Must be a Registered Nurse or Licensed Clinical Social Worker. 5 years of progressive leadership responsibility. Successful management experience. Thorough and solid knowledge of healthcare. Experience with Accountable Care Organizations, Medicaid, Medicare and Commercial populations.
Manage a member's health issues. Identify and resolve barriers that hinder effective care. Ensure patient is progressing towards desired outcomes. Required Skills: Associate and/or Bachelor's degree in Nursing. 3-5 years of clinical acute care experience.
A healthcare company needs applicants for an opening for a Remote Behavioral Health Case Management Associate Director. Candidates will be responsible for the following: Navigating and influencing multiple cross-functional teams.
Must be able to: Assess, plan and implement care strategies that are individualized by patient. Identify and initiate referrals for social service programs. Manage the care plan throughout the continuum of care as a single point of contact. Qualifications Include:
Core Responsibilities Include: Reviewing utilization information concerning patient care. Matching those needs to available care options. Managing the transition of Post-Acute Care patients. Must meet the following requirements for consideration:
Managing the care plan throughout the continuum of care as a single point of contact. Qualifications for this position include: Travel Yes, 50 % of the Time. Bachelor's degree. 4+ years of experience working within the community health setting in a healthcare role.
Implement all care management reviews. Utilize outcomes data to improve ongoing care management services. Qualifications for this position include: RN (Registered Nurse) license. 3-5 years of related, progressive clinical experience. Experience in a clinical setting.
Skills and Requirements Include: Current, unrestricted license as a Clinical Social Worker, therapist or related. 3-5 years of direct clinical care experience. Strong clinical skills. Computer and keyboarding skills (Microsoft Outlook and Word) Ability to comprehend medical policy.
A behavioral health company is searching for a person to fill their position for a Remote Central Night Service Care Manager. Core Responsibilities of this position include: Completing telephone assessments and referrals. Providing reviews for predetermination of medical necessity.
Assess, plan and implement care strategies. Manage the care plan throughout the continuum of care. Required Skills: The ability to travel in assigned region to visit Medicaid members. Current, unrestricted RN license for the state of New York.