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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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This position serves as a hospital-wide, service-line leader for psychosocial related issues, complex discharge planning activities, and population disease management. 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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Prior experience as a care manager, case manager, care navigator supporting chronic disease management, prevention care, and health screenings in hospital, assisted living, skilled nursing or home care settings a plus.
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Facilitates and/or provides community education/outreach for patients when needed for health promotion for chronic disease management and health and wellness information. 3 years' experience in community health, complex pediatric patient care, home care, case management, managed care or utilization review preferred.
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Uses advanced knowledge and clinical expertise and screening tools to identify need for case management and/or social work intervention. This position uses case management skills to help patients and their families address and resolve the social, financial and psychological problems related to their health condition.
Full-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Provides clinical leadership for Utilization Management, Case Management, Disease Management, and Quality Management of Clients in cooperation with solution medical directors and the Chief Medical Officer.
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Strong analytical, data management and PC skills Current working knowledge of discharge planning, utilization management, case management, performance improvement, disease or population management and managed care reimbursement.
$48 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Experience in utilization management, case management, discharge planning or other cost/quality management program preferred. Leads the development, implementation, evaluation and revision of clinical pathways and other case management tools as a member of the clinical resource/team.
Full-timeExpandApply NowActive JobUpdated 15 days ago - UpvoteDownvoteShare Job
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ACM-SW - Accredited Case Manager-Social Worker (ACMA) or. ACM - Accredited Case Manager (ACMA) and. Assists with screening, identification, diagnosis, management and treatment of victims of abuse, neglect, and domestic violence and of mental health and/or substance abuse problems in patients and family members.
Full-timeExpandApply NowActive JobUpdated 12 days ago - UpvoteDownvoteShare Job
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Offers clinical support for appeals and denials process, discharge planning, case management, and utilization review/managementYou will consult with facility-level staff regarding delegated utilization management and disease management operations under managed care contracts.
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In support of care management initiatives, identify enrollees in need of case/disease management services and collaborate with case management teams so that proactive interventions can occur.
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Identifies patients with malignant and benign reportable conditions, according to established guidelines, through case finding practices to include review of pathology and cytology reports, monthly disease indexes, radiation and medical oncology patient records, inpatient and other outpatient records, and other data sources as needed.
$20.71 - $28.48 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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1-3 years in case management, disease management, managed care or medical or behavioral health settings. Develops and implements a case management plan, including a waiver service plan, in collaboration with the member, caregiver, physician and/or other appropriate healthcare professionals and member's support network to address the member needs and goals.
Starting at $23.76 - $51.49 an hour depends on education, experienceFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Support case and disease management teams to achieve optimal clinical outcomes for high risk populations. Primary functions include RN case manager support and consultation about high risk members and assisting in account management team presentations.
RemoteExpandApply NowActive JobUpdated 11 days ago - UpvoteDownvoteShare Job
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Monitors program outcomes quarterly including, but not limited to, Case Management, Disease Management, etc. We are seeking a full time HCS Program Coordinator/Case Manager for our HCS Department BASIC FUNCTION: Conducts analysis and assessment of HCS programs, processes and outcomes utilizing quantitative tools and methods to identify performance issues and interventions to be utilized throughout HCS. Develops, analyzes and manages Health Care Services (HCS) department outcome projects to ensure contractual compliance is maintained.
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disease management case jobs in Houston, TX
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