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Provide comprehensive support to patients and healthcare providers regarding disease states, therapies, and medication access. Coordinate treatment logistics and manage patient cases while ensuring adherence to protocols and reporting adverse events.
Provide clinical assessment, medication review, and coordination of skilled services for elderly or disabled Medicaid beneficiaries. The goal is to ensure medical stability at home and prevent hospitalization through individualized care planning.
Coordinates care and communicates medical information between injured workers, insured parties, and carriers to facilitate rehabilitation and return to work. Attends physician appointments and monitors treatment plans to ensure cost-effective and efficient recovery.
Coordinates care and communicates medical information between injured workers, insured parties, and carriers to facilitate treatment and return to work. Performs field-based assessments, monitors treatment plans, and manages documentation and billing.
The nurse case manager coordinates medical care and communicates between injured workers, insurers, and carriers to facilitate effective treatment and return-to-work plans. They are responsible for attending physician appointments, monitoring treatment progress, and maintaining accurate documentation and billing records.
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The nurse liaison coordinates care and communicates medical information between the injured worker, insured party, and carrier to ensure appropriate treatment and successful return to work for various claims. Duties include following the Case Management plan, making initial contacts, attending physician appointments, and maintaining ongoing communication with all involved parties.
The Nurse Case Manager will support patients and healthcare providers by offering information on support services, diseases, and therapies based on provided materials, while also assisting with service assessments and acting as a liaison for medication access. Key duties include documenting patient interactions, following case-management protocols, collaborating on funding, and coordinating treatment logistics with various stakeholders.
The Triage Telephonic Nurse Case Manager is responsible for managing Workers’ Compensation medical claims, conducting initial clinical assessments, and coordinating appropriate medical care. This role also focuses on facilitating prompt return-to-work outcomes and ensuring compliance with state procedures.
The Case Manager assesses, plans, and coordinates medical and psychosocial needs for members through regular in-person or telephonic contact. They develop proactive care plans to enhance member wellness and facilitate transitions to appropriate health programs.
The Case Manager is responsible for conducting comprehensive in-home assessments and developing person-centered care plans for dual-eligible Medicare and Medicaid members. They coordinate services across interdisciplinary teams to ensure members receive appropriate community-based support while maintaining regulatory compliance.
The Care Manager coordinates care for members with chronic conditions by conducting assessments, developing individualized care plans, and connecting them with necessary resources. They also provide disease management education and maintain meticulous documentation within the electronic health record while collaborating with the interdisciplinary care team.
The Case Manager will perform telephonic case management by assessing member needs, applying clinical guidelines, and collaborating with care teams to ensure quality care. They will utilize motivational interviewing to engage members and conduct medical necessity reviews while adhering to regulatory and company policies.
The Case Manager will work telephonically with patients and care teams to assess needs, apply clinical guidelines, and ensure appropriate benefit administration. They will utilize a holistic approach to reduce risk factors, address complex health indicators, and collaborate with clinical colleagues to meet patient goals.
The Case Manager is responsible for conducting comprehensive in-home assessments and developing person-centered care plans for dual-eligible Medicare and Medicaid members. They coordinate services across interdisciplinary teams to ensure members receive appropriate community-based support while maintaining regulatory compliance.
The Case Manager conducts comprehensive in-home assessments to develop and implement person-centered care plans for dual-eligible members. They coordinate services across interdisciplinary teams and monitor member progress to ensure regulatory compliance and improved health outcomes.
This role coordinates and facilitates quality, cost-effective care for ESRD and CKD patients by collaborating with healthcare teams and physicians. The nurse manages care transitions and provides support between patients, families, and regional operations.
The Case Manager RN will assess patient needs, develop personalized care plans, and coordinate comprehensive care across various healthcare settings. They will also advocate for patients, monitor progress, and connect individuals with necessary resources to support their well-being.
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The Case Manager facilitates the delivery of healthcare services through assessment, planning, and care coordination for dual-eligible members. They act as a liaison between patients, providers, and families to optimize wellness outcomes and ensure appropriate benefit utilization.
The Case Manager conducts face-to-face home visits to assess member medical needs and develop comprehensive care plans for MLTSS and D-SNP programs. They collaborate with care teams and providers to authorize services and ensure safe, cost-effective care delivery.
Acts as a liaison between members, providers, and insurance companies to coordinate care for catastrophic and chronically ill patients. Develops and monitors individualized plans of care to optimize medical outcomes and facilitate a timely return to work or baseline functioning.
The Case Management Coordinator collaborates with members, providers, and community organizations to address complex health and social needs. They facilitate healthcare outcomes by assisting with appointment scheduling, benefit access, and utilizing care management tools.
The Case Manager conducts face-to-face home visits to assess member medical needs and develops comprehensive care plans to facilitate wellness. They collaborate with care teams and providers to authorize services in a cost-effective manner while ensuring safe and appropriate care delivery.
The Medical Case Manager provides comprehensive telephonic case management to facilitate medically appropriate return-to-work outcomes for injured employees. They partner with adjusters to develop personalized treatment plans, perform utilization reviews, and coordinate care while ensuring cost-effectiveness and regulatory compliance.
The Integrated Case Manager develops and monitors care plans to optimize member health across the care continuum. They perform clinical assessments and coordinate care for members with complex needs, including physical, behavioral, and social services.
Coordinates case management activities with members to evaluate medical needs and facilitate overall wellness. Develops strategies to address health issues and ensures compliance with clinical coverage policies.
The Case Manager facilitates comprehensive care coordination, assessment, and planning for members to optimize health outcomes and wellness. They act as a liaison between patients, providers, and insurance carriers while monitoring progress and ensuring compliance with regulatory policies.
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The Care Manager RN assesses, plans, and coordinates healthcare services for members with complex medical and social needs. They act as a liaison between members, families, and providers to develop individualized care plans that improve health outcomes.
The Case Manager develops and implements proactive care plans to enhance member wellness by assessing medical needs and social determinants of health. They collaborate with interdisciplinary teams and providers to overcome barriers and ensure members receive appropriate care.
The Case Manager facilitates care coordination, assessment, and planning for dual-eligible members to optimize health outcomes and wellness. They act as a liaison between members, families, providers, and community resources while ensuring compliance with regulatory policies.
The Case Manager facilitates healthcare outcomes by collaborating with members, providers, and community organizations to address complex health and social needs. They provide assistance with appointment scheduling, benefit navigation, and patient education using established care management tools.
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