MercyNewNurse Navigator - Cardiology MercyNurse Navigator - CardiologyFort Smith, ARThis position is designed to facilitate an effective process of the new care model; supporting quality patient care, safety, and financial components; promoting integration of a seamless care model; coordinating patient discharge planning for post-acute services, length of stay (LOS) management and utilization management; collaborating to include coordination as evidenced by metrics, optimizing performance and adoption of best practice. See Mercy Terms & Conditions at https://www.mercy.net/about/legal-notices/ and Privacy Policy at https://www.mercy.net/about/legal-notices/ and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions.
OptumNewRegistered Nurse (Home Health) OptumRegistered Nurse (Home Health)Fordyce, AR$30.82–$68.03 / hourQuality Makes initial and/or comprehensive nursing evaluation visits, ensures patients meet home health eligibility and medical necessity guidelines, determines primary focus of care, develops the plan of care within State guidelines with the physician, and submits accurate documentation . Actively participates in survey/survey readiness activities and performance improvement plans, works to reduce unnecessary patient hospitalizations, improve patient safety, and implements processes and best practices to ensure positive patient outcomes .
CenterWell Home HealthNewHome Health Clinical Manager CenterWell Home HealthHome Health Clinical ManagerLittle Rock, AR$69,500–$95,600 / yearOur care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers - all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients.
Wollborg Michelson RecruitingRN Utilization Management - 37004714 Wollborg Michelson RecruitingRN Utilization Management - 37004714Little Rock, ARThe Utilization Management Nurse performs clinical review of prior authorizations, network exceptions, benefit inquiries, inpatient medical/surgical admissions, and outpatient procedures. Collaborate with healthcare providers and internal staff to promote quality of care, cost effectiveness, accessibility, and appropriate service levels.
ABCS IncUtilization Management Nurse ABCS IncUtilization Management NurseLittle Rock, ARProficiency using basic computer skills in Microsoft Office such as Word, Excel, and Outlook, including the ability to navigate multiple systems and keyboarding 4. Experience in utilization management and/or medical review preferred. Communication: Collaborates with healthcare providers and internal staff to promote quality of care, cost effectiveness, accessibility and appropriateness of service levels.
Paladin Consulting, Inc.Utilization Management Nurse Paladin Consulting, Inc.Utilization Management NurseLittle Rock, AR$35.86–$35.86 / hourSkills: Proficiency using basic computer skills in Microsoft Office such as Word, Excel, and Outlook, including the ability to navigate multiple systems and keyboarding 4. Experience in utilization management and/or medical review preferred. Communication: Collaborates with healthcare providers and internal staff to promote quality of care, cost effectiveness, accessibility and appropriateness of service levels.
CVS Health CorpNewUtilization Management Nurse Consultant CVS Health CorpUtilization Management Nurse ConsultantWork At Home, AR$29.10–$62.32 / hourUtilizes clinical experience and skills in a collaborative process to assess, plan, implement, coordinate, monitor and evaluate options to facilitate appropriate healthcare services/benefits for members. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do.
Blue Cross and Blue Shield AssociationNewRN Utilization Management - Off Shift Blue Cross and Blue Shield AssociationRN Utilization Management - Off ShiftArkansas Remote, ARRemote2.1 General Office Worker, Semi-Active, Campus Travel - Someone who normally works in an office setting or remotely, periodically has lifting and carrying requirements up to 40 lbs and routinely travels for work within walking distance of location of primary work assignment as essential functions of the job. Utilization Management Nurse performs clinical review of prior approvals, network exceptions, benefit inquiries, inpatient medical/surgical admissions and outpatient procedures for providers, and/or other contracted lines of business.
Blue Cross and Blue Shield AssociationNewRN Utilization Management Blue Cross and Blue Shield AssociationRN Utilization ManagementArkansas Remote, ARRemote2.1 General Office Worker, Semi-Active, Campus Travel - Someone who normally works in an office setting or remotely, periodically has lifting and carrying requirements up to 40 lbs and routinely travels for work within walking distance of location of primary work assignment as essential functions of the job. Utilization Management Nurse performs clinical review of prior approvals, network exceptions, benefit inquiries, inpatient medical/surgical admissions and outpatient procedures for providers, and/or other contracted lines of business.
Wollborg Michelson RecruitingUtilization Review Nurse -37182402 Wollborg Michelson RecruitingUtilization Review Nurse -37182402Little Rock, ARThe Utilization Review Nurse conducts and monitors clinical review cases to ensure the medical necessity and appropriateness of inpatient and outpatient services, diagnostic procedures, out-of-network services, and surgeries. Conduct and monitor utilization management reviews for inpatient and outpatient services, diagnostic procedures, out-of-network services, and surgeries to ensure medical necessity and appropriate levels of care.
Wollborg Michelson RecruitingUtilization Review Nurse -37178736 Wollborg Michelson RecruitingUtilization Review Nurse -37178736Little Rock, ARThe Utilization Review Nurse conducts and monitors clinical review cases to ensure the medical necessity and appropriateness of inpatient and outpatient services, diagnostic procedures, out-of-network services, and surgeries. Conduct and monitor utilization management reviews for inpatient and outpatient services, diagnostic procedures, out-of-network services, and surgeries to ensure medical necessity and appropriate levels of care.
St Bernards HospitalUTILIZATION EXPERT - RN - WEEKENDS St Bernards HospitalUTILIZATION EXPERT - RN - WEEKENDSJonesboro, ARWorks closely with the physicians, allied health nurses, and coding department to facilitate clinical documentation program. Work closely with case management staff to ensure level of care change is communicated and flows smoothly.
University Health Services IncUtilization Management Manager - Full Time University Health Services IncUtilization Management Manager - Full TimeFayetteville, AROperating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. The manager of Utilization Management oversees utilization management including, but not limited to utilization review, day-to-day function of the department, case documentation, payer relationships, regulatory requirements, staff management, and department administration.
TriWest Healthcare AllianceUtilization Clinical Reviewer TriWest Healthcare AllianceUtilization Clinical ReviewerLittle Rock, ARRemoteFull timeApplies clinical knowledge to make determinations for preauthorization, inpatient and continued stay reviews for Behavioral Health and Medical/Surgical requests to establish medical necessity, benefit coverage, appropriateness of quality of care, and length of stay or care plan. The Utilization Management Clinical Review nurse reviews and makes decisions about the appropriateness and level of beneficiary care being provided in an effort to provide cost effective care and ensure proper utilization of resources.
Conway Behavioral HealthUtilization Specialist Conway Behavioral HealthUtilization SpecialistConway, Arkansas
St Bernards HospitalRN CASE MANAGER BONE HEALTH & FRACTURE PREVENTION CLINIC St Bernards HospitalRN CASE MANAGER BONE HEALTH & FRACTURE PREVENTION CLINICJonesboro, ARSkills: Care coordination and patient navigation Clinical assessment and critical thinking Interdisciplinary communication Electronic Medical Record (EMR) documentation proficiency Regulatory and accreditation compliance awareness Patient education and motivational interviewing Quality improvement and outcome tracking Time management and organizational skills Physical This is a safety sensitive position. JOB SUMMARY The Case Manager Bone Health Fracture Prevention Clinic is responsible for coordinating comprehensive, evidence-based patient care services for patients identified as at risk for osteoporosis, fragility fractures, and bone health complications.
Covington Court Health And Rehabilitation CenterUnit Manager - RN Covington Court Health And Rehabilitation CenterUnit Manager - RNFort Smith, ARUnit Managers are primarily responsible for overseeing day to day patient care, supervising, directing and developing nurse staff, and reporting to the Director of Nursing to ensure quality patient care within a long-term care center, skilled nursing facility or assisted living community. Makes regular patient rounds to observe and assess residents’ physical conditions and behaviors, evaluates the quality of care provided, and ensures proper documentation of treatment and nursing observations.
Arkansas Blue CrossNewManager Clinical Program Management & Vendor Performance Arkansas Blue CrossManager Clinical Program Management & Vendor PerformanceLittle Rock, ARGeneral Office Worker, Sedentary, Campus Travel – someone who normally works in an office setting or remotely and routinely travels for work within walking distance of location of primary work assignment.#J-18808-Ljbffr. Minimum two (2) years' leadership experience (team, role, and/or project management).Minimum of two (2) years demonstrated experience in reporting or dashboarding for program management to track key performance indicators.
Howard Memorial HospitalDirector Case Management Howard Memorial HospitalDirector Case ManagementNashville, ARCoordinate the integration of social services/case management functions into the patient care, discharge, and home planning processes with other hospital departments, external service organizations, agencies, and healthcare facilities. ResponsibilitiesProvides case management/utilization review and discharge planning to assure that the patient progresses through the continuum of care and is discharged to the least restrictive environment.
Blue Cross and Blue Shield AssociationManager Clinical Program Management & Vendor Performance Blue Cross and Blue Shield AssociationManager Clinical Program Management & Vendor PerformanceAR1.1 General Office Worker, Sedentary, Campus Travel - someone who normally works in an office setting or remotely and routinely travels for work within walking distance of location of primary work assignment. This role collaborates across clinical, operational and analytic teams for all lines of business to ensure compliant and high quality member centered outcomes.
TriWest Healthcare AllianceProgram Integrity Clinical Specialist (RN or PA Req'd) TriWest Healthcare AllianceProgram Integrity Clinical Specialist (RN or PA Req'd)Little Rock, ARRemoteFull timeTechnical Skills: Knowledge of TRICARE policies and procedures, knowledge of Case Management, Utilization Management, and Quality Management practices and principles, and knowledge of Managed Care concepts, alternative care treatments, and community resources. • Research and investigate medical issues as they relate to potential fraud and abuse cases, to include perform anti-fraud and abuse pre-payment reviews or post-payment reviews.
CVS Health CorpCase Manager, Registered Nurse - Fully Remote CVS Health CorpCase Manager, Registered Nurse - Fully RemoteARRemote$54,095–$155,538 / yearBenefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. Applies clinical judgment to the incorporation of strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning and resolution of member issues.
Community Health Systems IncCare Manager - LPN - Part Time - ON SITE Community Health Systems IncCare Manager - LPN - Part Time - ON SITEbentonville, ARCoordinates discharge planning activities, including arranging post-hospital placements and collaborating with patients, families, and physicians to ensure continuity of care. Conducts daily reviews of medical records to assess the appropriateness, medical necessity, and utilization of hospital services, escalating cases as needed to the Physician Advisor or Utilization Management (UM) committee.
Regency Hospital - NW Arkansas SpringdaleCase Manager / PRN ( RN / RT / SW / LPN ) Regency Hospital - NW Arkansas SpringdaleCase Manager / PRN ( RN / RT / SW / LPN )Springdale, ArkansasResponsibilities: We are looking for valued employees who will be Champions of the Select Medical Way, which includes putting the patient first, helping to improve quality of life for the community in which you live and work, continuing to develop and explore new ideas, providing high-quality care and doing well by doing what is right. Our hospital is a critical illness recovery hospital committed to providing world-class inpatient post-ICU services to chronic, critically ill patients who require extended healing and recovery.
Regency Hospital - NW Arkansas SpringdaleCase Manager ( RN / RT / SW / LPN ) Regency Hospital - NW Arkansas SpringdaleCase Manager ( RN / RT / SW / LPN )Springdale, ArkansasResponsibilities: We are looking for valued employees who will be Champions of the Select Medical Way, which includes putting the patient first, helping to improve quality of life for the community in which you live and work, continuing to develop and explore new ideas, providing high-quality care and doing well by doing what is right. Our hospital is a critical illness recovery hospital committed to providing world-class inpatient post-ICU services to chronic, critically ill patients who require extended healing and recovery.
Baptist Memorial Health CareSupervisor-Administrative House RN Full Time Nights 7p-7a - Rotating Weekends -Crittenden Baptist Memorial Health CareSupervisor-Administrative House RN Full Time Nights 7p-7a - Rotating Weekends -CrittendenWest Memphis, ARHas direct supervisory accountability for all positions, employees, operations, and activities within the assigned patient care area; including coordination staff training, assigning and reviewing work, and evaluating performance independently or in conjunction with a higher-level supervisor/manager. Acts as a change agent, evaluating present systems and creating efficient, effective systems as necessary.
Baptist Memorial Health CareSupervisor-Administrative House RN PRN Nights -Crittenden Baptist Memorial Health CareSupervisor-Administrative House RN PRN Nights -CrittendenWest Memphis, ARHas direct supervisory accountability for all positions, employees, operations, and activities within the assigned patient care area; including coordination staff training, assigning and reviewing work, and evaluating performance independently or in conjunction with a higher-level supervisor/manager. Acts as a change agent, evaluating present systems and creating efficient, effective systems as necessary.
UnitedHealth Group IncNewRegistered Nurse UnitedHealth Group IncRegistered NurseCabot, AR$67,905–$101,857 / yearThe fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. Makes initial and/or comprehensive nursing evaluation visits, ensures patients meet home health eligibility and medical necessity guidelines, determines primary focus of care, develops the plan of care within State guidelines with the physician, and submits accurate documentation.
UnitedHealth Group IncRN UnitedHealth Group IncRNConway, AR$39.18–$58.76 / hourThe fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. Makes initial and/or comprehensive nursing evaluation visits, ensures patients meet home health eligibility and medical necessity guidelines, determines primary focus of care, develops the plan of care within State guidelines with the physician, and submits accurate documentation.
Pride Technologies LLCRegistered Nurse - Home Health Pride Technologies LLCRegistered Nurse - Home HealthHarrison, AR$51–$53 / hourThis role is responsible for completing comprehensive assessments, developing and managing plans of care, and ensuring high-quality outcomes through collaboration with patients, families, physicians, and the interdisciplinary care team. Only applicable for San Francisco Candidates: Under the San Francisco Lactation in the Workplace Ordinance, we will provide written notice of lactation accommodation rights, and this notice will automatically be given upon hiring, any inquiry of parental leave or lactation accommodation.
Select Medical CorpCase Manager ( RN / RT / SW / LPN ) Select Medical CorpCase Manager ( RN / RT / SW / LPN )Springdale, ARWe are looking for valued employees who will be Champions of the Select Medical Way, which includes putting the patient first, helping to improve quality of life for the community in which you live and work, continuing to develop and explore new ideas, providing high-quality care and doing well by doing what is right. Our hospital is a critical illness recovery hospital committed to providing world-class inpatient post-ICU services to chronic, critically ill patients who require extended healing and recovery.
CommonSpirit HealthNewRN Case Manager CommonSpirit HealthRN Case ManagerLittle Rock, ARFacilitates the development of a multidisciplinary discharge plan, engaging other relevant health team members, the patient and/or patient representative and post acute care providers in accordance with the patients clinical or psychosocial needs, choices and available resources. Every day, you will strategically assess, plan, and facilitate comprehensive care across the continuum, expertly advocating for patients while collaborating with physicians, nursing, departments, insurers, and post-acute providers to ensure timely, high-quality transitions.
Judge GroupTravel PPV RN Judge GroupTravel PPV RNHarrison, AR$52–$55 / yearBy providing your phone number, you consent to: (1) receive automated text messages and calls from the Judge Group, Inc. and its affiliates (collectively "Judge") to such phone number regarding job opportunities, your job application, and for other related purposes. scheduled visits, and schedule changes to scheduler, orders and OASIS data sets, coding.
Pride GlobalRegistered Nurse - Home Health Pride GlobalRegistered Nurse - Home HealthHarrison, AR$51–$53 / hourThis role is responsible for completing comprehensive assessments, developing and managing plans of care, and ensuring high-quality outcomes through collaboration with patients, families, physicians, and the interdisciplinary care team. Only applicable for San Francisco Candidates: Under the San Francisco Lactation in the Workplace Ordinance, we will provide written notice of lactation accommodation rights, and this notice will automatically be given upon hiring, any inquiry of parental leave or lactation accommodation.
Blue Cross and Blue Shield AssociationRN Case Manager Blue Cross and Blue Shield AssociationRN Case ManagerARThis role focuses on quality patient outcomes and cost-effective healthcare delivery and may encompass general medical case management or specialize in high-acuity areas and/or high-cost areas such as high-risk obstetrics and neonatal care, chronic disease management, and/or mental health support (excludes Behavioral Health). Serves as a liaison facilitating a collaborate process which includes patients, families/caregivers, physicians, hospital discharger planners, home care providers and other ancillary providers to promote quality of care, cost effectiveness, accessibility and appropriateness of service levels.
Community Health Systems IncRN Charge NICU Community Health Systems IncRN Charge NICUJohnson, ARThis role supervises nursing staff, coordinates care with healthcare teams, and maintains compliance with healthcare regulations and hospital policies while fostering a positive work environment and promoting professional development. Job Summary The RN Charge oversees the operations of a nursing unit during assigned shifts, ensuring effective and efficient delivery of high-quality patient care.
Arkansas Children's HospitalLPN II West Little Rock Clinic Arkansas Children's HospitalLPN II West Little Rock ClinicARCURRENT EMPLOYEES: Please apply via the internal career site by logging into your Workday Account (https://www.myworkday.com/archildrens/)and search the "Find Jobs" report. Collects patient/family data to facilitate the identification of clinical, educational, psychosocial, and cultural needs and communicate data and observations to health team members.
Community Health Systems IncRN House Supervisor PRN Community Health Systems IncRN House Supervisor PRNSpringdale, ARThe Supervisor, House - RN provides critical leadership during assigned shifts to oversee hospital operations and ensure the delivery of safe, high-quality patient care. Provides administrative decision-making support in the absence of department managers or senior administrators, escalating critical issues to the Administrator on Call (AOC) as needed.
Conway Regional Heath SystemCase Manager PRN Conway Regional Heath SystemCase Manager PRNConway, ArkansasAn employee who is under the influence of Marijuana constitutes a threat to patients/customers which Conway Regional is responsible for in providing and supporting the delivery health care related services. Overview: Provides discharge planning and utilization review services in compliance with patients discharge planning needs and the hospital’s utilization review program.
CVS Health CorpPrior Authorization Clinical Reviewer CVS Health CorpPrior Authorization Clinical ReviewerAR$26.01–$74.78 / yearApplication of critical thinking and knowledge of clinically appropriate treatment, evidence-based care, and medical necessity criteria for appropriate utilization of services for members with disabilities and special healthcare needs. Great benefits for great people We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
TriWest Healthcare AllianceMedical Director TriWest Healthcare AllianceMedical DirectorLittle Rock, ARRemotePart timeCollaborates with VA, military treatment facility and network providers and TriWest staff to assure timely, appropriate and high quality care. Independent Thinking / Self-Initiative: Thinks critically with ability to focus on things which matter most to achieving outcomes.
TriWest Healthcare AllianceClinical Quality Study Analyst TriWest Healthcare AllianceClinical Quality Study AnalystLittle Rock, ARRemoteFull timeTechnical Skills: General knowledge of Medicare, Veteran's Administration, TRICARE, or other government health care programs; knowledge in the application of clinical criteria; proficient with Microsoft Word, Excel, and PowerPoint. Independent Thinking / Self-Initiative: Critical thinkers with ability to focus on things which matter most to achieving outcomes; commitment to task to produce outcomes without direction and to find necessary resources.
Humana IncHome Health Clinical Manager Humana IncHome Health Clinical ManagerLittle Rock, AR$77,200–$106,200 / yearOur care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers - all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients.
University of Southern CaliforniaCase Manager - Care Coordination - Full Time 8 hours Days (Union, Non-Exempt) *Up to $5000 Sign On Bonus* University of Southern CaliforniaCase Manager - Care Coordination - Full Time 8 hours Days (Union, Non-Exempt) *Up to $5000 Sign On Bonus*Arcadia, AR$46–$76.07 / hourSpecific functions within this role include facilitation of pre-certification and payer authorization processes, facilitation of the collaborative management of patient care across the continuum, intervening as necessary to remove barriers to timely and efficient care delivery and reimbursement, application of process improvement methodologies in evaluating outcomes of care support and coaching of clinical documentation efforts and serving as a clinical resource for coders, ensuring that documentation accurately reflects severity of illness and intensity of service coordinating communication with physicians. When extending an offer of employment, the University of Southern California Arcadia Hospital considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, key skills, internal peer equity, federal, State, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations.
CorVel CorpNewTelephonic Case Manager I CorVel CorpTelephonic Case Manager ILittle Rock, ARRemote$63,739–$95,264 / yearPay 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. URAC recognized Case Management certification (ACM, CCM, CDMS, CMAC, CMC, CRC, CRRN, COHN, COHN-S, RN-BC) required to be obtained within 3 years of hire if no nationally recognized certification is present at time of hire.
TriWest Healthcare AllianceDirector, Medical Document Optimization TriWest Healthcare AllianceDirector, Medical Document OptimizationLittle Rock, ARRemoteFull timeLeadership: Ability to set strategic direction and translate organizational goals into operational plans; successfully leads and develops staff across varying styles and levels; provides clear expectations, effective coaching, and timely feedback; leads through a subordinate manager and drives accountability at all levels of the department. Problem Solving / Analysis: Ability to solve complex operational and systems-related problems through systematic analysis of data, workflows, and processes; exercises sound judgment in ambiguous or high-stakes situations; identifies root causes and implements durable solutions with a realistic understanding of organizational constraints.
Encompass Health CorpCase Manager Encompass Health CorpCase ManagerJonesboro, ARCase Manager Career OpportunityRecognized for your abilities as a Case Manager Are you ready for a Case Management role that brings your career closer to home and heart? Join Encompass Health, where being a Case Manager goes beyond just a job; it positions you as a vital link between exceptional care and the transformative impact on each patients journey.
CorVel Healthcare CorporationNewTelephonic Case Manager I CorVel Healthcare CorporationTelephonic Case Manager ILittle Rock, ARRemote$63,739–$95,264 / yearPart timePay 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. URAC recognized Case Management certification (ACM, CCM, CDMS, CMAC, CMC, CRC, CRRN, COHN, COHN-S, RN-BC) required to be obtained within 3 years of hire if no nationally recognized certification is present at time of hire.
TriWest Healthcare AllianceClinical Quality Review Team Lead TriWest Healthcare AllianceClinical Quality Review Team LeadLittle Rock, ARRemoteFull timeThe team lead supports clinical and non-clinical staff supporting CQM programs by providing training and onboarding of new staff; determining work assignments; performing audits for clinical records and/or work accuracy; and ensuring effective, consistent and accurate workflow. Technical Skills: Comprehensive knowledge of research methodology; proficient applying appropriate data analysis processes; knowledge of managed care principles and methods; knowledge in the application of clinical criteria; proficient with Microsoft Word, Excel, and PowerPoint.
Knight Health Holdings LLCCase Manager II PRN Knight Health Holdings LLCCase Manager II PRNLittle Rock, ARRemains current from a knowledge base perspective regarding reimbursement modalities, community resources, case management, psychosocial and legal issues that affect patients and providers of care. Coordinates with interdisciplinary care team, physicians, patients, families, post-acute providers, payors, and others in the planning of the patients' care throughout the care continuum.