18 case manager jobs found

About this Job: General Summary of Position This position will be responsible for the Annual and periodically required Comprehensive Clinical Assessment as cited in section C.3.27.2 of the Department of Health Care Finance awarded contract. The Field RN Case Manager will be responsible for the District of Columbia Region. This position is responsible for up to 85% travel to our MedStar Family Choice District of Columbia Enrollees. The Field RN Case Manager serves as the central point of contact for MedStar Family Choice D.C. Case Management and conducts activities and functions required for this role. The Field RN Manager will be responsible for the referral of MedStar Family Choice Enrollees to other MedStar Family Choice programs as needed i.e. Maternal Health Behavioral Health Food Insecurity relief and Non-Medical Transportation. They are also responsible for the report of Enrollees requiring assistance with Medicare and/or Medicaid beneficiary support Medicaid for Nursing...

About this Job: General Summary of Position This position will be responsible for the Annual and periodically required Comprehensive Clinical Assessment as cited in section C.3.27.2 of the Department of Health Care Finance awarded contract. The Field RN Case Manager will be responsible for the District of Columbia Region. This position is responsible for up to 85% travel to our MedStar Family Choice District of Columbia Enrollees. The Field RN Case Manager serves as the central point of contact for MedStar Family Choice D.C. Case Management and conducts activities and functions required for this role. The Field RN Manager will be responsible for the referral of MedStar Family Choice Enrollees to other MedStar Family Choice programs as needed i.e. Maternal Health Behavioral Health Food Insecurity relief and Non-Medical Transportation. They are also responsible for the report of Enrollees requiring assistance with Medicare and/or Medicaid beneficiary support Medicaid for Nursing...

About this Job: General Summary of Position Responsible for day to day oversight and management of Intake Clinical Appeals Claims Appeals Complaints Grievances and Intake functions. The Manager of Appeals Complaints and Grievances will be dedicated to delivering service and operational excellence through a focus on continuous improvement in the areas of contribution competencies and performance of the Intake Appeals Complaints and Grievances team. This role will be tasked with overseeing intake the development and operational execution of all appeals (clinical and non-clinical) complaints and grievance processes in line with regulatory standards while enhancing quality and effectiveness. Additionally the role will need to utilize advanced technical knowledge to resolve complex issues. This involves setting objectives creating policies and procedures determining approaches allocating resources and managing inventory. Primary Duties and Responsibilities   Oversees and...

About this Job: General Summary of Position Assumes total clinical management of specific patients in collaboration with a physician. Follows established standards procedures and practices and gives specific patient management directions to nursing and other staff. Performs all or a significant combination of duties depending on specialty areas. Primary Duties and Responsibilities Contributes to the achievement of established department goals and objectives and adheres to department policies procedures quality standards and safety standards. Complies with governmental and accreditation regulations.Accurately documents all data into the associate electronic medical record (OHM). Accesses and documents in other appropriate databases. Data entry must be timely complete and include all required information based on Occupational Health practice standards.Collaborates with OH clinical providers and outside medical providers to monitor the progress of case management in terms of...

About this Job: General Summary of Position Assumes total clinical management of specific patients in collaboration with a physician. Follows established standards procedures and practices and gives specific patient management directions to nursing and other staff. Performs all or a significant combination of duties depending on specialty areas. Primary Duties and Responsibilities Contributes to the achievement of established department goals and objectives and adheres to department policies procedures quality standards and safety standards. Complies with governmental and accreditation regulations.Accurately documents all data into the associate electronic medical record (OHM). Accesses and documents in other appropriate databases. Data entry must be timely complete and include all required information based on Occupational Health practice standards.Collaborates with OH clinical providers and outside medical providers to monitor the progress of case management in terms of...

About this Job: General Summary of Position Assumes total clinical management of specific patients in collaboration with a physician. Follows established standards procedures and practices and gives specific patient management directions to nursing and other staff. Performs all or a significant combination of duties depending on specialty areas. Primary Duties and Responsibilities Contributes to the achievement of established department goals and objectives and adheres to department policies procedures quality standards and safety standards. Complies with governmental and accreditation regulations.Accurately documents all data into the associate electronic medical record (OHM). Accesses and documents in other appropriate databases. Data entry must be timely complete and include all required information based on Occupational Health practice standards.Collaborates with OH clinical providers and outside medical providers to monitor the progress of case management in terms of...

About this Job: General Summary of Position Assumes total clinical management of specific patients in collaboration with a physician. Follows established standards procedures and practices and gives specific patient management directions to nursing and other staff. Performs all or a significant combination of duties depending on specialty areas. Primary Duties and Responsibilities Contributes to the achievement of established department goals and objectives and adheres to department policies procedures quality standards and safety standards. Complies with governmental and accreditation regulations.Accurately documents all data into the associate electronic medical record (OHM). Accesses and documents in other appropriate databases. Data entry must be timely complete and include all required information based on Occupational Health practice standards.Collaborates with OH clinical providers and outside medical providers to monitor the progress of case management in terms of...

About this Job: General Summary of Position Assumes total clinical management of specific patients in collaboration with a physician. Follows established standards procedures and practices and gives specific patient management directions to nursing and other staff. Performs all or a significant combination of duties depending on specialty areas. Primary Duties and Responsibilities Contributes to the achievement of established department goals and objectives and adheres to department policies procedures quality standards and safety standards. Complies with governmental and accreditation regulations.Accurately documents all data into the associate electronic medical record (OHM). Accesses and documents in other appropriate databases. Data entry must be timely complete and include all required information based on Occupational Health practice standards.Collaborates with OH clinical providers and outside medical providers to monitor the progress of case management in terms of...

About this Job: General Summary of Position Assumes total clinical management of specific patients in collaboration with a physician. Follows established standards procedures and practices and gives specific patient management directions to nursing and other staff. Performs all or a significant combination of duties depending on specialty areas. Primary Duties and Responsibilities Contributes to the achievement of established department goals and objectives and adheres to department policies procedures quality standards and safety standards. Complies with governmental and accreditation regulations.Accurately documents all data into the associate electronic medical record (OHM). Accesses and documents in other appropriate databases. Data entry must be timely complete and include all required information based on Occupational Health practice standards.Collaborates with OH clinical providers and outside medical providers to monitor the progress of case management in terms of...

About this Job: General Summary of Position Assumes total clinical management of specific patients in collaboration with a physician. Follows established standards procedures and practices and gives specific patient management directions to nursing and other staff. Performs all or a significant combination of duties depending on specialty areas. Primary Duties and Responsibilities Contributes to the achievement of established department goals and objectives and adheres to department policies procedures quality standards and safety standards. Complies with governmental and accreditation regulations.Accurately documents all data into the associate electronic medical record (OHM). Accesses and documents in other appropriate databases. Data entry must be timely complete and include all required information based on Occupational Health practice standards.Collaborates with OH clinical providers and outside medical providers to monitor the progress of case management in terms of...

About this Job: General Summary of Position Assumes total clinical management of specific patients in collaboration with a physician. Follows established standards procedures and practices and gives specific patient management directions to nursing and other staff. Performs all or a significant combination of duties depending on specialty areas. Primary Duties and Responsibilities Contributes to the achievement of established department goals and objectives and adheres to department policies procedures quality standards and safety standards. Complies with governmental and accreditation regulations.Accurately documents all data into the associate electronic medical record (OHM). Accesses and documents in other appropriate databases. Data entry must be timely complete and include all required information based on Occupational Health practice standards.Collaborates with OH clinical providers and outside medical providers to monitor the progress of case management in terms of...

About this Job: General Summary of Position Assumes total clinical management of specific patients in collaboration with a physician. Follows established standards procedures and practices and gives specific patient management directions to nursing and other staff. Performs all or a significant combination of duties depending on specialty areas. Primary Duties and Responsibilities Contributes to the achievement of established department goals and objectives and adheres to department policies procedures quality standards and safety standards. Complies with governmental and accreditation regulations.Accurately documents all data into the associate electronic medical record (OHM). Accesses and documents in other appropriate databases. Data entry must be timely complete and include all required information based on Occupational Health practice standards.Collaborates with OH clinical providers and outside medical providers to monitor the progress of case management in terms of...

About this Job: General Summary of Position Assumes total clinical management of specific patients in collaboration with a physician. Follows established standards procedures and practices and gives specific patient management directions to nursing and other staff. Performs all or a significant combination of duties depending on specialty areas. Primary Duties and Responsibilities Contributes to the achievement of established department goals and objectives and adheres to department policies procedures quality standards and safety standards. Complies with governmental and accreditation regulations.Accurately documents all data into the associate electronic medical record (OHM). Accesses and documents in other appropriate databases. Data entry must be timely complete and include all required information based on Occupational Health practice standards.Collaborates with OH clinical providers and outside medical providers to monitor the progress of case management in terms of...

About this Job: General Summary of Position Assumes total clinical management of specific patients in collaboration with a physician. Follows established standards procedures and practices and gives specific patient management directions to nursing and other staff. Performs all or a significant combination of duties depending on specialty areas. Primary Duties and Responsibilities Contributes to the achievement of established department goals and objectives and adheres to department policies procedures quality standards and safety standards. Complies with governmental and accreditation regulations.Accurately documents all data into the associate electronic medical record (OHM). Accesses and documents in other appropriate databases. Data entry must be timely complete and include all required information based on Occupational Health practice standards.Collaborates with OH clinical providers and outside medical providers to monitor the progress of case management in terms of...

About this Job: General Summary of Position Assumes total clinical management of specific patients in collaboration with a physician. Follows established standards procedures and practices and gives specific patient management directions to nursing and other staff. Performs all or a significant combination of duties depending on specialty areas. Primary Duties and Responsibilities Contributes to the achievement of established department goals and objectives and adheres to department policies procedures quality standards and safety standards. Complies with governmental and accreditation regulations.Accurately documents all data into the associate electronic medical record (OHM). Accesses and documents in other appropriate databases. Data entry must be timely complete and include all required information based on Occupational Health practice standards.Collaborates with OH clinical providers and outside medical providers to monitor the progress of case management in terms of...

About this Job: General Summary of Position Assumes total clinical management of specific patients in collaboration with a physician. Follows established standards procedures and practices and gives specific patient management directions to nursing and other staff. Performs all or a significant combination of duties depending on specialty areas. Primary Duties and Responsibilities Contributes to the achievement of established department goals and objectives and adheres to department policies procedures quality standards and safety standards. Complies with governmental and accreditation regulations.Accurately documents all data into the associate electronic medical record (OHM). Accesses and documents in other appropriate databases. Data entry must be timely complete and include all required information based on Occupational Health practice standards.Collaborates with OH clinical providers and outside medical providers to monitor the progress of case management in terms of...

About this Job: General Summary of Position Assumes total clinical management of specific patients in collaboration with a physician. Follows established standards procedures and practices and gives specific patient management directions to nursing and other staff. Performs all or a significant combination of duties depending on specialty areas. Primary Duties and Responsibilities Contributes to the achievement of established department goals and objectives and adheres to department policies procedures quality standards and safety standards. Complies with governmental and accreditation regulations.Accurately documents all data into the associate electronic medical record (OHM). Accesses and documents in other appropriate databases. Data entry must be timely complete and include all required information based on Occupational Health practice standards.Collaborates with OH clinical providers and outside medical providers to monitor the progress of case management in terms of...

About this Job: General Summary of Position Assumes total clinical management of specific patients in collaboration with a physician. Follows established standards procedures and practices and gives specific patient management directions to nursing and other staff. Performs all or a significant combination of duties depending on specialty areas. Primary Duties and Responsibilities Contributes to the achievement of established department goals and objectives and adheres to department policies procedures quality standards and safety standards. Complies with governmental and accreditation regulations.Accurately documents all data into the associate electronic medical record (OHM). Accesses and documents in other appropriate databases. Data entry must be timely complete and include all required information based on Occupational Health practice standards.Collaborates with OH clinical providers and outside medical providers to monitor the progress of case management in terms of...