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The Telephonic Nurse Case Manager I is responsible for telephonic care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum.
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About Us Care Lync Georgia is a Social Services agency focused on providing Service Coordination (Supports Coordination/Case Management) services to adults diagnosed with Intellectual, Developmental and Physical Disabilities and Autism Spectrum Disorder throughout Georgia who are enrolled in the Department of Human Services, Medicaid Waiver Program.
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Services are provided in an outpatient clinic co-located with interdisciplinary rehabilitation services including physical, occupational and speech therapy, sports psychology, neuropsychology, counselors, recreational therapy, vocational therapy and case management.
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Attends QRM staff meetings, Joint Case Management Meetings and weekly Complex Care Teleconferences as required. Maintains effective interaction/communication with members of the medical staff, nursing staff, complex case managers, home care review team, social workers, general reviewers, referral coordinators, and Kaiser Permanente medical offices to facilitate the inpatient utilization management process and to provide continuity of care.
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The ideal candidate will have experience in the communications service provider OR Hi Tech sector with understanding of any of various functions within including customer relationship management (CRM), CPQ, customer care operations, Service Operations, ERP and supply chain.
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The activities will include daily review of hospital care by chart review and discussion with attending physician, admission and concurrent review for inpatient admissions, meetings with patient and families to develop discharge planning, identification of patients for ambulatory case management, communication with case managers, home care reviewers, social workers, members and providers, quality improvement reviews, and education of the member/family, provider and hospital staff.
$78,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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The activities will include telephonic initial admission and concurrent review for inpatient admissions, discharge planning, identification of patients for case management, communication with case managers, home care reviewers, Social Workers, providers, and members as indicated, quality improvement reviews, and education of the member/family, provider and hospital staff.
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Implements and coordinates all case management activities relating to catastrophic cases and chronically ill members/clients across the continuum of care that can include consultant referrals, home care visits, the use of community resources, and alternative levels of care.
$116,800 a yearFull-timeRemoteExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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The COSTA specialist is also responsible for projecting and integrating the Mission and Core Values of the organization as well as AHF's Management Philosophy. In the case of the mobile therapy, s/he will introduce the patient to the mobile intervention, will meet bi-weekly with the patient to conduct a virtual urine screen, provide a contingent reward to patients with negative urines, and use clinical skills to support the patient and maintain their engagement during the 12-week mobile intervention.
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Professional Case Management (PCM) is the nation’s premier home care provider for nuclear weapons and uranium workers. Delivers care to clients as delegated by the regional director of clinical operations, senior case manager or case manager.
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Social Services Case Managers are part of an interdisciplinary treatment team charged with providing quality therapeutic and case management services to our patients from admissions to discharge.
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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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Coordinates clinical and all disciplines, PT (Physical Therapy), OT (Occupational Therapy), MSW, or HHA (Home Health Aide), as indicated by Plan of Care through case management. Educates patients and caregivers regarding care of patients, disease process, symptom control, wound care, and IV therapy.
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Experience in medical management, utilization review and case management in a managed care setting. Performs benefit-driven medical necessity reviews for coverage, case management, and claims resolution, using benefit plan information, applicable federal and state regulations, clinical guidelines, and best practice principles.
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We focus on Travel Nursing, Advanced Practice, Allied Services, Surgical Services, and Case Management. Get concierge level service and access our database of hot jobs you'll absolutely love We are here to take care of you Travel Per Diem Permanent Placement Locum Local MediPro is a leading healthcare talent firm that provides top tier clinicians to medical facilities and practices nationwide.
$3,322 a weekExpandApply NowActive JobUpdated Today
care case management jobs in East Point, GA
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