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The Telephonic Nurse Case Manager II is responsible for performing care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum.
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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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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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Current working knowledge of discharge planning, utilization management, case management, performance improvement, disease or population management and managed care reimbursement.
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Nurse Practitioners practice in our outpatient practices on a collaborative care team composed of a physician, nurse practitioner or physician assistant, medical assistants, a dedicated medical scribe, and support from registered nurses and care managers.
$105,000 - $148,500 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Lead coordination with other USAID bureaus/offices and other USG, United Nations (UN), and/or multilateral agencies/donors, particularly in relation to Agency Construction Policies and Construction Risk Management.
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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 Department of Anesthesiology seeks to excel as providers of effective, efficient and ethical anesthesia care for patients at any Baylor-affiliated institution; as providers of educational opportunities for medical students, graduate students, and post-graduate specialty trainees, advanced practice providers, continuing medical education participants, and undergraduates; and as researchers in the basic sciences, clinical milieu, or outcome epidemiology related to anesthesiology practices.
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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 proven track record of successful sales experience in a health care setting, and experience working with physicians, nursing management, discharge planners, case managers, and social workers.
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Knowledge of post-acute care planning such as home care, discharge planning, case management, and disease management. Collaborates and coordinates with the BH Sr. Manager and BH Director regarding service coordination and care coordination activities.
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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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Certification in Case Management required within two (2) years of hire into the Case Manager position. -Experience in utilization management, case management, discharge planning or other cost/quality management program preferred.
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Under the general direction of the Clinic Administrator, administrative supervisor and nurse supervisor, the Patient Care Coordinator performs both varied clerical and clinical roles to support physician(s) practice and patients.
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The Medical Case Manager (MCM) blends the mission of AHF with Medical Case Management, utilizing their experience, skills and education together with a thorough understanding of the Ryan White Care Act Program within their specific area.
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practice case management care coordination jobs Title: rn manager Company: Avera Health Plans Careers in Houston, TX
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