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Care Case Management Specialist Jobs

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  • 3.6
    North Kansas City Hospital – Kansas City, MO
    Est. Salary $36k-$56k
    25 days ago 25d
    Prefer Certified Clinical Documentation Specialist (CCDS), Certified Coding Specialist (CCS) [SPECIAL SKILLS]: Computer proficiency… assure documentation reflects the patient's clinical status and care. Educates physicians and Advanced Practice Professionals on documentation…
  • 3.7
    Faulkner Hospital – Boston, MA
    Est. Salary $34k-$52k
    3 days ago 3d
    complications, co-morbidities, severity of illness, risk of mortality, case mix, secondary diagnosis, impact of procedures on the final DRG… The Clinical Documentation Specialist facilitates modifications to clinical documentation through concurrent interaction with…
  • 2.8
    Commonwealth of Kentucky – Covington, KY
    Est. Salary $22k-$34k
    Today 9hr
    supervision of the Department of Corrections or with youth in the care, custody, or supervision of the Department of Juvenile Justice…
  • 3.3
    MemorialCare Health System – Newport Beach, CA
    Est. Salary $66k-$88k
    7 days ago 7d
    acuity and refer to Discharge Clinic, Complex Case Management and Disease Management as indicated Participate in daily inpatient… related field Preferred: Previous inpatient Case Management experience Previous and or ability to learn use of…
  • 3.1
    Sanford Health – Thief River Falls, MN
    Est. Salary $35k-$53k
    22 days ago 22d
    Job Title: Utilization Management Specialist|Case Management|Thief River Falls City: Thief River Falls State: Minnesota… Minnesota Department *:* CASE MANAGEMENT TRF Job Schedule: Part-Time Shift: Days Hours Per Shift:…
  • 3.2
    CareScout – Waltham, MA
    Est. Salary $36k-$55k
    28 days ago 28d
    QUALIFICATIONS • Long Term Care / Insurance industry knowledge • Telephonic case management / Home Health Care experience • Corporate… good standing. • 4-5 years of experience in case management, home care, acute care, and/or a rehabilitation setting. • Excellent…
  • 2.9
    ChenMed – Market, NY
    Est. Salary $34k-$53k
    14 days ago 14d
    utilization review, case management, and/or discharge planning experience is preferred. • Certification in case management is preferred… multidisciplinary case conferences, and communication with primary care providers. The transitional care manager will adhere…
  • 5.0
    VillageMD – Derry, NH
    Est. Salary $41k-$69k
    Today 9hr
    resources that inform the patient’s disease management. Collaborate with payer Case Managers for additional services when appropriate… physicians to support patient wellness. Prior experience in case management role, in a setting that requires nursing assessment, critical…
  • 2.9
    Sedgwick Claims Management Services Inc – Charlotte, NC
    Est. Salary $32k-$49k
    Today 11hr
    Case Management Specialist CLAIM YOUR FUTURE AS A GREAT PERFORMER! Providing both satisfying and challenging work along… implement a case management plan with ongoing monitoring to ensure quality and appropriate service delivery of the case management process…
  • 3.8
    Sharp Healthcare – San Diego, CA
    Est. Salary $40k-$62k
    Today 11hr
    The Case Management Resource Specialist will report to the Facility Case Management Supervisor. The CM Resource Specialist has… Keyword: 75188, 71061, Case Management Resource Specialist, RN, Registered Nurse, Case Manager, RN Case Management, Utilization Review…
  • 2.8
    Alameda Health System – Oakland, CA
    Est. Salary $43k-$68k
    7 days ago 7d
    level of care is assigned and documented on all patient medical records. 6. Coordinates with Care Management team when cases do not… denials with the attending physician and the Care Management physician advisor; prepares case reports; documents treatment plan, progress…
  • 2.9
    Sedgwick Claims Management Services Inc – Portland, OR
    Est. Salary $31k-$49k
    1 days ago 23hr
    Case Management Specialist CLAIM YOUR FUTURE AS A GREAT PERFORMER! Providing both satisfying and challenging work along… implement a case management plan with ongoing monitoring to ensure quality and appropriate service delivery of the case management process…
  • 3.9
    Nebraska Families Collaborative – Omaha, NE
    9 days ago 9d
    Utilization Management Specialist Nebraska Families Collaborative is currently hiring for a Utilization Management Specialist to review… : Utilizes the Claims Management system and interact with the NFC Family Permanency Specialist to review initial, concurrent…
  • 3.5
    The Reading Hospital and Medical Center – West Reading, PA
    Today 7hr
    skills (MS Office, internet, etc.) required. Previous case management experience. Full-Time/Part-Time Full-Time Special… campus also features a surgicenter, weight management center, and hyperbaric and wound care programs. Our Mission is to provide…
  • NYC Health + Hospitals – New York, NY
    Est. Salary $86k-$131k
    1 days ago 17hr
    for patient care coordination and management which includes case managers, licensed social workers, case management associates… of New York State on case management services through New York State Department of Health Care Management Annual Reporting Tool…
  • 3.3
    MHN – Rancho Cordova, CA
    Est. Salary $63k-$101k
    1 days ago 15hr
    : The Case Manager/Care Specialist CA Only is responsible for the coordination of services and cost effective management of health… and community standards of care are applied during case management activities. The case manager/care coordinator acts as a member…
  • 3.6
    Sanofi – Cambridge, MA
    Est. Salary $42k-$68k
    Today 9hr
    effective case management * Provides appropriate information to patients, their families, physicians, health care professionals… relationships with healthcare professionals, internal case managers, Clinical Science Specialists, Regional Business Directors, Renal Clinical…
  • 3.5
    Hackensack University Medical Center – Hackensack, NJ
    Est. Salary $40k-$62k
    2 days ago 2d
    Job Summary and Responsibilities: The Case Management Specialist performs selected services and functions related to discharge… information, inclusive of free text fields, to support the case management, utilization review process. 4. Retrieves information for…
  • 4.0
    Legacy Health System – Portland, OR
    Est. Salary $47k-$72k
    8 days ago 8d
    CASE MANAGER SPECIALIST Coordinates and facilitates interdisciplinary provision of comprehensive, patient-centered, quality… components of case management: • Psychosocial aspects • Healthcare reimbursement • Rehabilitation • Healthcare management and delivery…
  • 3.3
    MemorialCare Health System – Laguna Hills, CA
    Est. Salary $37k-$57k
    22 days ago 22d
    Providers Certification. Case Management Certificate or Certification preferred. Clinical Documentation Specialist training in DRG assignment… (RN) Case Manager collaborates with other professional disciplines/unit leaders to ensure safe and effective patient care delivery…
  • 3.9
    Kaiser Permanente – Los Angeles, CA
    Est. Salary $51k-$81k
    Today 11hr
    Interfaces with Primary Care Physicians, Specialists and various disciplines on the development of case management plans/programs. •… utilization review/management, care coordination, transfer coordination, discharge planning or case management. • Working knowledge…
  • 4.0
    KAISER – Los Angeles, CA
    Est. Salary $66k-$101k
    21 days ago 21d
    develops, assesses and evaluates care provided to members. - In conjunction with primary care and specialist physicians, evaluates and… utilization and service outcomes. - Develops and maintains case management policies and procedures. - Identifies and recommends opportunities…
  • 3.4
    Allina Health – Minneapolis, MN
    Est. Salary $38k-$65k
    17 days ago 17d
    Incorporates utilization management functions and responsibilities in the delivery of case management services Maintains current… for achievement of optimal outcomes within the scope of case management Contributes to professional development of peers, colleagues…
  • 2.4
    Brown & Toland Physicians – Oakland, CA
    Est. Salary $209k-$338k
    11 days ago 11d
    Maintains positive relations with case managers, clinicians and patient care specialists Performs reviews and adjudicates prior… review of utilization, claims management, and quality assurance related to inpatient care, outpatient care and referral services. This…
  • 3.9
    Cedars-Sinai – Los Angeles, CA
    Est. Salary $63k-$96k
    1 days ago 12hr
    coordinating care, communicating with health plans (including concurrent review, which assists the hospitalist/specialist and case manager… Conducts case management on patients in the inpatient, intensive outpatient, residential care and Skilled Nursing Facility settings…
  • 2.5
    Genex Services – San Diego, CA
    Est. Salary $51k-$81k
    22 days ago 22d
    involved in the medical case management process. Works as an intermediary between carriers, attorneys, medical care providers, employers… certification in case management within four (4) years of hire as a case manager Pursue URAC-recognized certification in case management…
  • 2.9
    Wilson Medical Center – Las Cruces, NM
    Est. Salary $49k-$65k
    Today 1hr
    Documentation Specialist the Case Manager utilizes advanced knowledge and clinical expertise to direct the health care providers towards… The Case Manager is responsible for facilitating appropriate health care services throughout the continuum of care. Uses collaborative…
  • 2.8
    Alameda Health System – Oakland, CA
    Est. Salary $117k-$153k
    3 days ago 3d
    review when necessary. 15. Refers appropriate cases to the Director of Care Management or to the Physician Advisor for review, as… referrals to homecare specialists or social work when discharge needs are identified. 12. Monitors care provided making suggestions…
  • 3.3
    MemorialCare Health System – Fountain Valley, CA
    Est. Salary $49k-$78k
    7 days ago 7d
    acuity and refer to Discharge Clinic, Complex Case Management and Disease Management as indicated Participate in daily inpatient… coverage guidelines. Preferred: Previous inpatient Case Management experience Previous and or ability to learn use of electronic…
  • 3.4
    Boston Medical Center HealthNet Plan – Manchester, NH
    Est. Salary $58k-$93k
    6 days ago 6d
    . Refers to and co-manages cases with Social Care Management, Behavioral Health Care Management, and Community Health Worker… conditions in an acute care or health insurance environment 2 years of experience with case management, care coordination, and/or…
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