Director, Case Management Patient Access Advocacy Revolution Medicines IncDirector, Case Management Patient Access AdvocacyNYRemote$237,000–$263,300 / yearEnsure Patient Access Advocates proactively manage and work individual patient cases to ensure access and financial barriers are compliantly overcome -including benefit verifications, PA delays, denials, appeals hurdles, specialty pharmacy and non-commercial pharmacy routing issues, affordability barriers, complex Center for Medicare and Medicaid cases (CMS), community resources and more. The CM team will work directly with patients, providers, insurance, and other stakeholders to help patients navigate through their insurance coverage, deploy RevMed's (ON)Path Patient Support Services programs, and connect patients to additional external resources to help patients overcome access barriers.
NewAssociate Director, Patient Services Case Management Kyowa Kirin Pharmaceutical Research IncAssociate Director, Patient Services Case ManagementMontvale, NJ$160,000–$190,000 / yearAs a key member of the Patient Services team, Associate Director (AD), Patient Services Case Management is responsible for ensuring consistent, efficient, and quality Patient Services operations in collaboration with the broader Patient Services leadership team. Kyowa Kirin is a fast-growing global specialty pharmaceutical company that applies state-of-the-art biotechnologies to discover and deliver novel medicines in four disease areas: bone and mineral; intractable hematologic; hematology oncology; and rare disease.
Nurse CARE Manager, Wellness Center & Case Management Marriott International IncNurse CARE Manager, Wellness Center & Case ManagementBethesda, MDThe Nurse CARE Manager provides dual support through direct clinical care at the Marriott Headquarters Wellness Center and nurse case management (NCM) services for the Eastern Region Claims Services office. Demonstrated ability to apply strong communication, organizational, and critical thinking skills to assess patient needs, solve complex problems, and manage case workflows with a high level of efficiency and attention to detail.
Case Management Assistant PRN Vibra Healthcare LLCCase Management Assistant PRNFresno, CA$15.75–$19.20 / hourThis may include but is not limited to: Tracking dates that concurrent reviews are due to third party payors; Obtaining updated clinical information from the EMR/Chart or the managed care forms filled out by case managers, and faxing to third party payors; Obtaining fax confirmation and making follow up calls to verify concurrent review information was received; Obtaining authorizations and documenting these with accuracy in the HMS financial system. San Joaquin Valley Rehabilitation Hospital, located in Fresno, CA, is a 62 bed acute rehab hospital, providing rehabilitative services to people recovering from disabilities caused by injuries or illnesses.
Case Management Assistant Part Time - non-benefited position Vibra HealthcareCase Management Assistant Part Time - non-benefited positionFresno, CaliforniaPer diemThis may include but is not limited to: Tracking dates that concurrent reviews are due to third party payors; Obtaining updated clinical information from the EMR/Chart or the managed care forms filled out by case managers, and faxing to third party payors; Obtaining fax confirmation and making follow up calls to verify concurrent review information was received; Obtaining authorizations and documenting these with accuracy in the HMS financial system. Posted Total Compensation: The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including, but not limited to, skill sets, experience, education and training, licensure and certifications, and other business and organizational needs.
Registered Nurse - Case Manager - Care Management - Days Baptist Hospitals of Southeast TexasRegistered Nurse - Case Manager - Care Management - DaysBeaumont, TXThe RN Case Manager-Care Management is accountable for a designated patient caseload, while supporting the physicians and interdisciplinary team in facilitating patient care, with the underlying objective of enhancing the quality of clinical outcomes and patient satisfaction; as well as, managing the cost of care and providing timely and accurate information to payors. Actively monitors and documents information pertinent to care coordination and the progress of patients on assigned caseload; proactively intervening and ensuring tasks are completed accurately, and in a timely manner to promote communication and prevent delays in treatment and discharge of patients.
Director, Care Transitions & Case Management (Full-Time, Exempt) Enloe HealthDirector, Care Transitions & Case Management (Full-Time, Exempt)Chico, CaliforniaConsidering age-related and cultural needs, ensures that case management processes (clinical care coordination, discharge planning, performance improvement, quality/risk review, referrals to appropriate level of care) are appropriately implemented to meet patient needs by assigned staff. The Director is responsible for guiding the staff and managers in case management and social work (both inpatient and outpatient) toward achieving clinical, financial, quality, and utilization goals through effective management, communication, and role modeling.
NewCoordinator, Family Impact Case Management Lee, County Of (Inc)Coordinator, Family Impact Case ManagementFort Myers, FL$45,210.88–$55,000 / yearThis position supports participants across multiple Housing Opportunities for Persons with AIDS (HOPWA) program components, including Short-Term Rent, Mortgage, and Utility Assistance (STRMU), Permanent Housing Placement (PHP), Transitional Housing, and Tenant-Based Rental Assistance (TBRA). This position serves as a Housing Opportunities for Persons with AIDS (HOPWA) Case Manager, providing comprehensive housing-focused case management services to individuals and families living with Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome (HIV/AIDS).
Case Manager II - Population Health Medicaid (Registered Nurse) - Harvest Family Health Center Carolina Family Health Centers IncCase Manager II - Population Health Medicaid (Registered Nurse) - Harvest Family Health Centerelm city, NCPerform annual comprehensive assessments to evaluate patients'' health care needs and social determinates of health to develop individualized and person-centered care plans using a collaborative approach including patient and family participation, where possible. Identify patients with recent emergency department visits or hospital admissions, and assists them with transitioning back to their primary care provider, including providing medication reconciliation and assisting with medication access.
Medical Case Manager Public Health Management CorpMedical Case ManagerPhiladelphia, PAPHMC serves as both a direct service provider to individuals, families, and communities across the region and as an intermediary agent - managing large-scale contracts, government and philanthropic partnerships, and multidisciplinary initiatives that require operational sophistication, strategic leadership, and deep mission alignment. EDUCATION: • Must meet ONE of the following: • Bachelor's degree in social work or a related field from an accredited school of social work • Associate's degree in social work or a related field, with the intent and desire to obtain a bachelor's degree in social work or a related field.
Assistant-Case Management Baptist Memorial Health Care CorpAssistant-Case ManagementJackson, MSCommunicates with Case Managers and Social Workers to optimize the utilization/case management processes. Participates in discharge planning activities in collaboration with Case Managers/Social Workers.
Case Management Specialist Eastern Shore Rural Health System IncCase Management SpecialistVAThe Case Management Specialist works with providers, patients, and insurance companies to help ensure patients receive the highest level of care, assisting them with their chronic care and preventative care needs to help reduce long-term health concerns and hospitalizations. Act as liaison to community partners and capture care coordination activity within the electronic medical record (EMR) while effectively communicating with the hospital case management team and local skilled nursing facility personnel to facilitate coordination of specific patient care issues.
Supervisor Case Management MyMichigan HealthSupervisor Case ManagementSault Ste. Marie, MichiganPart timeAct as a resource and role model for unit practice, develops and maintains collaborative relationships and channels communication with members of multi-disciplinary care teams, including essential service leadership. The Supervisor will have responsibility for planning, directing, coordinating and evaluating case management roles as they directly interact with other hospital departments and community resources.
Discharge Planner - RN Case Management Baptist HealthDischarge Planner - RN Case ManagementThe Case Manager tasked with discharge planning shall coordinate care of an assigned caseload of patients through collaboration with physicians, nursing staff, and other health professionals to facilitate efficient utilization of clinical resources, optimal clinical and continuing care, as well as financial outcomes. The Case Manager tasked with utilization management shall work in collaboration with the patient/family, and interdisciplinary team (including physicians, other care providers, and payers), and assesses the patient care progression from acute care episode through post discharge for quality, efficiency, and effectiveness.
NewCase Management Specialist (7217) Salvation Army USACase Management Specialist (7217)Austin, TXJob Summary: Interviews, accepts, and provides comprehensive, long-term, structured, complex, case management services for an assigned caseload of clients participating in an established life management program; understands the uniqueness of the client's history in order to determine most effective program plans; develops comprehensive program plan/goals and evaluates client's progress by conducting mentoring and counseling sessions with client and/or staff; serves as advocate for client in order to acquire services that will enable them to functionally cope with their environment; ensures constant compliance with funding requirements. Greets and interviews clients requesting assistance to determine client's eligibility for assistance based on program guidelines and restrictions; records clients disposition and other pertinent information such as income, expenses, family and work history; assists clients in completing applications for assistance; photocopies picture identification cards, payroll statements, utility bills, etc.
NewProgram Manager - Targeted Case Management (TCM) MRA Recruiting ServicesProgram Manager - Targeted Case Management (TCM)St Paul, MN$80,000–$100,000 / yearAs one of the largest employer associations in the nation, MRA helps its member organizations thrive by offering the most comprehensive assortment of HR services, information, education, and resources to help build successful workplaces and a powerful workforce. This position provides operational leadership and clinical supervision to Program Supervisors and Case Managers, while also managing overall team service delivery, financial structures, integration, and expansion opportunities.
NewCase Management Assistant MedStar HealthCase Management AssistantOlney, MD$18.70–$32.72 / hourAssists in the administration of Case Management functions to include, but not limited to follow-up with third party payers for the appeal status, assists with arranging the patient transportation, delivers Medicare Important Message letters, and other duties to assist the Case Management team. Under the direction of the Director of Patient Care Transitions, performs multiple activities that support the movement and transitions of patients out of the inpatient hospital setting.
Case Management Assistant Encompass Health CorpCase Management AssistantToms River, NJJoin us as a Case Management Assistant, a pivotal role dedicated to streamlining workflow, facilitating communications, and enhancing the efficiency of our Case Management department. Our achievements include being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For Award, among other accolades, which is nothing short of amazing.
Case Management Manager Ascension Health AllianceCase Management ManagerNashville, TNTeam Leadership: Manage assigned case managers, professional associates, and clerical staff to ensure productive workflows. Our legitimate email communications will always come from an @ascension.org email address; do not trust other domains, and an official offer will only be extended to candidates who have completed a job application through our authorized applicant tracking system.
Manager of Utilization Review and Case Management Professional Development New York University School of MedicineManager of Utilization Review and Case Management Professional DevelopmentPatchogue, NY$84,956.87–$127,888.28 / yearIn this role, the successful candidate The Manager of Utilization Review and Case Management Professional Development is responsible for coordinating the functions of utilization review, discharge planning, and resource management to ensure, based on patient assessment, that care is provided in the most appropriate setting utilizing medically indicated resources. The hospital facility is home to the Knapp Cardiac Care Center-an advanced heart disease diagnostic and treatment facility-as well as a modern ambulatory surgical pavilion with specialized services including womens imaging, a sleep laboratory, and bariatric surgery.