Job Description: Your Role The Federal Employee Program (FEP) team performs integrated case management (CM... preferred. Comprehensive knowledge of case management, discharge planning, utilization management, disease management...
Job Description: Your Role The Federal Employee Program (FEP) team performs integrated case management (CM... preferred. Comprehensive knowledge of case management, discharge planning, utilization management, disease management...
and comprehensive assessment of the member's needs. The Federal Employee Program (FEP) team performs integrated case management (CM... experience preferred Requires relevant behavioral health experience Comprehensive knowledge of case management, discharge...
integrated case management (CM) and disease management (DM) activities demonstrating clinical judgment and independent analysis... Registered Nurse Case Manager will report to the FEP Care Management Department Manager. In this role you will determine, develop...
Job Description: Your Role The Care Management team will serve to support the mission of the department... to the Manager of Care Management. In this role you will ensure that services are provided based on standardized procedures...
Job Description: Your Role The Case Management team performs case management (CM) activities demonstrating clinical... and treating MDs. The Case Management Nurse, Senior will report to the Sr Manager, Care Management- Behavioral Health. In this role...
Job Description: Your Role The Care Management team will serve to support the mission of the department... will report to the Manager of Care Management. In this role you will work in the Outreach and Engagement department, and play...
Job Description: Your Role The Care management team is looking for a leader with Medi-Cal experience who can help... design and lead our Medi-Cal line of business. The Senior Manager of Care Management, Medi-Cal will report to the Sr...
Job Description: Your Role The Care Management team will serve to support the mission of the department... to the Manager of Care Management. In this role you will ensure that services are provided based on standardized procedures...
Job Description: Your Role The Care Management team will serve to support the mission of the department... to the Manager of Care Management. In this role you will ensure that services are provided based on standardized procedures...
to in permanent supportive housing, to provide intensive case management. Clients represent a diverse group with experiences... contact in County approved database 3. Ensure that case management services to clients are reflective of the “Whatever It...
is required for consideration. Minimum 2 years Case Management experience working in the drug and alcohol treatment and/or mental health treatment... in recovery. Roots also provides all of our clients with weekly case management, weekly family therapy, as well as monthly family...
of the Job 1. Receives inbound faxes and physician orders for home infusion therapy. Handles inbound calls from Case... are done accurately. Asks for assistance from Pharmacy as needed. 2. Verifies eligibility with insurances, and documents findings...
are entered into electronic case management system; Communicate in a courteous and professional manner with clients (including.../binders) in compliance with applicable rules; Organize and maintain litigation case files; Ensure all case materials...
license Associate's degree preferred. 2 years of Utilization Management experience in large health organization. Hospital... case management experience is advantageous. Proficiency in federal and state regulations (DOH, Medicaid/Medicare...
of Promise Medi-Cal Care Management. This individual will interact telephonically and electronically with members and providers..., and care management processes. The CSC will directly help members as their health needs require and will support the Promise...
are reviewed for submitted procedures/claims appeal Initiate referrals for members to Case Management as needs are identified... Triages and prioritizes cases to meet required regulatory turn-around times Prepares and submits clinical case reviews to the...
how multiple factors effecting market conditions could impact a customer’s supply chain and deliver a persuasive case for change... proposals to gain exposure and experience Collaborate and partner with Account Management teams to create and execute...
you will be leading a small clinical coder team of 2 clinical coders who will be responsible for performing in-depth quality audits... of mortality, case mix, secondary diagnoses, impact of procedures on DRG and is able to impart this knowledge to physicians...
a caseload of patients as identified through daily triage from case managers or as specified by the Utilization Management...Title: Discharge Planner Location: Long Beach Department: Cap Utilization Management Status: Per-diem Shift...