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Search Results for ' Manager Case in U.S. National Average, USA '

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Manager Case
Controls and administrates managed care cases of plan members admitted to the provider plan facilities and/or members utilizing services outside the provider plan facilities. Checks prior authorizations, performs concurrent reviews, indicates the appropriate level of care and utilization of services... [+] More
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RN Case Manager (Registered Nurse Case Manager)
Controls and administrates managed care cases of plan members admitted to the provider plan facilities and/or members utilizing services outside the provider plan facilities. Checks prior authorizations, performs concurrent reviews, indicates the appropriate level of care and utilization of services... [+] More
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Case Management Manager
Oversees utilization management, care coordination, and discharge planning for patients. Assesses, plans, implements, monitors, and evaluates the services and options available to meet individuals' health needs, using screening criteria, developed critical pathways, and available resources to promote quality cost effective... [+] More
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Ambulatory Nurse Case Manager
Works with enrollee's providers and caregivers in a health plan to provide intensive, comprehensive case management and increase efficient utilization of services. Typically requires Registered Nurse licensure with patient care experience. Certified Case Manager (CCM) certification may be required.

Identifies chronic... [+] More
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Associate Case Manager
Plans, directs, implements, and... [+] More
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Case Manager
Controls and administrates managed care cases of plan members admitted to the provider plan facilities and/or members utilizing services outside the provider plan facilities. Checks prior authorizations, performs concurrent reviews, indicates the appropriate level of care and utilization of services... [+] More
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Disease Case Manager
Provides intensive, comprehensive case management in a multidisciplinary medical environment, using in-depth clinical knowledge of disease conditions and pharmacological agents, and increases efficient utilization of services for members with a specific diagnosis. Identifies, educates, assists, and manages the health plan... [+] More
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Inpatient Nurse Case Manager
Coordinates the delivery of healthcare and social services to the inpatient population while balancing individually identified patient and family, medical, and psychosocial needs with cost-effective and available resources. Manages the inpatient hospital stay of a caseload of patients through coordination... [+] More
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Medicare Nurse Case Manager
Plans, directs, implements, and evaluates appropriate healthcare services for Medicare patients in conjunction with Physician's treatment plan to ensure that cost effective, quality care is provided. Typically requires licensure as a Registered Nurse with three years of relevant nursing and... [+] More
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Nurse Case Manager (Mentor)
Plans, directs, implements and evaluates appropriate healthcare services in conjunction with the physician treatment plan to ensure that cost effective, quality care is provided.

Case coordination normally includes prospective and retrospective review which includes prior authorization, determining the appropriate level of... [+] More
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