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CCM (certified case manager), CPUM (certified professional in utilization management) or other relevant certification (preferred). Collaborate with Care Management and HIM Coding managers on feedback for denials related to utilization management/coding as appropriate with escalation as needed.
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Certification in Case Management or Rehabilitation Nursing preferred; for example, Commission for Case Manager Certification (CCM); Association of Rehabilitation Nurses (ARN) certification, American Case Management Association (ACM) or Board Certification in CM by the ANCC e.g.: RN-BC.
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Work closely with our centralized support functions, CCM, CCR and SIAS teams to identify continuous improvement opportunities and implement cost savings measures where appropriate. Underground mining experience is a plus.
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CCM offers eligible employees a competitive compensation plan and a robust benefits package, including medical, dental, vision, as well as a 401K. We also offer company-provided short-term disability, an employee assistance program, and a wellness program.
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Certification examples include PACS (Prior Authorization Certified Specialist), CHES (Certified Health Education Specialist) or CCM in healthcare or social science (Certified Case Manager). Certification examples include PACS (Prior Authorization Certified Specialist), CHES (Certified Health Education Specialist) or CCM in healthcare or social science (Certified Case Manager.
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Sets expectations to provide clear, consistent direction related to safety requirements from CCM leadership. Metal fabrication environment preferred. Addresses conflict to find common ground solutions.
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CCM (Critical Care Management), State RN License. The coordinator will begin the day working from home, addressing case management documentation, providing telephonic patient support, coordinating site visits, and completing additional tasks as needed.
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