Collecting information
Organizing data
Most of our positions require at least 2 years of nursing experience, with an active RN license and BLS and/or ACLS (if required) certified by the American Heart Association. The convenience of weekly pay with direct deposit and payroll support available any time you need it.. Real health insurance for all of our travelers through Aetna.. Combination of taxable and non-taxable compensation that is government compliant.. Access to your dedicated Relationship Manager to walk you through the onboarding process
Most of our positions require at least 2 years of nursing experience, with an active RN license and BLS and/or ACLS (if required) certified by the American Heart Association. The convenience of weekly pay with direct deposit and payroll support available any time you need it.. Real health insurance for all of our travelers through Aetna.. Combination of taxable and non-taxable compensation that is government compliant.. Access to your dedicated Relationship Manager to walk you through the onboarding process
The program supports the Healthcare Operations (HCO) Directorate, including TRICARE Health Plan (THP), Clinical Services, and related staff. It covers services for the management of THP programs, the Military Health System (MHS) health plan, TRICARE purchased health care services, human resources programs, and the operations of the HCO, THP Overseas Program, and the THP Front Office. Advocates for beneficiary special needs to secure access to healthcare under the TRICARE program. Serve as the primary point of contact and liaison regarding integration of CM programs that would enhance the services and quality of care to TRICARE beneficiaries. The Defense Health Agency (DHA) Healthcare Operations oversees the delivery of healthcare services to military personnel, their families, and eligible beneficiaries within the U.S. Department of Defense.
Most of our positions require at least 2 years of nursing experience, with an active RN license and BLS and/or ACLS (if required) certified by the American Heart Association.. The convenience of weekly pay with direct deposit and payroll support available any time you need it. Real health insurance for all of our travelers through Aetna. Combination of taxable and non-taxable compensation that is government compliant. Access to your dedicated Relationship Manager to walk you through the onboarding process
The Director of Case Managment will be responsible for ensuring the continuity of care utilizing the appropriate resources within the parameters of established contracts and resident health plan benefits. Responsible for communicating efficiently with the referral source where we are in the intake process while prior authorization being obtained. Alert appropriate management team members regarding late or missing documents required for data entry/prior authorization approval. Direct line of communication to external insurance Case Managers. Complete weekly update forms with current therapy progress notes, nursing documentation related to admitting diagnoses, weekly wound care assessment, eMARs and members discharge plan.
Most of our positions require at least 2 years of nursing experience, with an active RN license and BLS and/or ACLS (if required) certified by the American Heart Association.. The convenience of weekly pay with direct deposit and payroll support available any time you need it. Real health insurance for all of our travelers through Aetna. Combination of taxable and non-taxable compensation that is government compliant. Access to your dedicated Relationship Manager to walk you through the onboarding process
Most of our positions require at least 2 years of nursing experience, with an active RN license and BLS and/or ACLS (if required) certified by the American Heart Association. The convenience of weekly pay with direct deposit and payroll support available any time you need it.. Real health insurance for all of our travelers through Aetna.. Combination of taxable and non-taxable compensation that is government compliant.. Access to your dedicated Relationship Manager to walk you through the onboarding process
Registered Nurse - Case Management. Job Order Details
About NYC Health + Hospitals. MetroPlus Health provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc.. As a wholly-owned subsidiary of NYC Health + Hospitals, the largest public health system in the United States, MetroPlus Health's network includes over 27,000 primary care providers, specialists and participating clinics.. Under the supervision of the Senior Director of Integrated Care Management (ICM), the Director of ICM (Medicare) provides clinical and administrative oversight for the Medicare Advantage and Integrated Benefits for Dually Eligible (“IB-Dual”) populations, also known as the Medicare dual eligible special needs plan (D-SNP) line of business.. Must be familiar with OMH, DOH, CMS regulations for service delivery, with a care coordination approach to service delivery in managed care settings.
Apply the Entrepreneurial Operating System (EOS) and tools to align training initiatives with business objectives.. Address any employee performance concerns with the Senior Director, Associate Director, and Human Capital and follow up as directed to provide coaching, feedback, and performance improvement plans, when needed.. As a mandated reporter, respond and report all incidents that occur while providing services to protect the health and safety of and minimize risk of harm to the person(s) supported.. Requirements BA/BS in Social Work, Psychology, Sociology, or a related field.. BenefitsCompetitive wage ($60,000-$67,000) and benefit package with PTO, 9 paid holidays, health, dental, vision, and life insurance, NO COST short & long-term disability insurance, retirement savings plan options, employee wellness program, tuition assistance program, career advancement, mileage reimbursement for providing direct services, a positive, friendly work environment and much more.
We are looking for a dedicated Case Management Assistant PRN like you to be a part of our team. Job Summary and QualificationsA Case Management Assistant provides administrative and operational support to case managers, social workers, or healthcare professionals in managing and coordinating client services. What qualifications you will need:2 years experience Required Years of ExperienceNo Travel RequiredHCA Florida Kendall Hospital is located in west Miami-Dade County. Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder We are a family 270,000 dedicated professionals!. Our Talent Acquisition team is reviewing applications for our Case Management Assistant PRN opening.
Overview:Fulltime, benefits eligible Mon- Fri 8am to 5pmJob Description Summary:The Case Management Extender PFK helps navigate and access community services and other resources and provides support through maintaining population health programs and care coordination activities. Case Management Extenders are patient and family facing with daily activities during inpatient stays, outpatient specialty clinic visits, emergency room visits, home, community visits, and via telephone. Collects information for tailored assessments regarding case management eligibility and refers onward when response triggers criteria for referral and need for licensed clinical intervention. Manages and monitors transitions between settings, caregivers, and providers, providing follow-up across the continuum of care. Performs outreach to PCP/POC's, specialists, and home care providers to research and facilitate referral for services.
The PSRB aims to replace its current Case Management System (CMS) with a modernized and secure CMS. Currently, our CMS, is powered by Microsoft MS Access technologies and has been instrumental to the facilitating the Board's essential functions: conducting hearings and overseeing the monitoring, supervision, and treatment of high-risk individuals with mental health diagnoses who are conditionally released to community settings. Microsoft Access is now considered legacy software. The agency aims to select a reputable third-party vendor with a proven track record of successful project delivery and a strong commitment to collaboration. Moreover, proactive risk management is paramount. We will work closely with our partners at EIS and the prospective vendor to identify and address potential risks related to data security and system integration right from the project's outset.
This position has primary responsibility for gathering relevant information for the identified member population during assessment, care planning, interdisciplinary care team meeting, and transitions of care.. This position performs troubleshooting when problems situations arise and takes independent action to resolve complex issues.. Knowledge of prior authorization and case management regulations governing Medi-Cal, Commercial, Medicare, CCS, and other government and commercial programs.. Experience in a managed health care environment, preferably IPA, HMO, or Health Plan, preferred.. AltaMed Health Services Corp. will consider qualified applicants with criminal history pursuant to the California Fair Chance Act and City of Los Angeles Fair Chance Ordinance for Employers.
CoxHealth is a leading healthcare system serving 25 counties across southwest Missouri and northern Arkansas.. The organization includes six hospitals, 5 ERs, and over 80 clinics.. The nurse case manager assess, plans, implements, coordinates, monitors and evaluates options to facilitate the continuum of care through discharge planning.. The nurse case manager collaborates with the patient or patient’s family/representative, the physician, and members of the multidisciplinary team to facilitate progression-of-care; intervening appropriately to ensure that the plan of care and services provided are patient focused, high quality, evidence based, appropriate to patient needs, efficient, and cost effective.. The nurse case manager serves as a resource to the physicians and provides education and information on resource utilization, national and local coverage determinations, and use of hospital admission criteria.
Introduce solutions to minimize denials, accommodate higher patient volumes and strengthen overall quality metrics.. Assists facility Case Management departments in regulatory compliance.. Experience in discharge planning and a working knowledge of alternative delivery systems including home health, durable medical equipment, rehabilitation, extended care facility and skilled nursing facilities, their scope of services and their criteria for care.. Practices good guest relations with patients, visitors, physicians and staff, assists as needed.. CERTIFICATION/LICENSURE:Current Oklahoma RN licenseCurrent BLS (or obtained within 30 days of hire)Certified Case Manager (CCM) preferredValid drivers licensePHYSICAL REQUIREMENTS:To perform this job successfully, an individual must be able to perform each essential job duties satisfactorily.
Serves as a member of the disaster response team as assigned; participates in required training and maintains state of preparedness. Education and Experience: Two years of college coursework from an accredited college or university in Social Work, Behavioral Science, or a related field, and two years' experience working in a social or public service environment with experience assisting the public or any equivalent combination of training and experience which provides the required knowledge, skills, and abilities. Sitting may be relieved by brief or occasional periods of standing or walking. Work is performed in a normal office environment where there are little or no physical discomforts associated with changes in weather or discomforts associated with noise, dust, dirt, and the like. Additional Information: All employees recognize that The Salvation Army is a church and agree that they will do nothing as an employee of The Salvation Army to undermine its religious mission.
Key Responsibilities:Direct the daily operations of the case management department, including staff supervision and workflow optimization. Develop and implement care coordination strategies that support quality outcomes, patient safety, and compliance with regulatory requirements. Monitor and manage utilization review, discharge planning, and patient advocacy. Preferred Qualifications:Bachelors Degree in Nursing or Masters Degree in a related field. This is an exciting opportunity for a senior-level RN leader to shape care coordination and case management strategy in a mission-driven healthcare organization.
The Case Manager will review all patients for utilization management and appropriate discharge planning. The Case Manager that is BSN prepared will be a leader in the Case Management practice. The Case Manager tracks and trends LOS, resource utilization, outliers, readmissions, denials, delay days and satisfaction of the case managed population. Coordinates services, i.e. home help, DME etc, based on patient need and resources available. Three years clinical nursing in acute care hospital setting or two years utilization management in an acute care hospital setting.
The U.S. Pharmacopeial Convention (USP) is an independent scientific organization that collaborates with the world's top authorities in health and science to develop quality standards for medicines, dietary supplements, and food ingredients. In this role at USP, you contribute to USP's public health mission of increasing equitable access to high-quality, safe medicine and improving global health through public standards and related programs. Expertise in Lean tools and principles (e.g., A3 problem-solving, 5 Whys, Kaizen, PDCA cycles). USP aspires to be a diverse, inclusive, innovative, and engaging organization that empowers and engages staff and volunteers to contribute to its mission to improve global health. At USP, you'll join a talented and diverse team of 1,200 scientific, technical and public health professions, working in state-of-the-art facilities and collaborating with the world's leading experts from industry, academia, healthcare, and government to address public health challenges and advance cutting-edge innovation.