Disease Management Case Manager jobs in Springfield, OH
Disease Management Case Manager coordinates the overall interdisciplinary plan of care for a patient in a disease management program, from admission to discharge. Acts as a liaison between patient/family, employer and healthcare personnel to ensure necessary care is provided promptly and effectively. Being a Disease Management Case Manager responsibilities include but are not limited to documenting case progress, identifying health risks, and reporting the findings of the case study at appropriate intervals. Requires an associate's degree/bachelor's degree, and is licensed to practice nursing. Additionally, Disease Management Case Manager typically reports to a supervisor or manager. Disease Management Case Manager's years of experience requirement may be unspecified. Certification and/or licensing in the position's specialty is the main requirement. (Copyright 2024 Salary.com)
Recently Added Disease Management Case Manager jobs
Manager- Case Management
- Wilson Health
-
Sidney, OH
FULL_TIME
-
Wilson Health is seeking a full time Manager of Case Management to join our team.Key Perks and Benefits:
- Access to Employer Direct Care Clinic. Free medical care and pharmacy services for all benefit eligible employees. Dependents are eligible for free medical care if they are covered by Wilson Health's medical insurance plan.
- Generous paid time off program beginning day one of employment.
- Medical Insurance: Choice of Two High Deductible Health Plan Options or a PPO, Dental and Vision Insurance- Coverage Begins Day One of Employment.
- H S A with employer contribution for eligible health plans, FSA for medical and dependent care expenses.
- Company Paid Life Insurance and Long Term Disability Insurance, Salary Continuation benefit beginning day one.
- Voluntary Accident, Critical Illness, and employee and dependent Life and AD&D Insurance.
- Industry leading retirement plan- employer contributions begin day one, no waiting period for participation.
- Tuition Assistance Program.
SUMMARY:Oversees the staff of the Case Management Department. Responsible for the day-to-day operations of Case Management Program including utilization review, discharge planning and inpatient denials management. Oversees utilization reviews by the Case Managers. Prepares and maintains reports and records related to utilization review and shares information with key stakeholders. Facilitates and ensures the provision and achievement of quality care and appropriate utilization of resources. Responsible for addressing and resolving variances in care/services that could potentially result in negative quality/cost impact.ESSENTIAL DUTIES AND RESPONSIBILITIES:The patient population would include:- When necessary, performs review functions for appropriateness of admission, continued hospital stay, clinical documentation, and best practice standards reporting.
- Conducts the analysis of treatment plans and alternatives, makes recommendations for the most appropriate plan, and coordinates the activities of professional staff, agencies, suppliers and family members in achieving planned outcomes as necessary.
- Performs case audits to verify consistency and effectiveness of compliance with standards of care, documentation, and provision of services.
- Provides clarification and interpretation of Case Management Program guidelines, standards, goals, and expectations.
- Collaborates with other disciplines, oversees the development, implementation, monitoring and modification of the plan of care for the patient through a collaborative and interdisciplinary team approach assigned multidisciplinary care conference and outpatient opportunities for care.
- Conducts multi-disciplinary rounds daily Monday-Friday.
- Functions as a resource for physicians, nursing, and ancillary staff regarding continuum of care to support estimated length of stay, avoidable hospital days, quality measures and discharge planning needs.
- Facilitates education of Case Management staff related to the assessment of the patient’s physical, psychological, functional, social, environmental, and financial status and goals.
- Assists in data gathering and analysis and makes recommendations for program process improvements.
- Participates and supports CQI projects throughout the institution.
- Facilitates appropriate physician documentation to support best practice standards, severity of illness, risk of mortality, and complexity of care for the patient.
- Facilitates case referrals to the Utilization Review Physician Advisor as appropriate.
- Serves as a member of the Utilization Review Committee and provides data related to patterns and trends of utilization and resource management.
- Coordinates management of all inpatient medical necessity denials and appeals and works closely with Revenue Cycle Team to operationalize improvements to reduce denials.
- May manage an individual caseload of patients, to be determined as needed.
- Demonstrates responsibility for own professional growth.
- Performs additional duties as assigned within the scope of responsibility.
EDUCATION and/or EXPERIENCE:Graduate of an accredited school of nursing. Bachelor of Science degree preferred. Minimum of three (3) years management experience.CERTIFICATES, LICENSES, REGISTRATIONS:- Currently holds an active, unrestricted license to work as a Registered Nurse in the State of Ohio.
- Certification in Case Management from ACMA or CMSA preferred.
- Must have a strong knowledge of utilization review
.
- 3 Days Ago
RN Case Manager
- Affinity Hospice Management LLC
-
Urbana, OH
FULL_TIME
- JOB DESCRIPTION SUMMARY The Clinical Manager is responsible for ensuring that patient care is coordinated and managed appropriately. The Clinical Manager is responsible for ensuring that care and serv...
- 1 Month Ago
Case Management - RN Case Manager - Full Time - 1st Shift
- Wilson Health
-
Sidney, OH
FULL_TIME
- Wilson Health is looking for a direct hire RN Case Manager for our Case Management department in Sidney, Ohio (North Dayton, Ohio) area. Key Perks and Benefits: EDC clinic offering free primary care, ...
- 1 Month Ago
Case Management Administrative Assistant
- Mercy Health BSMH
-
Springfield, OH
OTHER
- Everyone who works with Mercy Health is united under one purpose: to help our patients be well in mind, body and spirit. This drive, along with our history of faith, is a powerful combination. It give...
- 6 Days Ago
Case Management RN
- Trustaff
-
Middleburg, OH
FULL_TIME
- As a Case Management RN, you'll develop, implement, and evaluate individual patient care plans. You'll work with patients one-on-one to manage their care appropriately and affordably. Case Managers ar...
- 1 Month Ago
Case Manager
- NewVista Healthcare
-
Springfield, OH
FULL_TIME
- New Vista Health and Wellness, a leader in Behavioral Health, is currently recruiting certified Chemical Dependency Counselor Assistants to serve as Case Managers / Skills Trainers at Ethan Crossing o...
- 16 Days Ago
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0 Disease Management Case Manager jobs found in Springfield, OH area
Health Engagement Nurse - Remote in Dublin, OH (up to 25% day travel)
- UnitedHealth Group
-
Dublin, OH
- At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers ...
- 4/26/2024 12:00:00 AM
Maintenance Specialist
- Cambridge Isotope Laboratories, Inc.
-
Xenia, OH
- Cambridge Isotope Separations (CIS) has an outstanding opportunity for a Maintenance Specialist based onsite in our Xeni...
- 4/26/2024 12:00:00 AM
Optometrist
- 360care LLC
-
Troy, OH
- Make a difference every day at 360care At 360care, we are in business to better the lives of our customers by improving ...
- 4/25/2024 12:00:00 AM
Pharmacy Intern
- Equitas Health
-
Dayton, OH
- Description POSITION SUMMARY: Equitas Health Pharmacy is a company of Equitas Health providing access, education, consul...
- 4/25/2024 12:00:00 AM
Clinical Dietitian - Community Outreach - Beavercreek - Resource
- Kettering Health
-
Dayton, OH
- Overview: Kettering Health is a not-for-profit system of 13 medical centers and more than 120 outpatient facilities serv...
- 4/25/2024 12:00:00 AM
Pharmacist (Floater)
- Kroger Health
-
Dayton, OH
- Join Kroger, where People Matter. Be a part of a reliable brand that offers a better work life balance and properly staf...
- 4/25/2024 12:00:00 AM
Production Technician
- Cambridge Isotope Laboratories, Inc.
-
Xenia, OH
- Cambridge Isotope Separations (CIS) has an outstanding opportunity for a Production Technician based onsite in our Xenia...
- 4/22/2024 12:00:00 AM
Pediatric Office - CMA (Pediatric Associates of Dayton - Beavercreek office)
- CareCloud
-
Dayton, OH
- Company Overview: Pediatric Associates of Dayton, Inc. is dedicated to providing high-quality healthcare for infants, ch...
- 4/22/2024 12:00:00 AM
About Springfield, Ohio
Springfield is a city in the U.S. state of Ohio and the county seat of Clark County. The municipality is located in southwestern Ohio and is situated on the Mad River, Buck Creek and Beaver Creek, approximately 45 miles (72 km) west of Columbus and 25 miles (40 km) northeast of Dayton. Springfield is home to Wittenberg University, a liberal arts college.
As of the 2010 census, the city had a total population of 60,608. The Springfield Metropolitan Statistical Area had a population of 138,333 residents. and the Dayton-Springfield-Greenville, OH Combined Statistical Area had 1,072,891 residents....
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Disease Management Case Manager jobs
$75,040 to $86,918
Springfield, Ohio area prices
were up 1.3% from a year ago
were up 1.3% from a year ago
What does a Disease Management Case Manager do?
Disease Management Case Manager in Kansas City, MO
The Case Management Training Program is housed under the Infectious Disease Bureau of the Boston Public Health Commission.
February 21, 2020
Disease Management Case Manager in Buffalo, NY
Providers may use the Case Management Programs Referral form to refer members to the Case and Disease Management Program.
February 08, 2020
Disease Management Case Manager in Biloxi, MS
Our medical management team works closely with Member Services to ensure members understand their coverage, network structure and potential costs in relation to their health needs.
January 03, 2020