ArchWell Health is re-imagining the practice of primary care. We are putting the relationship between patient and physician at the center of a value-based model focused on outstanding patient experience, improved access, and better outcomes. In
Your Role The Children’s Services Program (CSP) team provides identification, referrals, and care management for all Medi-Cal members under 21 years old and collaborates within Promise Clinical Team. The Case Management Nurse, Senior will report to
Overview ERP International is seeking a full time Registered Nurse (RN) Utilization Manager at Mike O’Callaghan Military Medical Center, Nellis AFB, Las Vegas, NV. Be the Best! Join our team of exceptional health care professionals across
Job Summary: The Care Manager collaborates with members of an inter-disciplinary care team (ICT), providers, community and faith-based organizations to improve quality and meet the needs of the individual, natural supports and the population with culturally
JOB DESCRIPTION Job Summary Provides executive level strategy and leadership to the health plan in the development and execution of care management and utilization management programs. Develops clinical practice guidelines and oversees appropriateness and medical necessity
ArchWell Health is re-imagining the practice of primary care. We are putting the relationship between patient and physician at the center of a value-based model focused on outstanding patient experience, improved access, and better outcomes. In
TrueCare is a Mississippi non-profit, provider-sponsored health plan formed by a coalition of Mississippi hospitals and health systems throughout the state and supported by CareSource’s national leadership in quality and operational excellence. TrueCare offers locally based
Job Description:Responsible for specialty care management for assigned clinics/geographical areas and other appropriate referrals within the Intermountain system. Assess, plan, educate, and advocate for patients health needs by collaborating with the patient/family, physician(s), other healthcare providers,
Company :Highmark Inc. Job Description : JOB SUMMARY This job has primary ownership and oversight over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs of
Job Summary: The Community Based Care Coordinator, Duals Integrated Care is responsible for managing and coordinating care for dual-eligible beneficiaries, those who qualify for both Medicare and Medicaid. This position focuses on integrating health services and
ArchWell Health is re-imagining the practice of primary care. We are putting the relationship between patient and physician at the center of a value-based model focused on outstanding patient experience, improved access, and better outcomes. In
FLSA Status: Exempt Department: Health Services Reports To: Manager, Case Management GENERAL DESCRIPTION OF POSITION The Supervisor of Case Management is responsible for the oversight of daily operations of case management activities, providing assistance with the
ArchWell Health is re-imagining the practice of primary care. We are putting the relationship between patient and physician at the center of a value-based model focused on outstanding patient experience, improved access, and better outcomes. In
Job Summary: The Community Based Care Coordinator, Duals Integrated Care is responsible for managing and coordinating care for dual-eligible beneficiaries, those who qualify for both Medicare and Medicaid. This position focuses on integrating health services and
JOB DESCRIPTION Job Summary Provides medical oversight and expertise in appropriateness and medical necessity of services provided to members, targeting improvements in efficiency and satisfaction for both members and providers and ensuring members receive the most
Department Overview The Care Management department provides several major services to assure safe and efficient throughput of patients during their acute hospitalization and transition to the next level of care. Our goal is to balance individual
Employment Type:Part time Shift: Description: POSITION PURPOSE The Registered Nurse Case Manager assumes overall accountability for patients’ discharge plans while assuming a leadership role in achieving desired clinical, financial and resource utilization outcomes. This is achieved
Employment Type:Part time Shift: Description: POSITION PORPOSE The Registered Nurse Case Manager assumes overall accountability for patients’ discharge plans while assuming a leadership role in achieving desired clinical, financial and resource utilization outcomes. This is achieved
At UnitedHealthcare, were simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health
Job Summary: The Nurse Care Manager is responsible for providing care coordination including in-home assessment, planning, facilitation, advocacy and authorization of covered plan services to meet the members health needs while promoting quality cost effective outcomes.