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Performs telephonic or face-to-face clinical assessments for the identification, evaluation, coordination and management of member's needs, including physical health, behavioral health, social services and long-term services and supports.
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Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. The Facility Case Management Director has the overall responsibility for managing and coordinating department activities.
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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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The Regional Director, Medical Imaging will collaborate with key departments including Ambulatory Services, Information Systems, Finance, Purchasing, Human Resources, Managed Care, Marketing, Medical Records, Quality Improvement, Risk Management, Coding Compliance, and the Laboratory to meet organizational and departmental goals.
$136,122 - $168,137 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Licenses/Certifications: Current license as a Clinical Social Worker (LCSW) in the state of Texas required; ACM certification from American Case Management Association (ACMA) preferred. Works in collaboration with the clinical and case management team members on transition planning and referrals to post acute care providers.
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An Experienced Masters Level Economic Research Associate needs to be able to meet multiple case deadlines, manage team members, and establish milestones to ensure efficient case management.
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Administers and monitors policies and procedures and identified objectives of all programs established by IHSC to include: staffing, training, records management, clinical services, nursing services, mental health services, pharmacy services, dental services, medical records, and administration; quality assurance programs, safety and security standards, public health, environmental control standards.
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Be a part of driving healthy change in our communities About the Position Health Advocate Interns provide basic needs case management within a defined scope to Legacy patients. Case management duties include assessing patient’s social determinants of health, providing referrals for community based resources, following up to ensure service linkage, advocating to reduce barriers to linkage, and documenting efforts in the REACH client management and resource database.
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Memorial Hermann Health System is seeking a Registered Nurse (RN) Case Management for a nursing job in Houston, Texas. Experience in utilization management, case management, discharge planning or other cost/quality management program preferred.
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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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The incumbent is expected to maintain a working knowledge of applicable HCA Healthcare and Parallon Credentialing Processing Center (CPC) policies, accreditation standards and regulations associated with medical staff services, and play a key role in the integration of HCA Clinical Strategies and HCA systems.
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Working with Case Management leadership, this individual will orchestrate education and other performance improvement initiatives to impact clinical quality, improve efficiency and mitigate lost revenue related to medical necessity denials.
$33.3 - $44.49 an hourExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Responsible for the management and communication of denials/appeals received from third party payers, managed care companies, and/or government entities/auditors related to medical necessity and/or level of care.
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Prepares materials for the multidisciplinary Transplant Medical Review Board, including follow up correspondence to patients, referring physicians and insurance case managers. Obtains and communicates clinical information from patients, families, medical record and other members of the health care team to nurse coordinators.
$22.79 - $31.33 an hourFull-timeExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
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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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health services case management jobs Title: medical Company: Asian Health Services in Houston, TX
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