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Actively participate in discharge planning processes, engaging assigned Case Manager for MLTC and SNP members as well as the members care team to ensure timely discharge, appropriate follow-up, and continuity of care.
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Experience in case management, care coordination or discharge planning in an acute, ambulatory or specialty disease management program settings in a healthcare system or managed care organization (MCO.
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The CLEAR Clinic aims to provide pharmacotherapy, individual psychotherapy, caregiver training, and case management for patients recently discharged from an acute psychiatric care setting (emergency department or inpatient psychiatric unit), referred from the Children’s system, or identified within the general Behavioral Mental Health Outpatient Clinic.
Part-timeExpandApply NowActive JobUpdated 18 days ago - UpvoteDownvoteShare Job
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3+ years of RN experience in a hospital setting, acute care, direct care experience OR experience as a telephonic Case Manager for an insurance company. Telephonic case or disease management experience.
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Christiana Care Hospital currently recruiting a Registered Nurse (RN) for our Weekend Incentive Program (WIP) with experience in Utilization Management in an Acute Care Hospital Setting.
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ADDITIONAL QUALIFICATIONS:Certification in Case or Care Management; experience using InterQual or Milliman; Masters degree preferred. Description:RESPONSIBLE FOR: The Care Manager is responsible for care coordination, progression of care, and proactive discharge planning and is accountable for expediting the timely and safe discharge for all patients in their case load.
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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.
$116,760.8 a yearFull-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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A HS diploma or equivalent and a minimum of 5 years of acute care clinical experience, condition specific clinical experience, home health/discharge planning experience, case management experience, disease management experience and minimum of 1 year in Nurse Care Mgr II role or equivalent experience; or any combination of education and experience, which would provide an equivalent background.
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The goal of the PHM OP Case Manager is to effectively manage patients on an outpatient basis and during episodes of acute hospitalizations (in conjunction with their inpatient counterparts) to assure the appropriate level-of-care is provided, optimize safe transition to home or the next level of care, prevent inpatient re-admissions and ensure that the patients' medical, environmental and psychosocial needs are met over the continuum of care.
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The Utilization Management Nurse will be responsible for ensuring the delivery of efficient and effective health care while evaluating the medical necessity, appropriateness, and efficiency of the use of health care services, procedures, and facilities under the provision of the applicable health benefits plan.
ExpandApply NowActive JobUpdated 11 days ago - UpvoteDownvoteShare Job
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Administer on-going care and case management for each patient, provide necessary follow-up as directed by the Clinical Manager. Become a part of our caring community and help us put health first As a Home Health Registered Nurse, you will: Provide admission, case management, and follow-up skilled nursing visits for home health patients.
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The Bridge Clinic aims to provide short-term pharmacotherapy, individual psychotherapy, group psychotherapy, parent training, and case management for patients recently discharged from an acute psychiatric care setting (emergency department or inpatient psychiatric unit) or Childrens inpatient team.
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Peachford Hospital is a 246-bed, acute care psychiatric hospital located in Dunwoody. 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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Two years’ experience as a RN, Utilization Management or Case Management experience. This position is mostly remote, with monthly in-person meetings at our Avenue North location in Wilmington, DE. This nurse will be responsible for coordination of care to patients transitioning from acute care to home.
Full-timeExpandApply NowActive JobUpdated 14 days ago - UpvoteDownvoteShare Job
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Case Managers are empowered to assess their patient's needs using their own personal style, while delivering superior quality care. We are searching for a full time day shift Master's prepared Case Manager/Social Worker/MSW.
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acute care case management jobs in Atlanta, Fernley, Nevada
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