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Transplant Case Manager Job
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| Employer Name: HealthcareCrossing |
SpiderID: 2389199 |
| Location: Pittsburgh, Pennsylvania |
Date Posted: 7/23/2008 |
| Wage: |
Category: Healthcare |
| Job Code: 6747280 |
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Job Description:
Negotiates fee for services, level of care, intensity and duration with providers(s), as able. - Documents findings in a clear concise manner and continues to evaluate medical necessity of frequency, intensity and length of care with physician(s) and agency/vendor(s) on an ongoing basis. - Acts as liaison between account, client/family, physician(s) and facilities/agencies. - Maintains accurate record (system) of case management interventions including cost/benefit analysis, savings, data collection. - Adheres to quality assurance standards and all case management policy and procedures. - Delivers utilization review services for all inpatient, outpatient, and home services throughout the duration of transplant case management services. Requirements: - At least one of the following qualifications: A bachelor's degree in health related field and license as a health professional OR Certification as a Case Manager OR RN licensure and 3 years clinical experience, AND Practice within the scope of CM license. - Clinical experience in acute or case management within a specialty area (transplant specific experience preferred) - Certification within a catastrophic specialty program preferred - Demonstrated ability as a case manager and ability to assist supervisor with sales/training/account service management. - Excellent time management, organizational, research, analytical, negotiation, communication (verbal and written) and interpersonal skills. - Expert knowledge of the insurance industry and claims processing. - Service marketing/account management experience a plus. - Computer skills and typing expertise.
For more information, please click here to visit us at HealthcareCrossing
For further information, please visit us online at http://www.healthcarecrossing.com
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Job Criteria:
Start Date:
Position Type: Full-Time Permanent
Years of Experience Required:
Education Required:
Overnight Travel:
Vacation Time:
Contact Information:
| Contact Name: - |
Company Type: Employer |
| Company: HealthcareCrossing |
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| City: Pasadena |
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| State: California |
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| Zip: |
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Web Site: http://www.healthcarecrossing.com
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