care case management experience and are located in the areas of New Port Richey, Tampa, Orlando, Maitland, Sarasota, and Fort Myers. Ideal candidates have child welfare / foster care case management experience.
$37.25 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Assist in oversight of day-to-day coordination of internal operation activities, including inventory management, customer service, management reporting, and data production. These benefits include comprehensive health care coverage, on-site health and wellness centers, a retirement savings plan, backup childcare, tuition reimbursement, mental health support, financial coaching and more.
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Nursing director has core accountabilities for the following: (a) safety, quality, and risk; (b) patient and population health advocacy; (c) clinical care delivery and optimal patient outcomes; (d) healthy work environment; (e) strategic, financial, and human resource management; (f) legal and regulatory compliance; (g) networking, partnering, and collaboration; and (h) accountability/advocacy for their Associates.
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Interfaces with corporate and US field departments including the factory, elevate, coordination, leasing, legal, and labor relations. Understands the importance and need to follow through on NPS scores and customer care.
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Receives and responds to incoming Care Coordination inquiries from all communication venues: e.g. phone queue, TruCare, portal, claim queue, department e-mail box or Rightfax. Coordinates and assists in monitoring of documentation Care Management queues.
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The Clinical Manager is responsible for managing, directing and assigning Clinical Supervisors to specific client populations as necessary for client management including care coordination, orientation, clinical quality initiatives, and other duties as required by contract and/or programs.
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Assists in collaboration with the assigned team to identify patients most likely to benefit from care coordination services to include assessing the patient's risk factors and needs for care coordination, clinical utilization management services, and preventative services.
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The RN Care Manager in collaboration with the patient/family, social workers, nurses, physicians and the interdisciplinary team, ensures patient-centered care coordination and progression through the continuum of care.
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Requires establishing facts of loss, coverage analysis, investigation, compensability/liability/negligence determination, coordination of medical care (as appropriate), litigation management, damage assessment, settlement negotiations, identifying potential fraud and appropriate use of authorized vendors.
Full-timeRemoteExpandApply NowActive JobUpdated 12 days ago - UpvoteDownvoteShare Job
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The Nurse Case Manager, RN coordinates patient care in compliance to regulations and quality improvement of the Home Health Agency; order and authorization review, assignment of field staff, utilization management, the nursing process- development planning, implementation, and updates of the plan of care under the scope of the state RN licensure.
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Regional Gastroenterology Account Managers will be responsible for facilitating contracting, account management, and coordination primarily for infusion provider accounts that are regionally based and are classified as mid-size for IBD potential and volume.
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care coordination management jobs in Altamonte Springs, FL
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