FULL_TIME

FEED

OTHER

Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. *********Minimum Requirements: - High School Degree and 2+ years clinical experience required; Associate's Degree preferred or equivalent combination of education or experience.

MAXIMUS provides business services to help governments operate health and human services programs, mostly at the state and national levels. The company's health services segment offers outsourced program management and administrative services,

Maximus

Clinical Review Lead Coordinator, LPN/RN

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UNKNOWN

Registered Nurse (RN), Nursing, Home Care Registered Nurse, Emergency Room Registered Nurse, Clinical Nurse, Nurse Case Manager, Field Case Manager, Medical Nurse Case Manager, Workers' Compensation Nurse Case Manager, Critical Care Registered Nurse, Advanced Practice Registered Nurse (APRN), Nurse Practitioner, Case Management, Case Manager, Home Healthcare, Clinical Case Management, Hospital Case Management, Occupational Health, Patient Care, Utilization Management, Acute Care, Orthopedics, Rehabilitation, Rehab, CCM, Certified Case Manager, CDMS, Certified Disability Management Specialist, CRC, Certified Rehab Certificate, CRRN, Certified Rehab Registered Nurse, COHN, Certified Occupational Health Nurse, CMC, Cardiac Medicine Certification, CMAC, Case Management Administrator Certification, ACM, Accredited Case Manager, MSW, Masters in Social Work, URAC, Vocational Case Manager. As a Field Case Manager, you will work closely with treating physicians/providers, employers, customers, legal representatives, and the injured/disabled person to create and implement a treatment plan that returns the injured/disabled person back to work appropriately, ensure appropriate and cost-effective healthcare services, achievement of maximum medical recovery and return to an optimal level of work and functioning.

YEAR

Enlyte Group LLC

Medical Field Case Manager

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Registered Nurse (RN), Nursing, Home Care Registered Nurse, Emergency Room Registered Nurse, Clinical Nurse, Nurse Case Manager, Field Case Manager, Medical Nurse Case Manager, Workers’ Compensation Nurse Case Manager, Critical Care Registered Nurse, Advanced Practice Registered Nurse (APRN), Nurse Practitioner, Case Management, Case Manager, Home Healthcare, Clinical Case Management, Hospital Case Management, Occupational Health, Patient Care, Utilization Management, Acute Care, Orthopedics, Rehabilitation, Rehab, CCM, Certified Case Manager, CDMS, Certified Disability Management Specialist, CRC, Certified Rehab Certificate, CRRN, Certified Rehab Registered Nurse, COHN, Certified Occupational Health Nurse, CMC, Cardiac Medicine Certification, CMAC, Case Management Administrator Certification, ACM, Accredited Case Manager, MSW, Masters in Social Work, URAC, Vocational Case Manager. As a Field Case Manager, you will work closely with treating physicians/providers, employers, customers, legal representatives, and the injured/disabled person to create and implement a treatment plan that returns the injured/disabled person back to work appropriately, ensure appropriate and cost-effective healthcare services, achievement of maximum medical recovery and return to an optimal level of work and functioning.

Enlyte

[AW]-iCims

Three (3) or more years of experience in one or more of the following areas: healthcare, medical malpractice claims, patient safety, healthcare risk management, quality improvement, clinical review, clinical data analysis, claims analytics, healthcare data analysis, or healthcare data science. We offer competitive compensation, an incentive bonus plan, outstanding career opportunities, an exceptional work environment, and an impressive benefits package, which starts with medical, family and bereavement leave; same-sex domestic partner benefits; short- and long-term disability programs; and an employee assistance program.

The Doctors Company

Patient Safety Specialist

Promotes and maintains a positive working relationship with physicians/physician extenders and providers of lab, pharmacy, and therapy services to ensure safe care of patients.25. This individual will lead, guide, and manage a team of licensed nurses and certified nursing assistants to ensure that nursing services are provided to patients in a competent, professional and compassionate manner.

In 1972, Harrold Annett purchased the dormant trucking company, The Mickow Corporation. On March 6, driver Wally Harrah delivered TMC's first load from Chicago to Des Moines. With six power units and an office staff of two, Harrold and his team of professionals built TMC into the largest privately-held flatbed carrier in the nation.

In 2013, Harrold Annett established an Employee Stock Ownership Plan (ESOP) and TMC became an employee-owned company.

TMC's headquarters in Des Moines, Iowa are set on a picturesque 50-acre campus which includes state-of-the-art training and maintenance facilities, TMC Truck Sales, and the up-scale Baymont Inn and Suites, the industry's first driver hospitality center. TMC also has additional maintenance, office and training facilities located throughout the country.

As the industry's premier flatbed carrier, TMC is known for its integrity, innovation, highly-trained drivers, impeccably maintained late-model equipment, superior safety and claim-free delivery record and unwavering dedication to quality and customer service.

MISSION STATEMENT
The mission of TMC is to be recognized as the standard-bearer of quality performance in flatbed transportation. We will accomplish this by searching out the very best people, training them in the fundamentals of quality and empowering them to develop innovative techniques focused on customer satisfaction. Emphasis will be placed on continuous process improvement in all measurable aspects of our business.

COMPANY CULTURE
The life values of TMC's founder Harrold Annett are the driving force behind the TMC philosophy. His dedication to honest, hard work and his unyielding commitment to excellence are the core values that we live by. We take great pride in TMC and it shows in everything we do. There is a TMC way of doing things and these fundamental beliefs have guided us for more than 40 years.

Therapy Management Corp

DON Director of Nursing

Overview: The Clinical Documentation Improvement Specialist (CDIS) implements clinical documentation improvement (CDI) activities in an effort to support accuracy and quality of the patient records and to ensure that coded diagnoses are an accurate reflection of the patient’s clinical status and care. He/she will also educate physicians and key healthcare providers regarding clinical documentation improvement and the need for accurate and complete documentation in the health record.

Huntsville Hospital Health System

Clinical Documentation Specialist-Medical Records-FT-1st shift

In addition, Medical Case Managers are eligible for bonus and will be provided state-of-the-art technological devices to ensure ready access to CorVel's proprietary Case Management application, enabling staff to retrieve documents on the go and log activities as they occur. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions.

CorVel is a leader of risk and healthcare management solutions to employers, third party administrators, insurance companies and government agencies. We are publicly traded (NASDAQ:CRVL) and annual revenues exceeded $493 million in FY2015. Our continued customer growth is a testament to our financial stability and our significant investments in new systems and technologies allows us to continue to deliver industry-leading solutions to the marketplace. CorVel has approximately 3,500 associates who serve more than 2,000 customers through a national branch office network covering all 50 states.

CorVel Corp

Medical Case Manager I

Overview: The Care Manager works collaboratively with interdisciplinary and healthcare team members, both internal and external to the organization to facilitate patient care through effective utilization and monitoring of healthcare resources and assumes a leadership role to achieve safe discharge planning along with desired clinical and financial outcomes. Completes a face to face assessment of all new patients in caseload within 24 hours or next business day to identify appropriateness for acute care, level of care and to anticipate high level care planning needs.

DCH Health System

Care Manager

The Rehab Care Manager works collaboratively with interdisciplinary and healthcare team members, both internal and external to the organization to facilitate patient care through effective utilization and monitoring of healthcare resources and assumes a leadership role to achieve safe discharge planning along with desired clinical and financial outcomes. Completes a face to face assessment of all new patients in caseload within 72 hours or next business day to identify appropriateness for inpatient rehab, level of care and to anticipate high level care planning needs.

Rehab Care Manager /RN

The Clinical Documentation Improvement Specialist (CDIS) implements clinical documentation improvement (CDI) activities in an effort to support accuracy and quality of the patient records at CHS facilities and to ensure that coded diagnoses are an accurate reflection of the patient's clinical status and care. He/she will also educate physicians and key healthcare providers regarding clinical documentation improvement and the need for accurate and complete documentation in the health record.

Huntsville Hospital

Clinical Documentation Specialist Medical Records FT 1st shift

Essential Functions: Engage the member and their natural support system through strength-based assessments and a trauma-informed care approach using motivation interviewing to complete health and psychosocial assessments through a health equity lens unique to the needs of each member that identify the cultural, linguistic, social and environmental factors/determinants that shape health and improve health disparities and access to public and community health frameworks. Job Summary: The Community Based Care Manager collaborates with members of an inter-disciplinary care team (ICT), providers, community and faith-based organizations to improve quality and meet the needs of the individual, natural supports and the population through culturally competent delivery of care and coordination of services and supports.

CareSource

Community Based Care Manager

PART_TIME

In addition, Medical Case Managers are eligible for bonus and will be provided state-of-the-art technological devices to ensure ready access to CorVel’s proprietary Case Management application, enabling staff to retrieve documents on the go and log activities as they occur. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions.

CorVel Healthcare Corporation

Licensure and Certification: Current, unrestricted clinical license as a Registered Nurse (RN), Licensed Social Worker (LSW), Licensed Independent Social Worker (LISW), Licensed Clinical Social Worker (LCSW), Licensed Professional Counselor (LPC), or Licensed Professional Clinical Counselor (LPCC) in state of Ohio is required. Essential Functions: Engage the member and their natural support system through strength-based assessments and a trauma-informed care approach using motivation interviewing to complete health and psychosocial assessments through a health equity lens unique to the needs of each member that identify the cultural, linguistic, social and environmental factors/determinants that shape health and improve health disparities and access to public and community health frameworks.

Community Based Care Manager Plus

Responsibilities will include utilizing expertise in patient/family assessment incorporating physical, psycho-social, environmental, spiritual, and financial factors to create a sound discharge plan; reducing length of stay and readmissions; utilizing psychosocial assessment skills and crisis intervention techniques to expedite and support healthcare team's work with patient/ family; and collaborating with the RN Case Manager to identify and initiate the most efficient discharge plan to expedite the patient transition to the next appropriate level of care and to reduce length of stay. Completes a face to face assessment of all new patients in caseload within 24 hours or next business day to identify appropriateness for acute care, level of care and to anticipate high level care planning needs.

Social Worker (MSW or BSW)

About Us We are a confidential healthcare organization providing managed-care and pharmacy review services across the U.S. Our pharmacists ensure the right medication reaches the right patient at the right time. Remote Clinical Review Pharmacist – Work From Home | Evidence-Based Decisions | Flexible Schedule Leverage your clinical knowledge in a fully remote Clinical Review Pharmacist role.

Pharmacy Careers

Remote Clinical Review Pharmacist

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Coordinates unit activities and provides leadership for unit staffing and patient assignments and responds to and provides leadership during crisis and emergency situations. The Team Leader functions as the unit-based clinical supervisor with responsibility for staff direction, patient flow, patient safety, resource utilization, shift assignments and overall quality of care delivered.

Nursing Team Leader Renal Unit (4S)

Nursing Team Leader - Renal Unit (4S)

This role collaborates with clinical and administrative teams, post-acute providers, and community resources to reduce avoidable readmissions and ensure continuity of care. The Patient Navigator - Non-RN is responsible for coordinating care transitions, improving patient outcomes, and supporting appropriate in-network resource utilization across the post-acute continuum.

Community Health Systems, Inc. is a non-profit 501 (c) (3) 330 HRSA Grantee with Federally Qualified Health Center (FQHC) status. Established from the roots of Inland Empire Community Health Center in Bloomington, CHSI has grown with community health centers in the counties of Riverside, San Bernardino, and San Diego. These centers have been developed in accordance with standards established for safety net providers by the U.S. Department of Health and Human Services (HHS), the Health Resources Services Administration (HRSA), the Public Health Service (PHS), and the Bureau of Primary Health Care (BPHC). As such, services are offered to the neediest in each community - the un-insured and under-insured, the working poor, those with limited ability to pay, the homeless, and the indigent. Services are provided at discounted (sliding fee scale) rates for those who qualify based on gross annual income and family size.

Community Health Systems Inc

Patient Navigator (Non-RN)

Working alongside account teams and other internal specialty partners, the clinical consultant leverages their specialized knowledge base while reviewing claims and utilization data to identify patterns in health trends, large claimant treatments, quality of care, population health and cost. Supports account team preparation for carrier conversations by identifying clinical patterns in carrier and vendor program data; may participate directly in carrier discussions as directed.

Hub International Ltd

Employee Benefits Clinical Consultant

The Director of Revenue Cycle Operations leads the daily operations and ongoing transformation of billing, accounts receivable, payment posting, cash reconciliation, credit balance, and related revenue cycle functions across a complex, multi-state behavioral healthcare organization. Demonstrated expert-level knowledge of the day-to-day mechanics of claim generation and submission, claim edits and rejections, payer follow-up, denial resolution, remittance processing, contractual adjustments, cash reconciliation, credit balances, refunds, and final account resolution.

Utilization Management Nurse Jobs in Alabama

Clinical Review Lead Coordinator, LPN/RN Maximus

Medical Field Case Manager Enlyte Group LLC

Medical Field Case Manager Enlyte

Patient Safety Specialist The Doctors Company

DON Director of Nursing Therapy Management Corp

Clinical Documentation Specialist-Medical Records-FT-1st shift Huntsville Hospital Health System

Medical Case Manager I CorVel Corp

Care Manager DCH Health System

Rehab Care Manager /RN DCH Health System

Clinical Documentation Specialist Medical Records FT 1st shift Huntsville Hospital

Community Based Care Manager CareSource

Medical Case Manager I CorVel Healthcare Corporation

Community Based Care Manager Plus CareSource

Social Worker (MSW or BSW) DCH Health System

Remote Clinical Review Pharmacist Pharmacy Careers

Nursing Team Leader Renal Unit (4S) DCH Health System

Nursing Team Leader - Renal Unit (4S) DCH Health System

Patient Navigator (Non-RN) Community Health Systems Inc

Employee Benefits Clinical Consultant Hub International Ltd

Director of Revenue Cycle Bradford Health Services, LLC

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