; maintaining compliance with all relevant policies and procedures; assuring that case documentation is maintained and consistent... must have (A) at least four (4) years of full-time, or equivalent part-time, case management or clinical/therapeutic experience (B) any equivalent...
. Manage litigation expenses. Reports into Unit Manager WHAT YOU NEED TO APPLY: Typically has 5 + years of Commercial... skills. Promotes and facilitates free and open communication. Understanding of applicable statutes, regulations and case law...
, problems and changes in condition or environment to the RN Case Manager, the physician, clinical supervisor..., and/or other personnel involved with patient care. Reports unsafe conditions to the appropriate RN Case Manager, clinical supervisor...
Job Category: Per Diem Examiner Job Description: Under the direction of the Branch Manager or Field Leader, the... more than 3%. Confirms exams with clients day before appointment and status the case at time of confirmation. Correct non...
Family Safety/Community Based Care Provider, Juvenile Justice Counselor (if applicable), and child targeted case manager... either unaided or with assistance of a reasonable accommodation to be determined on a case by case basis via the interactive process...
Demonstrate ability to write positional coverage letters. Manage litigation expenses. Reports into Unit Manager WHAT YOU NEED... and case law Thinks critically and anticipates, recognizes, identifies and develops solutions to problems in a timely manner...
Preferred Qualifications: Bachelor's or master's degree in nursing Certified Care Manager (CCM) 1+ years of community case...
Preferred Qualifications: Bachelor's or master's degree in nursing Certified Care Manager (CCM) 1+ years of community case...
with Director, Manager, Physicians, Residents and other staff. 12. Develops departmental policies, procedures, and objectives... experience in virtual/telephonic nursing and triage. 2. Previous experience in Care Coordination/Case Management. Unless...
from the core system. Initiates entry of request(s) into core system (QNXT/TruCare) and case management application (TruCare...). This volume target will be communicated to the staff on a regular basis by the Manager as business needs dictate. Prepares...
Management/Prior Authorization nurse in a managed care payer preferred. One year experience as a case manager in a payer... records and submits reports as assigned by the Manager Refers high-risk cases to the appropriate FH internal teams (ie...