177 clinical services manager jobs found

Employment Type: Full time Shift: Description: Clinical Nurse Manager/Supervisor of Clinical Services (RN) Schedule : Monday-Friday, 8a-4:30p, weekend/holiday rotation as required Location: Onsite in Hartford, CT About the Position This position oversees all clinical quality components of home health agency services to include overall business and clinical operational lines while enhancing revenue and client satisfaction. Responsible for ensuring compliance with laws, regulations, accreditation standards and agency policies and procedures. Will respond to and resolve client/family issues. Minimum Qualifications Graduate of an approved nursing education program BSN required Licensure as a Registered Nurse in the State of Connecticut Three years progressive home health experience required Must possess progressive supervisory or leadership experience Knowledge of various state/federal regulations. Must possess a valid Driver's License and have reliable transportation to...

Job Summary The Care Manager is responsible for completing a comprehensive assessment to determine the correct services and benefits based on medical necessity for an enrollee. Provides plan education, transition of enrollees to clinical services based on Department of Health (DOH) guidelines. Care management providing advocacy, coordination and oversight of all healthcare services for an enrollee striving to deliver the best care at the right time and in the most-cost effective while meeting quality outcome standards for the enrollee case load assigned. Complies with all state and federal regulations including Health Insurance Portability and Accountability Act (HIPAA).  Core Job Responsibilities Identifies and coordinates enrollee services as provided by the plan and services that are not a benefit of the plan (Medicare Services). Completes comprehensive assessment using the DOH approved tool to determine eligibility of medically necessary services....

Job Summary The Care Manager is responsible for completing a comprehensive assessment to determine the correct services and benefits based on medical necessity for an enrollee. Provides plan education, transition of enrollees to clinical services based on Department of Health (DOH) guidelines. Care management providing advocacy, coordination and oversight of all healthcare services for an enrollee striving to deliver the best care at the right time and in the most-cost effective while meeting quality outcome standards for the enrollee case load assigned. Complies with all state and federal regulations including Health Insurance Portability and Accountability Act (HIPAA).  Core Job Responsibilities Identifies and coordinates enrollee services as provided by the plan and services that are not a benefit of the plan (Medicare Services). Completes comprehensive assessment using the DOH approved tool to determine eligibility of medically necessary services....

It's more than a career, it's a calling. MO-SSM Health Saint Louis University Hospital Worker Type: Regular Job Summary: Assesses, develops, plans, implements, and evaluates patients discharge planning needs to next level of care in collaboration with interdisciplinary team. Job Responsibilities and Requirements: PRIMARY RESPONSIBILITIES Ensures compliance with Condition of Participation (CoP) discharge planning. Identifies and escalates gaps/barriers related to inpatient and observation length of stay. Assesses patients at high risk for readmission. Identifies root cause for readmission. Develops plan and collaborates with multidisciplinary team regarding discharge planning to next level of care. Participates with other members of team regarding opportunities for improvement in standard work. May also be responsible for: utilization management process, ED case management process, admission process, and act as a case manager liaison with post acute...

New Competitive Pay! At Tufts Medicine, we're saving lives, building careers, and reimagining healthcare. Ready to grow with us? If you are a Case Manager, that enjoys working with complex cases that require strong problem-solving skills, this is an exceptional opportunity to work close to home with a community hospital. Position Summary: The Case Manager is responsible and accountable for the management of care for an assigned patient population by service line and across the continuum of care. The Case Manager, works to achieve daily clinical, quality, and cost outcomes by providing well-coordinated experiences for patients/families through the synchronization of care activities of multiple disciplines and negotiation with third-party payers. Demonstrate great assessment skills and knowledge to accurately develop and implement a comprehensive care plan specific to the identified need/s. Coordinate all aspects of the patient's care plan including by not...

Social Worker - Case Manager - Full Time Day shift - MelroseWakefield Hospital The position, as part of the interdisciplinary team, assesses plans, advocates, and coordinates care from admission to discharge ensuring adherence to the Case Management Model. What We Offer: • Competitive salaries & benefits • 403(b) retirement plan with hospital match • Opportunities for growth • Tuition reimbursement Hours: 40 hours per week / Day Shift Location; MelroseWakefield Hospital Minimum Qualifications: 1. Master's degree in Social Work. 2. Licensed Independent Clinical Social Worker (LICSW) or Licensed Clinical Social Worker (LCSW) 3. Three (3) years of Social Work experience. 3. Current Basic Life Support (BLS) Certification. Preferred Qualifications: 1. Experience in acute care hospital setting 2. Certification in Case Management Duties and Responsibilities: The duties and responsibilities listed below are intended to describe the general nature of...

About this role: As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. As the facility leader, you will be part of a close-knit, collaborative team responsible for delivering unique care plans and providing dialysis treatment to patients facing end stage renal disease or chronic kidney disease. Training and advancement: You will enter our Clinical Leadership Program that creates and supports a culture of continuous learning for our managers. The curriculum will cover onboarding, essential functions, leading your business, and advanced leadership. As a Clinical Manager, you may advance your career into an Area Team Lead or Director of Operations role. Our culture: We believe our employees are our most important asset - we value, care about, and support our people. We are there when you may need us most, from tuition reimbursement to support your education goals, granting...

About this role: As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. As the facility leader, you will be part of a close-knit, collaborative team responsible for delivering unique care plans and providing dialysis treatment to patients facing end stage renal disease or chronic kidney disease. Training and advancement: You will enter our Clinical Leadership Program that creates and supports a culture of continuous learning for our managers. The curriculum will cover onboarding, essential functions, leading your business, and advanced leadership. As a Clinical Manager, you may advance your career into an Area Team Lead or Director of Operations role. Our culture: We believe our employees are our most important asset - we value, care about, and support our people. We are there when you may need us most, from tuition reimbursement to support your education goals, granting...

Sign-on Bonus Available About this role: As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. As the facility leader, you will be part of a close-knit, collaborative team responsible for delivering unique care plans and providing dialysis treatment to patients facing end stage renal disease or chronic kidney disease. Training and advancement: You will enter our Clinical Leadership Program that creates and supports a culture of continuous learning for our managers. The curriculum will cover onboarding, essential functions, leading your business, and advanced leadership. As a Clinical Manager, you may advance your career into an Area Team Lead or Director of Operations role. Our culture: We believe our employees are our most important asset - we value, care about, and support our people. We are there when you may need us most, from tuition reimbursement to support your...

About this role: As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. As the facility leader, you will be part of a close-knit, collaborative team responsible for delivering unique care plans and providing dialysis treatment to patients facing end stage renal disease or chronic kidney disease. Training and advancement: You will enter our Clinical Leadership Program that creates and supports a culture of continuous learning for our managers. The curriculum will cover onboarding, essential functions, leading your business, and advanced leadership. As a Clinical Manager, you may advance your career into an Area Team Lead or Director of Operations role. Our culture: We believe our employees are our most important asset - we value, care about, and support our people. We are there when you may need us most, from tuition reimbursement to support your education goals, granting...

Overview Under the direct supervision of the Manager, Community Behavioral Health and Substance Use services will provide daily oversight of the Outpatient community mental health program and staff to ensure quality, compliance, and direct service benchmarks are met. Provides staff supervision to ensure that the care model requirements are met, and that best care is provided each and every encounter. Interacts with internal and external parties in a professional, timely manner. Qualifications Certifications: One of the following: LCPC - within 2 years - Illinois Department of Financial and Professional Regulation (IDFPR) LMFT - within 2 years - Illinois Department of Financial and Professional Regulation (IDFPR) LCSW - within 2 years - Illinois Department of Financial and Professional Regulation (IDFPR), Education: Master's Degree: Psychology; Counseling; Social Work, Related field. Work Experience: Minimum of 3 years' experience in behavioral health. Other...

Overview $7,500 Sign on Bonus Available $2,500 Relocation Bonus Available (greater than 50 miles) (external candidates only) The Home Care RN Supervisor works with RNs, PTs, OTs, SLPs, Medical Social Workers, Home Health aides, Office Coordinators, Schedulers to ensure smooth workflows that adhere to all state, federal, and accrediting body rules and regulations. Ensures that workflows efficiently utilize resources in a variety of home care functions. Hours may vary depending upon census and program need. Qualifications Certifications: Basic Life Support (BLS) within 30 days - American Heart Association (AHA); Proof of Auto Insurance - Varies; National Nursing Certification within 3 years - Varies; Driver's License - Illinois Secretary of State (ILSOS); Licensed Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR), Education: Bachelor's Degree: Nursing, Work Experience: 2yrs of Nursing experience...

Overview $7,500 Sign on Bonus Available $2,500 Relocation Bonus Available (greater than 50 miles) (external candidates only) To provide professional nursing care to assigned clients in support of the client's physician and pursuant to the objectives and policies of the Home Health Services Department (HHSD). Qualifications Certifications: IL RN License BLS within 30 days Drivers License Proof of Auto Insurance Education: College Diploma Nursing Work Experience: 1yr of acute care nursing experience. Responsibilities Ensures quality care for clients of all ages and groups by providing appropriate documentation, communication and other follow-up and by using time, supplies and other resources productively. Ensures quality and the safe delivery of home health care services. Conducts a client assessment as appropriate and completes visit documentation according to MMCI HHSD policy/procedure and regulatory bodies' requirements. Develops, implements, evaluates...

Job Title: Nursing Supervisor Location: Clara Maass Medical Center Department Name: Nursing Supervisors Req #: Status: Salaried Shift: Night Pay Range: $114,461.58 - $146,522.68 per year Pay Transparency: The above reflects the anticipated annual salary range for this position if hired to work in New Jersey. The compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience. Business Acumen / Operational Effectiveness Directs patient care in a manner which ensures that: Standards of patient care and regulatory agencies are met; the nursing process forms the basis for delivery of patient care; Patients, significant others and associates are treated with dignity, respect and compassion, Provides nursing administrative coverage as neededEnsures staffing levels meet patient requirements, Demonstrates managerial and clinical...

Job Title: Nursing Supervisor Location: Clara Maass Medical Center Department Name: Nursing Supervisors Req #: Status: Salaried Shift: Night Pay Range: $114,461.58 - $146,522.68 per year Pay Transparency: The above reflects the anticipated annual salary range for this position if hired to work in New Jersey. The compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience. Business Acumen / Operational Effectiveness Directs patient care in a manner which ensures that: Standards of patient care and regulatory agencies are met; the nursing process forms the basis for delivery of patient care; Patients, significant others and associates are treated with dignity, respect and compassion, Provides nursing administrative coverage as neededEnsures staffing levels meet patient requirements, Demonstrates managerial and clinical...

Job Title: Nursing Supervisor Location: Clara Maass Medical Center Department Name: Nursing Supervisors Req #: Status: Salaried Shift: Night Pay Range: $114,461.58 - $146,522.68 per year Pay Transparency: The above reflects the anticipated annual salary range for this position if hired to work in New Jersey. The compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience. Business Acumen / Operational Effectiveness Directs patient care in a manner which ensures that: Standards of patient care and regulatory agencies are met; the nursing process forms the basis for delivery of patient care; Patients, significant others and associates are treated with dignity, respect and compassion, Provides nursing administrative coverage as neededEnsures staffing levels meet patient requirements, Demonstrates managerial and clinical...

Job Title: Nursing Supervisor Location: Clara Maass Medical Center Department Name: Nursing Supervisors Req #: Status: Salaried Shift: Night Pay Range: $114,461.58 - $146,522.68 per year Pay Transparency: The above reflects the anticipated annual salary range for this position if hired to work in New Jersey. The compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience. Business Acumen / Operational Effectiveness Directs patient care in a manner which ensures that: Standards of patient care and regulatory agencies are met; the nursing process forms the basis for delivery of patient care; Patients, significant others and associates are treated with dignity, respect and compassion, Provides nursing administrative coverage as neededEnsures staffing levels meet patient requirements, Demonstrates managerial and clinical...

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. Join Duke University Health System as a Project Manager for Nursing and Patient Care Services and be at the forefront of driving innovation and transformational change across the system. In this pivotal role, you'll lead high-impact initiatives from planning through execution, ensuring measurable outcomes that advance patient care and operational excellence. What You'll Do: Align projects at the program level with organizational goals. Build integrated project schedules from detailed work plans. Guide and inspire cross-functional teams to achieve milestones. Communicate progress and results to stakeholders with clarity and confidence. What It Takes: Proven project management expertise. A collaborative mindset and ability to...

Overview Under the direct supervision of the Manager, Community Behavioral Health and Substance Use services will provide daily oversight of the Outpatient community mental health program and staff to ensure quality, compliance, and direct service benchmarks are met. Provides staff supervision to ensure that the care model requirements are met, and that best care is provided each and every encounter. Interacts with internal and external parties in a professional, timely manner. Qualifications Certifications: One of the following: LCPC - within 2 years - Illinois Department of Financial and Professional Regulation (IDFPR) LMFT - within 2 years - Illinois Department of Financial and Professional Regulation (IDFPR) LCSW - within 2 years - Illinois Department of Financial and Professional Regulation (IDFPR), Education: Master's Degree: Psychology; Counseling; Social Work, Related field. Work Experience: Minimum of 3 years' experience in behavioral health. Other...

JOB SUMMARY The Patient Access Specialist at North Mississippi Health Services is responsible for supporting the overall financial health of the organization by completing the daily activities of the collecting and input of Insurance Information, Point of Service Collections and Financial Arrangements, & Customer Service via Direct Contact with Patients and their family members. This role operates under the guidance of the Patient Access Manager and requires an experienced individual with excellent analytical, organizational, and communications skills to manage Demographic and Insurance Information. resolve real time edits & denials, and interface effectively wit h internal and externa l stakeholders to promote timely and accurate patient flow and collections. JOB FUNCTIONS Scheduling: •  Responsible for scheduling/rescheduling, pre-certifying, checking medical necessity, and pre-registering patients for appointments,...