CTO TOC LPN Care Manager MedStar Health Research InstituteCTO TOC LPN Care ManagerBaltimore, MD$61,838–$111,259 / yearReview of Discharge instructions and Medication ReconciliationAttributed beneficiaries receive a follow up interaction from the TOC Care manager coordinator within 2 business days for hospital discharge and within one week for Emergency Department (ED) discharges; Coordinates referral management for attributed beneficiaries seeking care from high-volume and/or high-cost specialists as well as EDs and hospitals; Facilitates connection to services for patients who may benefit from behavioral health services including: patients with serious mental illness patients with substance use disorders' patients with depression anxiety or other mental health conditions patients with behavioral and social risk factors and BH issues patients with multiple co-morbidities and BH issues; elevates patients requiring longitudinal / ongoing care management needs following discharge to the CTO Lead Care manager MDPCP Social needs teams and or MDPCP Amb pharmacist where appropriateCompletes general assessment for barriers or needs including any Social Determinants of Health (SDoH) and makes referrals as appropriateAssesses plans implements monitors and evaluates options and services to meet health needs of attributed beneficiaries up to 30days following In patient discharge or Emergency room visit. Ensures daily telephonic patient communication to help to close gaps in care and provide up-to-date healthcare information helping to facilitate the members understanding of his/her health status using available reports including quality m page and HIE CRISP to ensure relevant medical history/encounter are accessible in EMR.Facilitates ongoing communication amongst practice and care team by participating in huddles hosting regular conference calls in-person meetings or coordinating regular email updates to ensure alignment of activity discuss new developments and exchange information.
CTO Lead Care Manager RN MedStar HealthCTO Lead Care Manager RNBaltimore, MD$89,065–$162,801 / yearAttributed beneficiaries receive a follow up interaction from the practice within 2 days for hospital discharge and within one week for Emergency Department (ED) discharges; Coordinates referral management for attributed beneficiaries seeking care from high-volume and/or high-cost specialists as well as EDs and hospitals; Facilitates connection to services for patients who may benefit from behavioral health services including: patients with serious mental illness patients with substance use disorders' patients with depression anxiety or other mental health conditions patients with behavioral and social risk factors and BH issues patients with multiple co-morbidities and BH issues; Assists with identifying patients to participate in the Patient-Family/ Caregiver Advisory Council (PFAC) and help to organize and facilitate the PFAC annual meetings; Engages attributed beneficiaries and caregivers in a collaborative process for advance care planning (MOLST Advanced Directives Proxy). In collaboration with the interdisciplinary care team acts as primary care team agent for the coordination of care for a panel of attributed Medicare beneficiaries by ensuring the following: Ensures attributed beneficiaries have timely access to care (same day or next day access to the patient's own practitioner and/or care team for urgent care or transition management); Facilitates use of alternatives for care outside of the traditional office visit to increase access to the care team and the practitioner such as e-visits phone visits group visits home visits and visits in alternate locations (senior centers assisted living) captured in the medical record; Assists patients with scheduling appointments with providers including annual wellness visits.
CTO TOC LPN Care Manager MedStar HealthCTO TOC LPN Care ManagerBaltimore, MD$61,838–$111,259 / yearReview of Discharge instructions and Medication ReconciliationAttributed beneficiaries receive a follow up interaction from the TOC Care manager coordinator within 2 business days for hospital discharge and within one week for Emergency Department (ED) discharges; Coordinates referral management for attributed beneficiaries seeking care from high-volume and/or high-cost specialists as well as EDs and hospitals; Facilitates connection to services for patients who may benefit from behavioral health services including: patients with serious mental illness patients with substance use disorders' patients with depression anxiety or other mental health conditions patients with behavioral and social risk factors and BH issues patients with multiple co-morbidities and BH issues; elevates patients requiring longitudinal / ongoing care management needs following discharge to the CTO Lead Care manager MDPCP Social needs teams and or MDPCP Amb pharmacist where appropriateCompletes general assessment for barriers or needs including any Social Determinants of Health (SDoH) and makes referrals as appropriateAssesses plans implements monitors and evaluates options and services to meet health needs of attributed beneficiaries up to 30days following In patient discharge or Emergency room visit. Ensures daily telephonic patient communication to help to close gaps in care and provide up-to-date healthcare information helping to facilitate the members understanding of his/her health status using available reports including quality m page and HIE CRISP to ensure relevant medical history/encounter are accessible in EMR.Facilitates ongoing communication amongst practice and care team by participating in huddles hosting regular conference calls in-person meetings or coordinating regular email updates to ensure alignment of activity discuss new developments and exchange information.
Washington Rural Case Management, Social Work and Care Coordination Rural Staffing ServicesWashington Rural Case Management, Social Work and Care CoordinationWashington, WashingtonRural Staffing Services partners with rural hospitals, clinics, public hospital districts, and community healthcare organizations throughout Washington to identify experienced leaders and professionals in case management, social work, utilization review, discharge planning, and care coordination. These opportunities may include positions within Critical Access Hospitals, community hospitals, Rural Health Clinics, Federally Qualified Health Centers, public hospital districts, long-term care organizations, and integrated rural healthcare systems.
NewField Case Mangager Sedgwick Claims Management Services, Inc.Field Case MangagerBaltimore, MDPRIMARY PURPOSE OF THE ROLE: Sedgwick Field Case Managers work face to face with their injured workers and medical providers to facilitate; through advocacy, progressive medical treatment, and timely return-to-work; while acting as a liaison and providing communication between all involved parties. Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines.
Director Case Management MedStar Health Research InstituteDirector Case ManagementColumbia, MD$120,702–$238,222 / yearOversees and ensures the timely execution of Case Management activities related to Enrollee Discharge Planning Transitions of Care special benefit operations (for example transportation and personal care services) Behavioral Health Case Management and Special Population Services (for example unhoused enrollees and pediatric case management).Establishes and maintains a monitored reporting cadence (for example reports and dashboards) for enrollees in case management that include annual assessments critical incidents special populations behavioral health and transitions of care coordination efforts. The Director ensures adherence of case management programs across markets while addressing unique state-specific regulatory and population needs partners closely with Utilization Management Pharmacy Quality Population Health Equity and Provider Relations to drive enterprise clinical performance.
Registered Nurse (RN) - Hospice James River Home HealthRegistered Nurse (RN) - HospiceVA$76,500–$105,000 / yearThis role includes managing and coordinating care with the interdisciplinary team, supervising LPNs and hospice aides, providing hands-on support for pain and symptom management, and spending meaningful time with patients and families. Competitive Salary Generous car and travel allowances Company Paid Cell phone and Tablet Flexible Schedules GENEROUS time-off package 21 Days off (15 PTO Days and 6 Paid Holidays) Accrues on Day One!
Director Case Management MedStar HealthDirector Case ManagementColumbia, Maryland$120,702–$238,222 / yearFull timeOversees and ensures the timely execution of Case Management activities related to Enrollee Discharge Planning Transitions of Care special benefit operations (for example transportation and personal care services) Behavioral Health Case Management and Special Population Services (for example unhoused enrollees and pediatric case management). The Director ensures adherence of case management programs across markets while addressing unique state-specific regulatory and population needs partners closely with Utilization Management Pharmacy Quality Population Health Equity and Provider Relations to drive enterprise clinical performance.
Major Case Specialist, Construction Defect The Travelers Companies IncMajor Case Specialist, Construction DefectChantilly, VA$104,000–$171,700 / yearDirectly investigate each claim through prompt and strategically-appropriate contact with appropriate parties such as policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, medical providers and technical experts to determine the extent of liability, damages, and contribution potential. Actively engage in the identification, selection and direction of appropriate internal and/or external resources for specific activities required to effectively evaluate claims, such as Subrogation, Risk Control, nurse consultants nurse consultants, and fire or fraud investigators, and other experts.
Senior Safety Case Coordinator Southland IndustriesSenior Safety Case CoordinatorVA$99,427–$117,504 / yearWork with projects and/or the CIP to set up onsite clinics and provide training on first aid, CPR, AED, onsite care, Workers Compensation, and injury prevention for the Site Safety Professionals and for the work crews. This strategy includes a series of coordinated activities aimed at ensuring the swift and successful recovery of injured employees, easing their safe return to work, and maintaining a connection to their roles and responsibilities during the recuperation period.
Case Review Specialist/Medical Assistant STG International, Inc.Case Review Specialist/Medical AssistantRockville, MDFull timeProvides direct support to the mission of Federal Occupational Health (FOH), a component of the Program Support Center (PSC), to improve the health, safety, and productivity of the Federal workforce by performing fulfillment of case review activities (review of service and provider fulfillment), interacting with internal and external customers regarding questions and clarification of services or other communication essential to the maintenance of the agreement and coordinating service delivery with FOH Business Operations team. Other duties may include reaching out to clinics to retrieve missing exam items, working with Occupational Health Clinics (OHC) to ensure all portions of exam completed are billed for appropriately, collaborating with FOH team members to ensure workflow facilitates that customer needs are met, and relay any concerns raised by customers to Program Manager (PM).
Case Management Specialist CVS Health CorpCase Management SpecialistMD$21.10–$40.90 / hourAs an essential member of our Special Needs Plan (SNP) care team, the telephonic Care Manager Specialist (CMS) plays a key role in coordinating the care of our members, particularly those with social determinants of health (SDoH) needs and stable health conditions. The CMS collaborates closely with the Registered Nurse Care Manager, Care Coordinator, Social Worker, and other interdisciplinary care team participants to support the member in maintaining optimal health.
Case Management Analyst - Field - Northern Virginia CVS HealthCase Management Analyst - Field - Northern VirginiaAnnandale, VirginiaBachelor's Degree or non-licensed master level clinician required, with either degree being in behavioral health or human services preferred (psychology, social work, marriage and family therapy, counseling), LMHP, RN/LPN, QMHP, LMSW, LBSW, MSW or BSW. Develops a proactive course of action to address issues presented to enhance the short and long- term outcomes as well as opportunities to enhance a member’s overall wellness through integration.
Clinical Manager, Homecare Alternate Solutions Health NetworkClinical Manager, HomecareFairfax, VirginiaManages staffing budget, at the direction of the Administrator to include: overtime & bonus oversight; reporting budget exceptions to Administrator; payroll entry of field staff bonuses; review and approve liaison timecards. Provides oversight for liaison workflow to ensure timeliness of completion as well as identify education needs for field & liaisons, ensuring workflow needs and staffing skill sets are congruent.
Clinical Manager, Homecare Beaumont Home Health and HospiceClinical Manager, HomecareFairfax, VirginiaManages staffing budget, at the direction of the Administrator to include: overtime & bonus oversight; reporting budget exceptions to Administrator; payroll entry of field staff bonuses; review and approve liaison timecards. Provides oversight for liaison workflow to ensure timeliness of completion as well as identify education needs for field & liaisons, ensuring workflow needs and staffing skill sets are congruent.
Licensed Practical Nurse (Lpn), Day Shift, Home Health - Rockville Adventist HealthCareLicensed Practical Nurse (Lpn), Day Shift, Home Health - RockvilleRockville, MD$25.63–$35.89 / hourNicotine products" include, but are not limited to: cigarettes, cigars, pipes, chewing tobacco, e-cigarettes, vaping products, hookah, and nicotine replacement products (e.g., nicotine gum, nicotine patches, nicotine lozenges, etc.). Those testing positive are given the opportunity to re-apply in 90 days, if they can truthfully attest that they have not used any nicotine products in the past ninety (90) days and successfully pass follow-up testing.
Account Manager/Specialty Account Manager -TAVNEOS- Fairfax, Virginia Amgen IncAccount Manager/Specialty Account Manager -TAVNEOS- Fairfax, VirginiaArlington, VA$145,311–$196,597 / yearIn addition to the base salary, Amgen offers a Total Rewards Plan comprising health and welfare plans for staff and eligible dependents, financial plans with opportunities to save towards retirement or other goals, work/life balance, and career development opportunities including: Comprehensive employee benefits package, including a Retirement and Savings Plan with generous company contributions, group medical, dental and vision coverage, life and disability insurance, and flexible spending accounts. In this vital role you will be representing Tavneos to physicians and healthcare professionals, playing a key role in establishing product demand and delivering comprehensive account management within a designated territory.
Federal Account Manager - MD/VA NetScout Systems IncFederal Account Manager - MD/VAMaryland, MDMatch Any Sparrow Carson City Michigan Athletic Club Michigan Athletic Club Restaurant Physicians Health Plan Sparrow Clinical Research Institute Sparrow Clinton Hospital Sparrow Eaton Hospital Sparrow Home Care Sparrow Hospital Sparrow Hospital Executive Sparrow Ionia Hospital Sparrow Medical Group Sparrow Medical Supply Sparrow Pharmacy Plus Sparrow Specialty Hospital Thoracic Cardiovascular Institute. Any Administrative/Clerical Clinical Professional/Technical/Allied Health Information Technology Internships Management/Professional Patient Services/Nursing Support Physicians & Advanced Practice Providers Radiology/Imaging Registered Nurses/Nursing Leadership Service/Support/Skilled Maintenance.
RN Team Lead Utilization Review MedStar Health Research InstituteRN Team Lead Utilization ReviewClinton, MD$89,065–$162,801 / yearCollaborates with and assists the nurse case manager and social worker to meet the patients' continuing health needs in a high-quality cost-effective manner by identifying patients in need of case management. Assists the Director in managing the daily departmental operations with the goal of maintaining adequate staffing levels and efficient workflow.
Mgr Clinical Resource Mgmt Children's National HospitalMgr Clinical Resource MgmtWashington, DCFunction as a resource to staff and takes steps to resolve issues that arise internally and with payors and post acute providers. Provide education to the department and the organization related to payor trends, denial activity, observation status, and utilization/case management outcomes.