. Your Knowledge and Experience Current CA RN License. Bachelors of Science in Nursing or advanced degree preferred. Certified Case...Your Role The Care Management team will serve to support the mission of the department, which is to provide support...
Your Role The Care Management team will serve to support the mission of the department, which is to provide support... of Care Management. In this role you will ensure that services are provided based on standardized procedures including...
, and apply interventions when clinically appropriate Provides referrals to Case Management, Disease Management, Appeals and Grievance...Your Role The Utilization Management team reviews the inpatient stays for our members under the guidelines...
Overview: RN Case Manager- Discharge Planning - California Setting: Hospital Start Date: 10/28/2024; 11/4, 11/11...: Required Skills: Discharge Planning, Education: EMR: EPIC # 2 years experience in Case Management Available GHR Benefits...
Your Role The Federal Employee Program (FEP) team performs integrated case management (CM) and disease management (DM... and Experience Requires a current CA RN License. Bachelor of Science in Nursing or advanced degree preferred Certified Case...
Job Description: Your Role The Federal Employee Program (FEP) team performs integrated case management (CM... care experience preferred. Comprehensive knowledge of case management, discharge planning, utilization management, disease...
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...
of business Create learning competencies checklists, mock case scenarios, and assessments as needed for Utilization Management... within Medical Care Solutions as well as some Health Solutions teams. This includes Utilization Management, Care Management, Post...
of business Create learning competencies checklists, mock case scenarios, and assessments as needed for Utilization Management... for all departments within Medical Care Solutions as well as some Health Solutions teams. This includes Utilization Management, Care...
of care issues, service or treatment delays and intervenes or as clinically appropriate Refer to Case Management when there...Your Role The Utilization Management team reviews the inpatient stays for our members and correctly applies the...
of care issues, service or treatment delays and intervenes or as clinically appropriate Refer to Case Management when there...Job Description: Your Role The Utilization Management team reviews the inpatient stays for our members...
with urgent needs Provides referrals to Case Management, Disease Management, Appeals and Grievance and Quality Departments...Your Role The Utilization Management Prior Authorization team processes accurate and timely prior authorization...
and expedites access to appropriate care for members with urgent needs Provides referrals to Case Management, Disease Management...Job Description: Your Role The Utilization Management Prior Authorization team processes accurate and timely prior...
, and apply interventions when clinically appropriate Provides referrals to Case Management, Disease Management, Appeals and Grievance...Job Description: Your Role The Utilization Management team reviews the inpatient stays for our members under the...
for submitted procedures/claims appeal Initiates referrals for members to Case Management as needs are identified Your Knowledge... that are the result of either a preservice, post-service or claim denial. The Appeals and Grievances RN Senior will report to the...
for submitted procedures/claims appeal Initiates referrals for members to Case Management as needs are identified Qualifications... and grievances that are the result of either a preservice, post-service or claim denial. The Appeals and Grievances RN Senior...
Ambulatory Care preferred. - Utilzation management (UM), psychiatric nursing and/or case management experience preferred... accordingly. Position Summary: Under the direction of the Manager for Continuing Care, the Registered Nurse (RN...
Ambulatory Care preferred. - Utilzation management (UM), psychiatric nursing and/or case management experience preferred... accordingly. Position Summary: Under the direction of the Manager for Continuing Care, the Registered Nurse (RN...
: Minimum Qualifications: - Minimum of 3 years in a Care Coordination or Case Manager role. - Clear and current CA Registered Nurse (RN... oversight of day to day departmental operations including, but not limited to: clinical resource management, discharge planning...
Minimum Qualifications: - Minimum of 3 years in a Care Coordination or Case Manager role. - Clear and current CA Registered Nurse (RN... oversight of day to day departmental operations including, but not limited to: clinical resource management, discharge planning...