complex cases simultaneously - attention to detail and follow-up - critical thinking and problem-solving skills. Current BLS...
Position Scope: Manages/coordinates an active caseload of case management cases for Cigna Medicare. Uses clinical...
patient education to assist with self-management Interact with Medical Directors on challenging cases Coordinate care...
and intervention. Present cases for staffing and conduct family-child team meetings. Coordinate and collaborate with other service...
to risk management, infection control and quality departments. Evaluates and analyzes quality/utilization cases, admission...
risk of denials by continued management of all assigned cases from admission to discharge. Responsible for managing.... Follows department processes for management of denied cases, refers these cases for Peer to Peer or for VH appeal. Sends...
accordance with applicable regulations. - Render medical necessity determinations for cases assigned. - Resolve... all other technical issues within reconsideration assigned. - Review cases or sites assigned to determine and summarize facts and assess...
for guidance with psychosocially complex cases. The RN Case Manager is also responsible for facilitating coordination of care. The... Health. Serves as a resource for discharge planning and care coordination for medically complex cases. Maintains current...
admits per quarter. STAT nurse will help training new nurses coming on to current cases. When not working in the field, RN...
closed cases to determine client satisfaction and future business opportunities. Other duties as assigned within similar...