POSITION SUMMARY/RESPONSIBILITIES
CareCoordinator will be instrumental in assisting the department and clinicians in the Ambulatory setting by gathering information, coordinating utilization efforts, and reviewing HCC quality indicators, and RAF scores to eligible Medicare Advantage beneficiary. Will monitor opportunities within the Medicare managed group to enhance financial outcomes. Will coordinate the transition of care and the interdisciplinary treatment for Medicare managed patients across the healthcare continuum. Facilitates the delivery of services, evaluates effectiveness, tracks outcomes and functions as the patient advocate to identify and communicate health care needs. Works collaboratively with clinical staff, clinic leadership, and outside agencies in an effort to improve patient outcomes, compliance, and decrease complications.
EDUCATION/EXPERIENCE
Graduation from an accredited school of nursing with current RN licensure in the State of Texas, BSN preferred. Three years recent, full time hospital experience preferred. Work experience in case management, utilization review, or hospital quality assurance experience is preferred.
LICENSURE/CERTIFICATION
Current license from the Board of Nurse Examiners of the State of Texas to practice as a registered nurse is required. National certification in related field is desirable. Case Manager Certification (CCM, CPHQ, or ANCC) or Certified Diabetes Nurse Educator certification is highly desirable. Must have a current AHA BLS Healthcare Provider or AHA BLS Instructor Provider card.
...Branch Manager I -Lyndhurst, NJ FinTrust Connect is excited to announce that we have partnered with a well-established community bank in search of a Branch Manager Lyndhurst, NJ branch. This candidate is responsible for managing the day-to-day operations of the branch...
...Job Description Flatbed CDL Driver, All Routes: $899.14 - $2,034.78/per week. Full Benefits AMERICA PROUD. FLATBED STRONG. DRIVE SYSTEM TRANSPORT! Looking for an exciting driving opportunity in the western region of America? System Transport is hiring experienced...
...of a global organization where you can BELONG - in an inclusive working environment where you are free to be your best self. Were... ...Technical Sales Specialist ~ Position Status: Full Time Work from Home ~ Hours of Work: Monday-Friday, 9:00am 10:00pm EST ~ Rate...
...company Recover is working to make addiction treatment... .... The majority of your time will be spent providing... .... This role is part-time contract employee.... ...have: Availability for Evening hours Experience... ...Development Work From Home Salary Range: $45-75...
...place. A safer place. A more ethical place. A place where anyone, anywhere can have a voice. That's a serious impact. As the Sustainability Specialist, you will report to our Associate General Counsel & Compliance Officer and will be a core contributor to NAVEX's ESG...