integrated resources jobs

Medical Case Manager

The case manager will perform the six essential activities of case management. Assessment The case manager will collect in-depth information about a person s situation and functioning to identify individual needs in order to identify members at risk for high cost medical care and develop a comprehensive case management plan that will address those needs. Planning The case manager will determine specific objectives, goals, and actions as identified through the assessment process. The plan shou...

Grants Operations Manager I

Manager Work Location: Peapack - NJContractor Work Location: New York NYDuration: 12 MonthsJob Title: Grants Operations Manager I //GMGS Operations Manager Job Description: ROLE SUMMARYThe Client Global Medical Grants program, aligned with Client business interests, allows for the support of independent research, and dissemination of emerging science to close knowledge and practice gaps, while helping to build the capabilities of healthcare systems to plan for and manage change. The Grant Man...

LTSS Clinical Reviewer I

Job Summary:Under general supervision, and in collaboration with Medical Directors and other members of the clinical team, gathers and synthesizes clinical information in order to authorize services. Reviews health care services to determine consistency with contract requirements, coverage policies and evidence-based medical necessity criteria; collects and analyzes utilization information; assists with program processes for transitions across levels of care including discharge planning and a...

Case Manager I

Job Title: Case Manager Location: Danville, IL 61832Duration: 6 Months This is for a Waiver Case Manager in the Vermillion/Champaign County area of IL. Great deal of local travel required. Job Description: Responsible for health care management and coordination of Client s Healthcare members in order to achieve optimal clinical, financial and quality of life outcomes. Works with members to create and implement an integrated collaborative plan of care. Coordinates and monitors Client s membe...

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