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Working knowledge of managed care, inpatient, outpatient, and the home health continuum, as well as utilization management and case management. The components/roles of the inpatient case management program consist of the following: Care Facilitation, Utilization Management, Case Management and Discharge Planning.
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Serves as a hospital/post acute-based leader for comprehensive case management activities including assessing high-risk patients and leading team to identify at-risk patients, participating in daily Care Coordination rounds, and identifying and leading resolution to barriers of efficient patient throughput.
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1-3 years in case management, disease management, managed care or medical or behavioral health settings. PREFERRED EXPERIENCE: 3-5 years in case management, disease management, managed care or medical or behavioral health settings.
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Oversee all aspects of operations including event coordination and services, rigging, housekeeping, event staffing, set-ups and changeovers, crowd and risk management, fire and life safety and ADA compliance.
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The Cardiology Nurse Practitioner serves as a health-care provider who specializes in diagnosis, management, and follow-up of patients with any suspected or known heart diseases. About CenterWell Senior Primary Care: CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more.
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Current working knowledge of discharge planning, utilization management, case management, performance improvement, disease or population management and managed care reimbursement.
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What You’ll Bring Experience, Knowledge, Skills, and Abilities Minimum 2 years of experience as a Registered Nurse Minimum 2 years of experience in utilization management, case management, chronic care management, discharge planning, transitions of care management, cost/quality management program, and/or another related field Available to work during assigned clinic business hours.
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A Certified Registered Nurse Anesthetist (CRNA) in an advanced practice registered nurse (APRN) who practices both autonomously and in collaboration with a variety of health providers on the interprofessional team to deliver high-quality, holistic, evidence-based anesthesia and pain care services.
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The Clinical Appeals Nurse will review each case identified/referred for appeal based on Milliman Care Guidelines (MCG), InterQual, and/or other relevant guidelines, determined the viability of the appeal, and manage the appeal process.
$33.3 - $44.49 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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An Enrollment Specialist is a member of the Patient Engagement Specialist (PES) team, telephonically educating and enrolling patients in a Medicare-sponsored care coordination program designed to help the patient better manage their chronic illnesses (diabetes, high blood pressure, COPD, etc.
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Primary duties of the Trash Collector include: - Operating garbage trucks - Collecting and dumping trash receptacles - Following route assignments as directed Waste Management offers an excellent benefits package that includes medical, dental, vision, life, 401(k) savings and more.
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K2 Integrity is looking for a contract AML/ Transaction Monitoring Associate to support engagements in our Financial Crimes Risk Management practice. Manage assigned tasks related to controlling KYC processes, drafting case investigations, preparing Suspicious Activity Reports (SARs), analyzing/utilizing Currency Transaction Reports (CTRs) and Monetary Instrument Logs (MILs), and referencing Customer Identification Programs (CIPs.
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Clinician / Senior Clinician, Forensic Services - Dunn Behavioral Sciences Center / HCPC at UTHealth
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This Clinician will provide professional case management and clinical therapeutic services focused on overseeing the care of the patient including, but not limited to legal education utilizing an evidenced-based curriculum in group and individual sessions; psychosocial therapy to teach skills to manage mental illness and interact effectively with their attorney; while working with a multidisciplinary treatment team to address barriers to competency.
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Our services include: Construction Services, Energy, Environmental, Geographic Information Systems, Intelligent Transportation Systems, Land and Site Development, Planning and Landscape Architecture, MEP Engineering, Public Works, Right of Way, Structural Engineering, Subsurface Utility Engineering/Utility Coordination, Surveying, Transportation, Water Resources and Water/Wastewater.
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For pro bono cases, assists in case audit efforts, and ensure that updates from pro bono team regarding legal case and child's wellbeing are timely recorded in case management system; assists in targeted pro bono team support including provision of relevant samples, and guidance and training resources.
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case management care coordination jobs Title: rn manager Company: Avera Health Plans Careers in Galena Park, TX
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