care across the care continuum. DUTIES & RESPONSIBILITIES The Case Manager, RN job description is intended to point out... to all populations across the ACA Marketplace, Medicare, and Medicaid. JOB SUMMARY The role of the Case Manager is to promote quality...
-oriented environment. Experience as a RN, Medical Case Manager is ideal, or a clinical background in orthopedics, neurology... to fill a Medical Case Manager position in Los Angeles. Work from home, and on the road. Monday – Friday, regular business...
Overview of the Role: Alignment Health is seeking a remote telephonic RN case manager (must have California RN... License) to join the case management, special needs program (SNP) team. As the RN case manager (SNP), you will be responsible...
Bilingual Spanish Telehealth RN Case Manager, SNP (Must Have California RN License) Location: Remote-US, California...: Alignment Health is seeking a remote telephonic RN case manager (must have California RN License) to join the case management...
Description : The Telephonic Case Manager coordinates resources and creates flexible, cost-effective options for ill...-to-work if appropriate. The Telephonic Case Manager will rely on their medical knowledge to evaluate the patient’s current...
communicating and aligning a multidisciplinary team. Our Case Manager RN provides highly skilled nursing care in the home setting... date by which a successful candidate may be identified. Success Profile What makes a successful RN Case Manager at Marian Regional Medical Center...
team model by organizing communicating and aligning a multidisciplinary team. Our Case Manager RN provides highly... as well as see the patients timely. As a Case Manager you can make an impact in our patients lives and create an inclusive collaborative...
Description : The Telephonic Case Manager coordinates resources and creates flexible, cost-effective options for ill...-to-work if appropriate. The Telephonic Case Manager will rely on their medical knowledge to evaluate the patient’s current...
communicating and aligning a multidisciplinary team. Our Case Manager RN provides highly skilled nursing care in the home setting... date by which a successful candidate may be identified. Success Profile What makes a successful RN Case Manager at Marian Regional Medical Center...
be required to oversee case management clinical activities (dependent on whether or not unit manager is an RN) For Supervisors who... responsibilities (dependent on whether or not unit manager is an RN for medical case management activities or qualified for vocational...
following: Conduct comprehensive, holistic assessment according to the scope of the RN license Assimilate assessment... on Member case discussions. Responsible for building and maintaining a positive working relationship with Providers, including...
Remote Inpatient Review RN / LVN Nurse, Must have California Licensure (Long-Term Temp w/ Med Benefits) Location... care physician, facility case manager, discharge planner and employing contracted ancillary service providers and community...
general direction of the Utilization Management Manager, the Utilization Management Nurse is responsible for prospective... for case management or quality of care issues in collaboration and direction of UM Medical Director. 3. Draft denial language...
of the Health Access ECM Manager, the Supervisor, Health Access Enhanced Care Management, RN (RN Supervisor... record to drive company vehicles based on IEHP insurance standards of no more than three (3) points Certified Case Manager...
Transition of Care RN Manager is a critical member of the care team consisting of nurses, dietitians, pharmacists, social workers... RN TOC Manager is expected to conduct approximately 12 - 15 assessments per week and manage a panel of about (70) seventy...
. The RN Care Manager is a critical member of the care team consisting of nurses, dietitians, pharmacists, social workers... care and barriers to good health; The RN Care Manager is expected to conduct approximately 12 assessments per week...
years of experience working in a remote UR environment or working as an acute hospital case manager. Preferred..., medical necessity, and patient status determination. The Utilization Management RN must effectively and efficiently manage...
are nurtured and rewarded. This is NOT a remote position Title: RN-Case Manager Schedule:Full Time (24 RVEs p/week) comes... care physician, develops an individualized plan of care for their patients. Each RN functions as a case manager, and works...
with the patient's primary care physician, facility case manager, discharge planner and employing contracted ancillary service... related experience in a managed care setting as an inpatient case manager Minimum (3) years of general case management...
are nurtured and rewarded. This is NOT a remote position Title: RN-Case Manager Schedule: Full Time (24 RVEs p/week) comes... functions as a case manager, and works independently to deliver quality healthcare to their patients. As well as customized care...