... to determine extent of injury, reserving and effective case management. Utilize medical cost containment measures to control loss ... complete multiple objectives and effective use of time management skills. *Self motivation and self starting capabilities as ...

... limited to; building financial models to understand business case and ROI/NPV of upfront investment; working with cross functional groups in Fulfillment, Shipping, Transportation and Product Management etc to understand and critically and objectively evaluate ... proposals by providing financial modeling that allows executive management to make "go/no-go" decisions. This position will report ...

... services to hospital in activities pertaining to risk management; adheres to laws, regulations, hospital by-laws, licensure requirements ... to the practice of medicine; works closely with case managers, medical staff and service chiefs to improve quality of care. Education: Doctor of Medicine (M.D.) with completed specialty training in medical specialty (Internal ...

... services to hospital in activities pertaining to risk management; adheres to laws, regulations, hospital by-laws, licensure requirements ... to the practice of medicine; works closely with case managers, medical staff and service chiefs to improve quality of care. Doctor of Medicine (M.D.) with completed specialty training in medical specialty (Internal Medicine). ...

... services to hospital in activities pertaining to risk management; adheres to laws, regulations, hospital by-laws, licensure requirements ... to the practice of medicine; works closely with case managers, medical staff and service chiefs to improve quality of care. Doctor of Medicine (M.D.) with completed specialty training in medical specialty (Internal Medicine). ...

... will be responsible for: Coordinating and overseeing the management of the operations of AlohaCare?s Advantage and Advantage ... finance, claims, compliance, information systems, medical and pharmaceutical management, case management, quality improvement, credentialing, and grievance and appeals. Our ...

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DESCRIPTION NURSE CASE MANAGER POSITION #: 0291 CASE MANAGEMENT (40 hrs./week; Varies / Weekend / Holidays) GRADE: 17 Collaborates with other members of the case management and health care teams, utilizes professional nursing skills ... continuum; decrease unnecessary variances in care through proactive case management; develop a safe and timely discharge plan ...

... serves as a key member of the district management team in helping the district develop quality Medicare, Medicaid (Case Mix) and Managed Care programs within each center. o Validates the completion process for cert/recerts, Generic Notice of Non -coverage, Detailed Notice of Non-coverage and Non-coverage letters within the centers o ...

... Under the ADCM or designee provides leadership and management of hospital wide utilization and case management activities. The individual provides integration and manages the ... working to ensure financial reimbursement of each individual case as required by third party payors. The individual also is involved in the on going management relationships with payor and referral sources, the facilitation ...

... Employer. Drug Free Workplace. You'll be responsible for case management, utilization review, discharge planning, and social services, as ... the payers, physicians, hospital referral sources, and your case management staff. Help facilitate the discharge-planning process, and serve ... Work to ensure financial reimbursement of every individual case. Responsibilities: Develop and implement the philosophies, policies, procedures ...

... healthcare professionals. Job Responsibilities include: processing incoming referrals, management and mentoring of field staff, coding care plans, reviewing clinical documentation, monitoring quality assurance, and overall case management. This is a full-time, office based position. The ...

... Provide medical staff peer review data, information, and case identification as necessary for medical peer review activities and reports. ? Perform initial case review and refer to medical staff as indicated ... of the medical staff, Administration, Quality Manager, Risk Management Director. ? Assist with coordination of the quality ...

... are required for diagnosing system problems • Utilize case management tool set for successful customer issue management. • Know how to initiate a field service ...

... end uses of product. • Generate and update case data into service database, and track, manage and escalate assigned as required. • Conduct unit and systems setup, configuration, calibration and testing for verification of problems reported as required. • Modifies equipment or systems as defined by engineering; corrects malfunctions as ...

Establishing and maintaining client eligibility in the Care 4 Kids child care subsidy program. Effectively manage 400-500 child care cases. Review and determine eligibility and client benefits within contract specifications. Research, interpret and explain federal, state and local policies governing eligibility, legal rights and responsibilities participants to ensure compliance. ...

... to keep its competitive edge. POSITION SUMMARY The Case Manager utilizes clinical skills in a collaborative process ... members in community and institutional settings. More specifically, Case Management (CM) is defined as a collaborative process that ... in an independent and cost effective manner. The Case Manager collaborates with Member Services, Provider Services, Contract ...

... to keep its competitive edge. POSITION SUMMARY The Case Manager utilizes clinical skills in a collaborative process ... members in community and institutional settings. More specifically, Case Management (CM) is defined as a collaborative process that ... in an independent and cost effective manner. The Case Manager collaborates with Member Services, Provider Services, Contract ...

... Simpana suite addresses. Create and present the business case surrounded by merits of a Simpana solution to ... Develop strong customer relationships, ensuring that technical account management best practices are being followed by the systems engineering team Conduct, manage, and lead customer software pilots or "proof-of-concepts". Develop specific areas of expertise ...

... It Takes" attitude. Hands-on and lead by example management style. Responsible for scheduling and meeting or beating ... discount retail program and more. Assist in relocation: Case by case. ...

... all populations and defuse tense situations. Experience in case management/vocational rehabilitation preferred. Possess good computer skills and be proficient in MS Word, Excel, Internet and database applications. Ability to interact and communicate effectively. - ...

... defining and driving specific segment strategies for Brocade's Management Software Products. In addition to shaping the strategic ... This position reports to the Director of Product Management, and is located in SAN Jose, CA Qualifications: ... and own the pre-specified segment strategy for Brocade's Management Software. Maintain subject matter expertise for this specific ...

... quality of care. Options HIV/AIDS-related program provides intensive case management, housing, and outreach services to low-income individuals and families with or at risk HIV/AIDS. Duties: The Case Manager is responsible for providing intensive case management for clients and their families/support system. The CM ... client self-sufficiency and empowerment. The CM coordinates the case management conducted by other members of the team ...

... experience are needed for mid to senior level case management roles in Midtown and Downtown NYC. Must have Bachelors degree, and current blue booking and cite checking experience in a large Law firm. Please ...

... Process (data flow diagrams, activity hierarchy diagrams, use case diagrams, activity diagrams, data models) is highly desired. ... standard methodology is required. . 8+ years of management experience on highly complex or enterprise wide IT ... - trade decision and capture, valuation, accounting, cash management, reporting, settlement and custodian interfaces . Excellent communication ...