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Must have working knowledge of discharge planning, utilization management, case management, performance improvement, and managed care reimbursement. The CM is responsible for identifying, initiating and managing optimal patient flow/throughput to enhance continuity of care, smooth and safe transitions, patient satisfaction, patient safety, and length of stay management.
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The Case Management process facilitates communication and care coordination along a continuum through effective transitional care management. 2 years experience in Case Management (Care Coordination or Utilization Management) or successful completion of the Transitions in Practice (TIP) program for Care Manager.
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A dedicated Accolade Care Coordinator for personalized care management support of all your healthcare needs. Communicate and document clinical findings, treatment plan and care provided in the patient's medical record in a manner consistent with acceptable standards in order to support sound nursing practice.
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Sante is one of the largest health care claims and billing management companies in Central California. Department activities span across various lines of payer business including Medicare, MediCal, Commercial, and Accountable Care Organization (ACO) as well as various provider specialty and groups.
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Job Summary This position is responsible for conducting medical 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 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.
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About Conviva: Conviva Care Centers provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more.
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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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The High Risk Care programs support the most medically complex and often homebound patients through a care continuum consisting of primary care house calls (One Medical at Home), care transitions management, and social services support programs.
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Pain Management Physician, Pain Management, Chronic Pain, Acute Pain, Physician, Healthcare, Health Care, Patient Care, Hospital, Medical, Doctor, Md. Looking for a fellowship trained, Interventional pain management physician.
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Case management nurse, case management RN, case manager nurse, case manager RN, CM RN, healthcare, health care, registered nurse, RN, R.N., nurse, nursing. Responsibiities: responsible for providing discharge planning and care management services for acute care patients at Children's Hospital Center.
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This position is responsible for conducting care management and health education programs for customers on government health care programs. Verbal and written communication skills including discussing medical needs with members and interfacing with internal staff/management and external vendors and community resources.
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Incorporates knowledge of utilization management principles and payer contracts into patient plans of care. PRINCIPAL DUTIES AND RESPONSIBILITIES A. Care Facilitation Coordinates and insures implementation of the plan of care, utilizing case management principles.
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Requisition No: 838304 Agency: Elder Affairs Working Title: SENIOR MANAGEMENT ANALYST I - SES - 65000479 Pay Plan: SES Position Number: 65000479 Salary: $3,463.47-$3,922.08 MONTHLY Posting Closing Date: 10/09/2024 Total Compensation Estimator Tool DEPARTMENT OF ELDER AFFAIRS LONG-TERM CARE OMBUDSMAN PROGRAM.
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More than 1,200 employees spread throughout its 17 locations, work for the Oswego Health system, which includes the 164-bed community hospital with a brand new Medical Surgical Unit, a 32-bed state-of-the-art psychiatric acute-care facility with multiple outpatient behavioral health service locations, The Manor at Seneca Hill, a 120-bed skilled nursing facility, and Springside at Seneca Hill, an independent retirement community.
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care management jobs Title: medical assistant Company: Humana Inc in IN, Pennsylvania
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