…in field of study as required by state and federal law (required) Case Management Certification preferred (ACM, CCM, or ANCC) (preferred upon hire, required within

…McKesson Interqual(R) clinical guidelines; refers questionable cases to the CM Manager or physician advisor for determination. 3. Takes appropriate action when

…service delivery compliance. Works closely with Project SHINE leadership and PrEP manager to ensure quality prevention and screening service delivery, tracking, data

…well-being. Duties and responsibilities Reporting to the Care Coordination Program Manager , the Maternal Health Care Coordinator will work collaboratively with the

…to protocol requirements/compliance + Ensures the integrity of the data submitted on Case Report Forms or other data collection tools by careful source document

…throughout the State which includes but is not limited to parole supervision through case management to ensure community safety. We invite you to explore the DYS

…#: 24590 Department: Department: Medical Management Administration Title of Manager : Sr Medical Director - Clinical Services Supervises: Non-Supervisory Exemption

…activities, special department projects, or other needs as determined by the department manager . + Works independently most of the time with a high degree of

…the current Office of Inspector General work plans for DRG risks. + Monitors inpatient case mix reports and the top 25 assigned DRG in the facility to identify

…of registered nurse and other clinical functions in Utilization Management (UM), Case Management (CM), Member Assessment Team (MAT), Health Management (HM), and/or