Inpatient UM HLOC

POSITION SUMMARYThe Inpatient Care Management Supervisor will oversee and guide all levels of the Care Management team, which includes RN Care Managers, Lead CM RN, CM Coordinators, Discharge Planners, Care Coordinators, Inpatient CM Supervisor, Complex CM Team, CM Educator, and UM CM Staff. This role may also involve supervising and providing coverage for...

Position OverviewThe Inpatient Care Management Supervisor will oversee and lead the entire Care Management team, which comprises RN Care Managers, Lead CM RN, CM Coordinators, Discharge Planners, Care Coordinators, Inpatient CM Supervisor, Complex CM Team, CM Educator, and UM CM Staff. This role may also entail supervising other management within the Care...

Job SummaryWe are seeking a highly skilled and experienced Inpatient Care Management Director to join our team at Ocean State Job Lot. As a key member of our Care Management Department, you will be responsible for overseeing the daily operations of our Inpatient Care Management team, ensuring that patients receive high-quality care and services.Key...

If you are interested please apply online and send your resume to NOrozco@mlkch.org POSITION SUMMARY The Manager of Inpatient Care Management will supervise and direct all levels of Care Management team that includes RN Care Managers, Lead CM RN, CM Coordinators, Discharge Planners (DCP), Care Coordinators Inpatient CM Supervisor, Complex CM Team, CM...

Job DescriptionJob DescriptionThis position works collaboratively with other members of the Clinical Care Coordination team to ensure that authorization requests, provider and member inquiries are handled appropriately, within established timeframes and utilizing established guidelines. Duties and Responsibilities · Process incoming and outgoing faxes.·...

Job Title: Inpatient Nurse Case ManagerMedPOINT Management is seeking a skilled Inpatient Nurse Case Manager to join our team. As a key member of our healthcare team, you will be responsible for facilitating patient transfers, coordinating care, and ensuring seamless transitions between healthcare settings.Key Responsibilities:Facilitate patient transfers to...

Position OverviewThe Inpatient Care Management Supervisor will oversee and guide the entire Care Management team, which consists of RN Care Managers, Lead CM RN, CM Coordinators, Discharge Planners, Care Coordinators, Inpatient CM Supervisor, Complex CM Team, CM Educator, and UM CM Staff. This role may also involve supervising other management within the...

Position OverviewThe Inpatient Care Management Supervisor will lead and oversee a comprehensive Care Management team, which includes RN Care Managers, Lead CM RN, CM Coordinators, Discharge Planners, Care Coordinators, Inpatient CM Supervisor, Complex CM Team, CM Educator, and UM CM Staff. This role is pivotal in ensuring effective patient assessments for...

Job DescriptionJob DescriptionThe inpatient transition of care coordinator is responsible for assisting our members with the transition from the Acute/ SNF setting to home by ensuring they are connected with their PCP for their post discharge appointment. The coordinator also ensures the Primary Care Physician is aware of the change in level of care for...

Job DescriptionJob DescriptionReporting to the Supervisor, Client Support Center and VP, Quality Management, the Clinical Liaison is responsible for assisting client support TMs with IPA approval workflows that require escalation, expedited handling or additional clinical information to finalize authorizations. Duties and Responsibilitieso Assist Client...

Job DescriptionJob DescriptionReporting to the Supervisor, Client Support Center and VP, Quality Management, the Clinical Liaison is responsible for assisting client support TMs with IPA approval workflows that require escalation, expedited handling or additional clinical information to finalize authorizations. Duties and Responsibilitieso Assist Client...

Salary Range:  $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.)   Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million...

Salary Range:  $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.)   Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million...

Salary Range:  $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.)   Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million...

Salary Range:  $67,186.00 (Min.) - $87,342.00 (Mid.) - $107,498.00 (Max.)   Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million...

Job DescriptionJob Description MedPOINT ManagementTitle: Inpatient Nurse - Delegated Plans =====================================================================================MedPOINT, a large MSO in the San Fernando Valley offers competitive salaries and benefits in a collaborative working environment. For immediate consideration of this position, please...

Job SummaryThe Nurse Reviewer - Quality and Cost Effectiveness Specialist will play a crucial role in promoting the quality and cost-effectiveness of medical care by applying clinical acumen and the appropriate application of policies and guidelines to prior authorization specialty referral requests as well as acute inpatient admission.Key...

Your Role The Behavioral Health Utilization Management team performs prospective, concurrent, retrospective utilization reviews and first level determination approvals for members using Blue Shield of California (BSC) evidenced based guidelines, policies, and nationally recognized clinical criteria across multiple lines of business. The Licensed Clinician,...

About the RoleYour RoleThe Behavioral Health Utilization Management team at Blue Shield of California performs prospective, concurrent, and retrospective utilization reviews and first-level determination approvals for members using evidence-based guidelines, policies, and nationally recognized clinical criteria across multiple lines of business. As a...

Your Role The Care Management team will serve to support the mission of the department, which is to provide support to patients in maintaining health and wellness in the outpatient setting. The Nurse Consultant will report to the Manager of Care Management for the Population Health Management Medi-Cal Team. In this role, you will ensure that services are...