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Assist ECM Providers with the coordination of member care with internal L.A. Care departments such as Care Management (CM), Utilization Management (UM), Managed Long Term Services and Support (MLTSS), Social Services, Behavioral Health, Community Health, Health Education, as well as external providers such as Participating Physician Groups (PPGs) and Primary Care Physicians (PCPs.
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Qualifications: RN Florida StateBachelor of Sciences degree or in other related fieldFive plus years’ experience in Chronic Care Management, Transitional Care Management and/or Care Coordination programs.
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Risk Management or Patient Safety Certification (CPHRM, CPPS) preferred. Located in Savannah, Georgia, we are a regional referral center for heart care, cancer care, trauma care, children's care, high-risk pregnancies and high-risk newborn care.
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Medical Offices include Behavioral Health, Cardiology, Cancer Care, Family Medicine, Gastroenterology, General Surgery, Internal Medicine, Orthopedics, Ophthalmology, Pain Management, Pediatrics, Pulmonology, Rheumatology, Sports Medicine, Urology, Women's Health (OB/GYN), and Wound Care.
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Compassionate, patient-focused services include Home Care, Palliative Care, and Hospice Care. Home care offerings include, but may not be limited to, skilled observation and assessment, nursing care management, disease management, surgical aftercare, wound care, injections and IV therapy, maternal and baby health, pediatric care, rehabilitative services, and therapeutic assessment and rehabilitation planning specific to home.
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Job SummaryThis position is responsible for conducting medical management and health education programs for customers on government health care programs. Certification in Case Management, Training, Project Management or nationally recognized health care certification.
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This entails executing tasks such as Transitional Care Management and Chronic Care Management to ensure comprehensive and effective healthcare support. These duties will include Transitional Care Management, Chronic Care Management of the HCMG patients.
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Must have working knowledge of discharge planning, utilization management, case management, performance improvement, and managed care reimbursement. The CM is responsible for identifying, initiating and managing optimal patient flow/throughput to enhance continuity of care, smooth and safe transitions, patient satisfaction, patient safety, and length of stay management.
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2 or more years of direct home health experience or care management. Implements a comprehensive clinical care management plan for each patient. The Nurse Care Manager works closely with HarmonyCares Medical Group (HCMG) in home health care continuum and specialty services to maximize the health of the HCMG patients.
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Medical, Dental, Vision, Employee Assistance Program (EAP), Health Savings Account (HSA) with opportunities to earn employer contributions; Health Care, Dependent Care and Transportation Flexible Spending Accounts (FSA.
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Assist with coordination and attendance all of the monthly mandatory meetings at LA County EMS agency assist with Business Continuity LA County meetings Assist with writing of the annual Hazard Vulnerability Analysis as well as the annual updates to the Emergency Management Plan. Attend the monthly Environment of Care Committee meetings and do safety rounds for EOC committee in the hospital.
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The PCDM Data Analyst is responsible for Provider Credentialing and Data Management (PCDM) internal auditing processes, including delegates, partners-in-care (PICs), Credentialing Committee provider files, and various team workflows, provider files, reports, and other associated tasks and projects.
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Works collaboratively with the Case Manager, Brewster Ambulance Services Transportation Coordinator and the VPNE care van ambassador to coordinate the various modes of discharge transportation.
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Building a Family: adoption, surrogacy and fertility assistance as well as paid parental and caregiver leave, Dependent Day Care FSA back-up child and adult/elder care days and childcare discounts.
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Paid maternity leave, and paid parental leave (including adoption/surrogacy/foster care leave) for non-birthing parents. Compliance efforts in line with OSHA Process Safety Management (PSM)and EPA Risk Management Plan (RMP) rules.
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care management jobs Title: behavioral licensed therapist in Bothell, Washington
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