Skilled Inpatient Care Coordinator - Navihealth - Austell, Ga
By Optum At , Austell, 30106, Ga
Manage assigned caseload in an efficiently and effectively utilizing time management skills
2+ years of Case Management experience
Patient education background, rehabilitation, and/or home health nursing experience
Participate weekly in SNF Rounds providing accurate and up to date information to the naviHealth Sr. Manager or Medical Director
Assure appropriate referrals are made to the Health Plan, High-Risk Case Manager, and/or community-based services
Support new delegated contract start-up to ensure experienced staff work with new contract
Registered Nurse- Care Coordination
By Atrium Health At , Rome, 30165, Ga

Overview The Registered Nurse is responsible for implementing the nursing process based on expanded knowledge and experience. The Registered Nurse is also responsible for providing age ...

Inpatient Care Coordinator Jobs
By Premera Blue Cross At , Remote $68,400 - $116,300 a year
Identifies Clinical Program opportunities and refers members to the appropriate healthcare program (e.g. case management, engagement team, and disease management)
Bachelor's degree or four (4) years’ work experience (Required)
Three (3) years of clinical experience. (Required)
Experience working in the health plan industry. (Preferred)
Consults with Medical Directors when care does not meet applicable criteria or medical policies
Documents clinical information completely, accurately, and in a timely manner
Nurse Clinician - Adult - Care Coordination 100%
By University of Iowa At Iowa City, IA, United States
Previous case management experience is desired
Certification in case management is desired
Incorporate the role of patient care provider, advocate (patient, family, and health care professional), consultant, educator, researcher and quality manager.
Reasonable (1-3 years) nursing experience
Excellent written and verbal communication skills.
Two years recent medical/surgical inpatient experience, including care coordination
Radiology Care Coordination Representative Spec
By QTC Management, Inc. At Cibolo, TX, United States
Possess strong computer skills, knowledge of Microsoft Office
Data entry of claimant information, appointments, case files etc.
Strong verbal and written communication skills
Minimum 3 years of relevant experience - VA related preferred
Customer Service or Call Center Experience in a medical, radiology and/or health insurance-related service industry
Knowledge of medical terminology, CPT-4 & ICD-10 codes is desirable.
Inpatient Care Coordination Nurse
By Clinical Management Consultants At Bisbee, AZ, United States
Experience in Case Management, Utilization Review, and Infection Preventionist roles within a healthcare setting.
Knowledge of Centers for Medicare Services (CMS) and Arizona Department of Health Services (ADHS) regulatory requirements.
Current and unrestricted nursing license in the state of Arizona.
Familiarity with Critical Access Hospital (CAH) operations and regulations.
Commitment to continuous improvement and actively participating in performance improvement and continuous quality improvement (CQI) activities.