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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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Experience as a telephonic case manager at a health plan highly desirable. Join our team as an RN Case Manager and provide comprehensive case management services for TRICARE beneficiaries with multiple or complex conditions.
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Memorial Hermann Health System is seeking a Registered Nurse (RN) Case Management for a nursing job in Houston, Texas. Certification in Case Management required within two (2) years of hire into the Case Manager position.
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Licenses and Certifications: Bachelor's degree in Nursing (BSN) with a minimum of 1 year of Case Management experience. A Geriatric RN Medical Care Manager contributes to AHF by utilizing strong nursing clinical skills and understanding of the Ryan White Program to serve the clients within their area.
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Experience in utilization management, case management, discharge planning, or other cost/quality management program preferred. TalentRoss Staffing Company is seeking a dedicated and compassionate experienced Case Manager.
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Typically reports to the Manager or Director, Case Management. Licenses/Certifications: Current license as a Master Social Worker (LMSW) in the state of Texas required; ACM certification from American Case Management Association (ACMA) preferred.
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The purpose of the Food Farmacy is to serve as an integral part of a one-stop health hub that provides access to healthy foods for individuals screening positive for food insecurity, in-depth disease management education, and referrals to Clinical Case Management for assistance with other community resources at no additional cost, along with excellent healthcare.
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The organization is nationally recognized for excellence in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nation's top hospital systems for best practices, cutting-edge advancements, quality of care and healthcare technology.
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Since then, the agency has expanded to >50 clinics in Houston, one in Baytown, two in Beaumont, and one in Deer Park with extensive services that include: Adult primary care, HIV/AIDS care, pediatrics, OB/GYN and maternity, dental, vision and behavioral health.
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JOB SUMMARYThe Behavioral Health Medical Director position is responsible for providing clinical guidance and consultation to the Behavioral Health Service Coordination and Utilization Management/Appeals Teams.
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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.
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Monitor key dates against dates defined in the main contract and any subcontracts and advise Project Controls Manager / Project Manager / Project Director of the implications of delays, if any.
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Help provide the System Management Team support for the Environment Health System (EHS), Health Maintenance System (HMS), and Radiation System (Rad) including the System Manager Deputy, System Management Integrator and other technical support required to provide strategic and tactical planning support and issue management.
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Ensure appropriate management/resolution of local queries regarding patient case management either by responding directly or routing these inquiries to the appropriate SME. Regularly meet with naviHealth’s leadership to review care coordination issues, develop collaborative intervention plans, and share ideas about network management issues.
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What You Will Do In Your RoleUnder the general supervision of the Director of Risk Management and in coordination with the Infection Control Committee, the Manager of Employee Health Perform as the Employee Health Nurse and Injury Coordinator.
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behavioral health population management case manager jobs Company: Carefirst Bluecross Blueshield in Houston, TX
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