working relationships with assigned facility care managers/utilization management departments to facilitate appropriate... management preferred 4 – 6+ years of Nursing experience (Required) Case and/or utilization management/care coordination...
CCM certification (Preferred) Certification in utilization or care management (Preferred) 4 – 6 years of clinical... organization (Required) Experience in case management/care coordination, managed care, and/or utilization management (Preferred...
professional education to deliver high-quality care. Serve the organization as a member of the management team, working alongside... Transitions in Care Team, provide care management services across sites and communicate with appropriate team members, facility...
capacities to review, monitor and train staff in the Long Term Care Department. Potentially working to review care management... activities / records of the Care Management Teams and / or activities / clinical documentation submitted by the Intake Specialist...
coordination slips, prior authorizations submitted, ongoing PA log activity and proactive management care utilization... seamless access to specialty medications, better health outcomes, and an enhanced care experience. That's why more health...