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Licensed to practice as a Registered Nurse in North Carolina and two years of experience in psychiatric nursing with dually diagnosed MH/IDD; care management/care coordination experience.
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Regulatory Compliance : Ensure that all CCM activities are compliant with applicable regulatory standards, including CMS guidelines for Chronic Care Management and Transitional Care Management.
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We offer a menu of management and business services that will leverage economies of scale across provider types and geographies and will lead the effort in developing Dignity Health’s Medicaid population health care management pathways.
$31.38 an hourFull-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Registered Nurse (RN), Licensed Professional Counselor (LPC), Licensed Clinical Professional Counselor (LCPC), Licensed Master Social Worker (LMSW), Licensed Social Worker (LSW), Licensed Clinical Social Worker (LCSW) OR Licensed Mental Health Counselor (LMHC) with 2 years direct clinical care to the consumer in a clinical setting.
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Develops the care management team and motivates them to accomplish department goals and objectives. Develops, manages, and oversees the annual care management budget. Direct function and personnel of the care management department.
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The Care Management (CM) Training Director holds primary responsibility for the overall leadership, management and coordination of the Care Management Academy, ensuring it meets the goal of providing a hub to ensure the training requirements and needs of the Care Management Department are met while maintaining alignment with organizational goals and standards.
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Five (5) years of experience in care management, utilization management, discharge planning, care coordination, nursing, or social work required or equivalent combination of education and experience.
$61.87 an hourFull-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Registered Nurse (RN) or Medical license MD (MD) or Medical license DO (DO) or Licensed Clinical Social Worker (LCSW): Required. Registered Nurse (RN), Medical Degree (MD) or (DO) and currently licensed to practice, without restriction, in the State of California or Licensed Clinical Social Worker (LCSW): Required.
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Applies clinical knowledge and experience to evaluate information regarding prospective care management members referred by health risk assessment (HRA), risk stratification, predictive modeling, provider’s utilization review vendors, members, Call Center, claims staff, Health Homes Program (HHP) eligibility or other data sources to determine whether care management intervention is necessary to meet the member's needs.
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Current working knowledge of chronic care management, discharge planning, utilization management, case management, performance improvement and/or managed care reimbursement.
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As an Equal Opportunity Employer, we know that inclusive teams design software that supports the delivery of quality care for all patients, so diversity, equity, and inclusion are written into our principles.
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Use your nursing expertise to help guide the evolution of our clinical software, and help nurses deliver high-quality, personalized patient care. You’ll also partner with hospitals and clinics as a nurse liaison to help them accomplish their nursing informatics goals.
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Provide administrative support to Wellsense high risk/high needs, Priority Population Programs and Transitional care management programs. With a focus on resolving issues and providing vital support to the care management team, the Care Navigator collaborates closely with clinical team members, customer care staff, and other internal departments to address member needs effectively.
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Adventist Health is a faith-based, nonprofit, integrated health system serving more than 90 communities on the West Coast and Hawaii with over 400 sites of care, including 26 acute care facilities, clinics, home care, and hospice agencies in both rural and urban communities.
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This 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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care management jobs Title: licensed practical nurse Company: Careerbuilder in Bothell, Washington
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