Identify and resolve barriers that hinder effective care. Ensure patient is progressing towards desired outcomes by continuously monitoring patient care. Skills and Requirements Include: Ability to travel to member's residence within 30 to 40 miles.
Identifying and resolving barriers that hinder effective care. Ensuring patient is progressing towards desired outcomes by continuously monitoring patient care. Applicants must meet the following qualifications: Ability to travel to member's residence within 30 to 40 miles.
Implementing care plan by facilitating authorizations/referrals. Negotiating rates of reimbursement, as applicable. Must meet the following requirements for consideration: Must reside within 60 miles to any office in the US, you must be available to go to office for training, and as needed.
Must be able to: Ensure medically appropriate, high-quality, cost-effective care through assessing the medical necessity of inpatient admissions and extensions. Partner with physician clinical reviewers and/or medical directors to interpret appropriateness of care.
Obtaining information regarding client status, support system, and need for services for care plan development. Coordinating medical and long term care services. Completing assessments with members, caregivers, or providers. Qualifications for this position include:
Facilitating and coordinating all aspects of Medical and Non-Medical care. Interacting with insurance company adjusters, attorneys, physicians, and other healthcare professionals involved. Overseeing the care of these patients. Qualifications Include:
A health insurance company needs applicants for an opening for a Telecommute Nurse Disease Manager I. Individual must be able to fulfill the following responsibilities: Conduct behavioral or clinical assessments. Identify and/or coordinate specific health coaching plan needs.
Min of 1year experience working directly with individuals with developmental or intellectual disability and/or complex mental health conditions. GED or High School Diploma required. Ability to document within care management system; knowledge of Microsoft Word and Excel.
Coordinating care across the continuum. Position Requirements Include: Graduate of an accredited School of Practical Nursing. Current LPN License in the state of practice. 2 years of Ambulatory care experience. 3 years Ambulatory care experience. Hom HealthCare experience.
Identifying and resolving barriers that hinder effective care. Ensuring patient is progressing towards desired outcomes. Qualifications for this position include: Ability to travel to member's residence within 30 to 40 miles.