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Supv, Case Management - Case Management - Full-Time - Day
Scripps - San Diego, California
Healthcare / Nursing
Responsible for the day-to-day operations of the managed care case management department and oversees the utilization management, discharge planning/placement, and case management functions. Required Education/Experience/Specialized Skills: RN with a minimum of 3-5 years in a managed care clinical environment. Two years of experience in a lead or supervisory role. Minimum of 2 years experience in case management/utilization review, discharge planning, and Millman/InterQual criteria usage. Profic (see more)
Case Management Educator - Case Management
Adventist Health Southern California - California
Healthcare / Nursing
Job SummaryThe Case Management Educator fulfills all the functions of a Case Manager (CM). In addition to utilizing good leadership skills, providing support for determining the appropriateness of acute hospital admission, continued stay and discharge. Job Duties: This individual creates the environment where the primary focus is on education throughout the episode of care. Organized by episode day and compromised of multiple levels of care. Teaches the CM how to lead a multidisciplinary team ac (see more)
Case Management Educator - Case Management (1517_100903)
Adventist Health - Glendale Adventist Medical Center - California
Healthcare / Nursing
Job SummaryThe Case Management Educator fulfills all the functions of a Case Manager (CM). In addition to utilizing good leadership skills, providing support for determining the appropriateness of acute hospital admission, continued stay and discharge. Job Duties: This individual creates the environment where the primary focus is on educationthroughout the episode of care.Organized by episode day and compromised of multiple levels of care.Teaches the CM how to lead a multidisciplinary team across the continuum of care to initiate, implement and coordinate all aspects of the utilization … (see more)
Risk Management Review Specialist - Risk Management (1517_10
Adventist Health - Glendale Adventist Medical Center - California
Healthcare / Nursing
Job Summary:Reviews patient medical charts and incident reports (currently in electronic format); assesses completeness of information in incident reports and performs review of corresponding medical charts as necessary. Performs pre-litigation clinical case risk review function. The review is intended to identify potential lapses in physician, nursing and ancillary services care so that additional review and investigation may be undertaken by the Risk Director, assigned legal counsel and/or Corporate Risk Management in a timely manner. May also participate in data collection for submission … (see more)
Care Management/Medical Social Worker - Referral Management
PeaceHealth - Central, Oregon
Healthcare / Nursing
Req ID: 141187 PeaceHealth is seeking a Care Management/Medical Social Worker - Referral Management for a 1.0 full time equivalent non-exempt position. This position will be working Day shift with shift durations of 8 Hours. JOB SUMMARY Responsible for identifying and interacting with medically and psychosocially complex patients and families who are likely to benefit from care management and meet high risk criteria and for coordination of discharge planning services for these patients in collaboration with RN Care Management and other members of the care … (see more)

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