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Registered Nurse (RN) - Home Hospice and Palliative Case Manager - Western Waukesha Co
ProHealth Care - Waukesha, WI
About Us: Learn more at ProHealthCare.org/Careers. ProHealth Care is an equal opportunity employer and is committed to an inclusive work environment and values the perspectives of our people. We maintain a drug-free workplace and perform pre-employment substance abuse testing. All qualified applicants will receive consideration for employment wit...
Case Manager - Care Coordination - Full Time 8 hours Day (Union, Non-Exempt)
Keck Medicine of USC - Arcadia, CA
The purpose of the Case Manager position is to support the physician and interdisciplinary team in the provision of patient care, with the underlying objective of enhancing the quality of clinical outcomes and patient satisfaction while managing the cost of care and providing timely and accurate information to payers. The role integrates and coordinates utilization management, care facilitat...
Case Manager - Care Coordination - Full Time 8 hours Days (Union, Non-Exempt)
Keck Medicine of USC - Arcadia, CA
The purpose of the Case Manager position is to support the physician and interdisciplinary team in the provision of patient care, with the underlying objective of enhancing the quality of clinical outcomes and patient satisfaction while managing the cost of care and providing timely and accurate information to payers. The role integrates and coordinates utilization management, care facilitat...
Case Manager RN - Patient and Family Services - Per Diem 8 Hour Day Shift (Union)
Keck Medicine of USC - Glendale, CA
Responsible for admissions, concurrent and/or retrospective reviews of all patients in accordance with the criteria, policies, and procedures approved by the Performance Improvement Committee, and consistent with Federal and State guidelines, PRO regulations, JCAHO standards and contractual agreements with insurers or outside review agencies. Minimum Education: Current R.N. licens...
RN Case Manager - Case Management - Per Diem 8 Hour Days (Non-Exempt) (Union)
Keck Medicine of USC - Los Angeles, CA
In collaboration with the interdisciplinary team, provides care coordination services evaluating options and services required to meet an individual's health care needs to promote cost-effective, quality outcomes. Serves as a consultant to members of the health care team in the management of specific patient populations. The RN case manager role integrates the functions of utilization manage...
Case Manager, RN - Case Management - Per Diem 8 Hour Days (Non-Exempt) (Union)
Keck Medicine of USC - Los Angeles, CA
In collaboration with the interdisciplinary team, provides care coordination services evaluating options and services required to meet an individual's health care needs to promote cost-effective, quality outcomes. Serves as a consultant to members of the health care team in the management of specific patient populations. The RN case manager role integrates the functions of utilization manage...
Home Health Visit Nurse - Full Time, 1st Shift
Blanchard Valley Health System - Findlay, OH
PURPOSE OF THIS POSITION The purpose of a Registered Nurse - Visit Nurse in Home Health/Hospice Care is to assume ongoing assessment, care planning, documentation of progress, and accountability, for his/her assigned patients within the Home Health/Hospice system. JOB DUTIES/RESPONSIBILITES: Duty 1: Uses the nursing process t...
RN Team Lead Utilization Review
MedStar Health - Clinton, MD
About the Job Candidate must have acute care Utilization Review experience. Candidate must live in the DC/Baltimore region General Summary of Position Supervises the daily activities of the Utilization Review Team. Manages daily assignment ensuring all UM tasks are completed each day. Collaborates ...
Case Manager - Care Coordinator - Full Time 8 hours Days (7:30AM - 4:00PM) (Union, Non-Exempt)
Keck Medicine of USC - Arcadia, CA
The purpose of the Case Manager position is to support the physician and interdisciplinary team in the provision of patient care, with the underlying objective of enhancing the quality of clinical outcomes and patient satisfaction while managing the cost of care and providing timely and accurate information to payers. The role integrates and coordinates utilization management, care facilitat...
Case Manager - Care Coordinator - Full Time 8 hours Days (7:30AM - 4:00PM) (Union, Non-Exempt)
Keck Medicine of USC - Arcadia, CA
The purpose of the Case Manager position is to support the physician and interdisciplinary team in the provision of patient care, with the underlying objective of enhancing the quality of clinical outcomes and patient satisfaction while managing the cost of care and providing timely and accurate information to payers. The role integrates and coordinates utilization management, care facilitat...
Rn Manager Utilization Review Management
MedStar Health - Washington, DC
About the Job General Summary of Position Responsible for evaluating the necessity appropriateness and efficiency of the use of medical services procedures and facilities. Responsible for clinical review of all acute services for appropriateness based on medical criteria the management of healthcare resources necessary and appropriate for achievement...
Discharge Planner - Case Management - Full Time 8 hours Days (8:00AM to 4:30PM) (Non-Union, Non-Exempt)
Keck Medicine of USC - Arcadia, CA
JOB ACCOUNTABILITIES Completes initial discharge plan, per CMS Conditions of Participation, provides appropriate level of intervention and makes referrals as necessary. The initial discharge plan must be co-signed by an RN Case Manager or LCSW. When completing the initial discharge plans, reviews the psychosocial situation and discharge planning resources as requ...
Discharge Planning Coordinator - LVN - Case Management - Per Diem 8 Hour Days (Non-Exempt) (Union)
Keck Medicine of USC - Los Angeles, CA
Provides department support for the Continuum of Care Team to facilitate discharge planning and ensure appropriate throughput of patients. Works with Case Managers, Transitional Care Coordinator, and Social Workers to ensure discharge plans are communicated to patients and families during hospitalization and post discharge to ensure continuity and identify clinical barriers. Enables a positi...
RN Manager Grievances & Appeals
MedStar Health - Columbia, MD
About the Job General Summary of Position Responsible for day to day oversight and management of Intake Clinical Appeals Claims Appeals Complaints Grievances and Intake functions. The Manager of Appeals Complaints and Grievances will be dedicated to delivering service and operational excellence through a focus on continuous improvement in the area...
Economic Services Supervisor
State of Vermont - Barre, VT
Overview Who We Are: The Economic Services Division (ESD) is responsible for the administration of benefits to help Vermonters meet their basic needs. ESD is one of 6 divisions under the Department for Children and Families (DCF) which is one of the largest departments (1000 employees) within the largest agency (Agency of Human Services) in the state of Vermont.&nb...
