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Overview
The Case Manager is responsible for managing an individual caseload using the Case Management process, which includes authorizing services, reviewing treatment plans for medical necessity, and maintaining ongoing communication with the healthcare team. Duties involve assessing patient problems, determining goals, coordinating care transitions, contacting providers and payers, and maintaining detailed case documentation in the computer system.
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Compensation
$72,000 - $81,000 / YEAR
Posted
New
CHS Recruiting
The Neonatal Nurse Practitioner will manage day-to-day NICU operations, participate in multi-disciplinary rounds, and provide care during deliveries. They will also collaborate with hospital staff and other providers to ensure high-quality care for newborns.
$135,000 - $150,000 / YEAR
10 days ago
CVS Health
The Case Manager applies a collaborative, member-centered approach to assessment, care planning, coordination, evaluation, and advocacy to address the comprehensive health needs of individuals and families. Responsibilities include serving as a liaison, implementing case management activities for complex members, and conducting outreach to treating physicians to support appropriate care planning.
$60,522 - $129,615 / YEAR
1 month ago
Northwestern Memorial Healthcare
The specialist reviews medical records to abstract and assign appropriate CPT, ICD-10, and HCPCS codes for professional services, focusing on complex encounters like anesthesia and surgical procedures, aiming for a minimum of 95% accuracy. This role also involves training providers on documentation, resolving coding edits, reconciling charges, and collaborating with operational areas to address claim issues and denials.
$26 - $36 / HOUR
2 months ago
Indiana Regional Medical Center
The coder will review medical records to assign accurate diagnosis and procedure codes using systems like ICD-10-CM, ICD-10-PCS, CPT, and HCPCS, while ensuring compliance with regulations. Responsibilities also include abstracting coded data into the EHR and collaborating with providers and CDI teams to clarify documentation.
Salary not listed
Benefis Health System
The position involves delivering comprehensive patient care in both inpatient and outpatient settings. The advanced practice provider will work alongside a multi-disciplinary team of cardiologists and healthcare professionals.
Siouxland Community Health Center
The RN Health Coach will educate patients on chronic disease management and prevention, assisting them in setting and achieving self-management goals. Responsibilities also include contacting insurance companies for preauthorizations and maintaining detailed records in the EMR.
3 months ago
Guthrie
The coordinator is responsible for managing patient flow between the ambulatory surgery unit, operating room, and Endoscopy prep/recovery units. This includes communicating schedule updates, delays, or alterations to patients and families, and collaborating with providers on scheduling to prevent delays.
Horizon Health Services
The Psychiatrist will provide initial psychiatric evaluations and follow-up, medication-focused services for individuals in mental health, substance use disorder, and recovery programs. Responsibilities also include participating in case conferences, prescribing medications, interpreting records, and documenting all services provided.
$150 - $185 / HOUR
4 months ago
Mercy Medical Physician Practi
The Clinic RN utilizes the nursing process to assess patient needs, plan, and delegate care based on patient responses in an outpatient clinic setting. Responsibilities include assisting the provider with exams and procedures, implementing treatments, and performing various clinical tasks like vital signs, phlebotomy, and patient education.
NOMS Healthcare
The Care Manager fosters patient autonomy by providing guidance, education, and assistance as patients navigate the healthcare continuum, developing care plans in collaboration with providers and families. This role involves coordinating care, providing disease-specific education, and ensuring smooth transitions between various healthcare providers and community resources.