Grade: 18 JOB SUMMARY: The Care Manager in the Behavioral Health department is responsible for the management of members through the continuum of care, this may include day to day authorization, disease management and or telephonic case management dependant on the screening, scoring & leveling of the member. This position manages member care ensuring essential, effective, appropriate and coordinated behavioral and ...

Job Category: Clinical & Medical Management Reference Code: 216728 Position Type: Full-time Case Manager, RN -- Ideal office-based role - 216728 Job Description ... a recognized leader and innovator in providing managed health care solutions to its membership, which includes Medicaid, Medicare and SCHIP ... our services in this dynamic marketplace. Our commitment to this specialized market makes a genuine difference in ...

... organizations, including hospitals, medical groups and clinics, managed care organizations, insurance companies and medical billing and claims ... staffing requirements timely and effectively. Workers Compensation Nurse Manager 10/7/2008 See all jobs at this company | ... Email: Send Email Now Industry: Insurance Healthcare - Health Services Ref ID: Not Available Manages Others: No ...

... job Saved Job (Notes) | Email this job RN Telephonic Case Manager - Schaumberg, IL US-IL-Moline Visit us at our ... for telephonically assessing, planning, implementing and coordinating all case management activities associated with an injured employee to evaluate the medical and disability needs of an ... and facilitate the patient’s appropriate and timely return to work. Acts as a liaison with patient/family, employer, ...

... job Saved Job (Notes) | Email this job RN Telephonic Case Manager - Moline, IL US-IL-Moline Visit us at our ... for telephonically assessing, planning, implementing and coordinating all case management activities associated with an injured employee to evaluate the medical and disability needs of an ... and facilitate the patient’s appropriate and timely return to work. Acts as a liaison with patient/family, employer, ...

... job Saved Job (Notes) | Email this job RN Telephonic Case Manager - Houston,TX US-TX-Houston Visit us at our Career ... for telephonically assessing, planning, implementing and coordinating all case management activities associated with an injured employee to evaluate the medical and disability needs of an ... and facilitate the patient’s appropriate and timely return to work. Acts as a liaison with patient/family, employer, ...

Responsibilities: Performs initial evaluation assessment via telephone calls to client, employer, and physician. Evaluates need for alternative treatment. Negotiates level of care, intensity and disability duration with providers Negotiates and coordinates a prompt return to work with employer Maintains accurate record of management including costs, savings and demographic data Adheres to ...

... and writing the local policies and procedures relating to dental health care. As the Chief Dental Off Requirements: Degree from ... experience with a preference for previous insurance nurse case management, orthopedic, emergency room, critical care, home care or rehab care experience. Preferably holds ONE of the following certifications; ... COHN. For more information of this job and to Apply Online, please Click Here For more Insur ...

Job Category: Care Advocacy Reference Code: 214327 Position Type: Full-time Senior Care Advocate - September 16 Open House! - 214327 ... Solutions is driven by powerful and propriety clinical management methods that optimize the health and well-being of individuals. All Behavioral Solutions programs incorporate state-of-the-ART predictive modeling, outcomes management and evidence-based best practices. The result is better ...

Job Category: Case Management Reference Code: 214803 Position Type: Full-time Telephonic Case Manager (RN) - AmeriChoice - Norcross - 214803 Job ... a recognized leader and innovator in providing managed health care solutions to its membership, which includes Medicaid, Medicare and SCHIP ... our services in this dynamic marketplace. Our commitment to this specialized market makes a genuine difference in ...

Job Category: Care Advocacy Reference Code: 214327 Position Type: Full-time Senior Care Advocate - September 16 Open House! - 214327 ... Solutions is driven by powerful and propriety clinical management methods that optimize the health and well-being of individuals. All Behavioral Solutions programs incorporate state-of-the-ART predictive modeling, outcomes management and evidence-based best practices. The result is better ...

Job Category: Case Management Reference Code: 215485 Position Type: Full-time Case Manager - Telephonic in Norcross, GA - 215485 Job Description Description ... a recognized leader and innovator in providing managed health care solutions to its membership, which includes Medicaid, Medicare and SCHIP ... our services in this dynamic marketplace. Our commitment to this specialized market makes a genuine difference in ...

Large Managed Care Organization in Melville is looking for a Maternal Child Health Case Manager Responsibilities include: · Perform telephonic case mgmt for pregnant members with the purpose to achieve optimal benefit and results from the comprehensive management of members · Identify members appropriate for case management early in their disease process, preferably at ...

Job Category: Care Advocacy Reference Code: 214526 Position Type: Full-time Behavioral Health Care Manager -- Psychiatic Nurse (RN) needed - 214526 Job ... Solutions is driven by powerful and propriety clinical management methods that optimize the health and well-being of individuals. All Behavioral Solutions programs incorporate state-of-the-ART predictive modeling, outcomes management and evidence-based best practices. The result is better ...

... career opportunities in the following areas; Director of Case Management leads a multidisciplinary team of Case Managers that coordinate the care and resource utilization of patients with complex and ... iCare Team " Leads, Supervises and mentors team to achieve defined solutions " Achieve level of excellence ... " Minimum of 5 years progressive responsibility in Case Management " 2-3 years of Management and Mentorship ...

Job Category: Case Management Reference Code: 211755 Position Type: Full-time RN Case Manager - Memphis - 211755 Job Description Description Professional ... a recognized leader and innovator in providing managed health care solutions to its membership, which includes Medicaid, Medicare and SCHIP ... our services in this dynamic marketplace. Our commitment to this specialized market makes a genuine difference in ...

Job Category: Care Advocacy Reference Code: 214327 Position Type: Full-time Senior Care Advocate - 214327 Job Description Description OptumHealth Behavioral Solutions is driven by powerful and propriety clinical management methods that optimize the health and well-being of individuals. All Behavioral Solutions programs incorporate state-of-the-ART predictive modeling, outcomes management and evidence-based best practices. The result is better ...

Job Category: Case Management Reference Code: 211319 Position Type: Full-time Case Manager (RN) - 211319 Job Description Description AmeriChoice, a ... a recognized leader and innovator in providing managed health care solutions to its membership, which includes Medicaid, Medicare and SCHIP ... our services in this dynamic marketplace. Our commitment to this specialized market makes a genuine difference in ...

... will include but not limited too: -on-site/telephonic claims management-early intervention to facilitate return-to-work-coordination of care in a timely, cost effective manner-coordination and oversight of independent medical examinations-medical records reviews-causation evaluations-life care planning-coordination of Medicare set-asides-peer reviews-medical audits - over ... at disability hearings-expert witness-work closely with all examiners to ensure file dispositionIn this position, you will encounter ...

... call center! Love your job! Do you want to make a difference by helping people? Are you ... Group is seeking Administrative/Intake Specialists (Customer Service Representatives) to work Monday-Friday 10:30 am to 7:00 pm. The ideal candidate will have excellent ... resource for callers, answers questions regarding the disability management process; Initiates new disability cases into the system ...

Job Category: Case Management Reference Code: 211319 Position Type: Full-time Case Manager (RN) - Career Fair August 21st! - 211319 ... a recognized leader and innovator in providing managed health care solutions to its membership, which includes Medicaid, Medicare and SCHIP ... our services in this dynamic marketplace. Our commitment to this specialized market makes a genuine difference in ...