authorization requests and/or activities Communicates with Care Management, Member Services, Membership and Eligibility... required Utilization Management experience preferred Pay Range: USD $20.98 - USD $26.23 /Hr....
communication throughout all provider databases, as needed. Maintains case records in accordance with Care Management policies... of client information (i.e. consents, completion of documentation), care management interventions, and individualized services...
professional education to deliver high-quality care. Serve the organization as a member of the management team, working alongside... management services across sites and communicate with appropriate team members, facility, discharge planner, and home care...
-based guidelines, medical protocols, provider networks, and on-line resources in making care management recommendations... CCM certification (Preferred) Certification in utilization or care management (Preferred) 4 – 6 years of clinical...
professional education to deliver high-quality care. Serve the organization as a member of the management team, working alongside... Transitions in Care Team, provide care management services across sites and communicate with appropriate team members, facility...
management services across sites and communicate with appropriate team members, facility, discharge planner, and home care... coordinator when members are transitioned between care settings. - Coordinates, facilitates, and arranges for long-term care...
for quality and address any deficiencies. In collaboration with the Transitions in Care Team, provide care management services... across sites and communicate with appropriate team members, facility, discharge planner, and home care coordinator when members...
team programs; supervising the maintenance of medical and other records and files pertinent to the treatment and care... on committees such as placement, utilization review, and medical records review; and preparing periodic performance evaluations...
Description 70% Sexual Health Servies and Programming 1. Program Leadership and Management o Design and oversee sexual health... programs, including HIV/STI testing, prevention, care/treatment referral, and education services. o Supervise and support...
; evaluating team programs; supervising the maintenance of medical and other records and files pertinent to the treatment and care... on committees such as placement, utilization review, and medical records review; and preparing periodic performance evaluations...
criteria and guidelines. Communicates all elective hospital admissions to the appropriate Utilization Management Coordinator... nursing experience; prior managed care experience preferred; familiarity with Utilization management processes preferred...
team programs; supervising the maintenance of medical and other records and files pertinent to the treatment and care... on committees such as placement, utilization review, and medical records review; and preparing periodic performance evaluations...
(dependent care, medical, parking, and transit) Employee assistance program HeartShare is an Equal Opportunity Employer (EOE... Reporting to the Coordinator, the Residence Manager is responsible for the day-to-day operations one residential program serving...
as on-site primary contact for administrative and medical document retention and dissemination to coordinate care services...Acacia Network, the leading Latino integrated care nonprofit in the nation, offers the community, from children...