In this role, the selected candidate will act as application and/or interpretation of applicable criteria and clinical guidelines, standardized care management plans, policies, procedures, and regulatory standards while assessing benefits and/or members needs to ensure appropriate administration of benefits.
In this role, the selected candidate will perform duties related to the day to day operations of the Integrated Case Management functions to include working with members identified as high risk to identify needs and goals to achieve empowerment and improved quality of life for both behavioral and physical health issues.
The Case Manager develops collaborative, outcome-oriented plans of care for each patient, acts as a patient advocate and provides mechanisms and support to empower patients to make responsible healthcare decisions while guiding appropriate utilization of resources and services to achieve expected outcomes.
In this role, you will develop and implements a case management plan in collaboration with the member, caregiver, physician and/or other appropriate healthcare professionals and member's support network to address the member needs and goals.
In this role, you will develop and implement a case management plan in collaboration with the member, caregiver, physician and/or other appropriate healthcare professionals and member's support network to address the member needs and goals.
As an RN Case Manager, your ability to manage client care with specific knowledge and experience in bedside care, symptom management, crisis intervention and family intervention are feature assets for this high-profile nursing position.
The Complex Case Manager functions across the continuum of telephonic Case Management, with the overall goal of activating the consumer to enhance quality of care, to facilitate change in consumer behavior and to promote optimal outcomes for all parties involved.
In this role, you will maintain case records detailing service needs and activities/arrangements for their fulfillment, according to data-management procedures established by program management and the funding sources.
The Career Coach is the primary point of contact with the youth participants and others in the participant's circle of influence. The Career Coach will recruit for the program as well as seek employment and educational opportunities as participants complete the program.