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Top 50 Case Management Coordinator Skills

Below we've compiled a list of the most important skills for a Case Management Coordinator. We ranked the top skills based on the percentage of Case Management Coordinator resumes they appeared on. For example, 7.9% of Case Management Coordinator resumes contained Customer Service as a skill. Let's find out what skills a Case Management Coordinator actually needs in order to be successful in the workplace.

These are the most important skills for a Case Management Coordinator:

1. Customer Service

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high Demand
Here's how Customer Service is used in Case Management Coordinator jobs:
  • Provided excellent customer service by ensuring all the detailed requests were successfully managed.
  • Provided customer service to field medical personnel and supervised document processors.
  • Recognized twice in national corporate communication for superior customer service.
  • Provide vendor management and customer service solutions to improve relationships.
  • Assist in finding the lowest cost carriers for raw/finished materials while decreasing cost for the customer and providing great customer service.
  • Train New and Existing staff and assist in development of training Materials and Implement ways to provide World Class Customer Service.
  • Model and reinforce excellent customer service and professionalism as a CELT team member and consistently model our organizational Shared Core Values.
  • Oversee, determine, distribute, workload for Customer Service, prepare reporting on a daily basis to top management.
  • Provide assistance or guidance to other contractors as needed Skills Used Customer Service, research, accounts management, reporting.
  • Assist in retaining the customer base and contract renewals by providing exceptional customer service during every contact.
  • Maintained 95% goal compliance for production, customer services, and quality assurance.
  • Provide excellent customer service in hopes to maintain and create new business.
  • Maintain high level of customer service to both internal and external customers.
  • Provide customer service to potential and current customers.
  • Communicated with terminals to ensure equipment changes Monitored equipment changes to ensure quality customer service
  • Managed strategic projects and worldwide customer service department)
  • Shared best practices for safety and customer service with other team members to help improve the companies efficiency.
  • Time Management, and Customer Service thru Daily Activities.
  • Provided superior customer service while ensuring Retail, OEM, Corporate customers maximized cost savings within Seagate's policies.
  • Contract job) Responsible for managing lawyers files thru file management system Location of all working files Customer Service to clients

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2. Data Entry

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high Demand
Here's how Data Entry is used in Case Management Coordinator jobs:
  • Created data entry reports on adherence utilizing excel to ensure effectiveness and productivity.
  • Performed quality data entry of information into a company provided database.
  • Performed general administrative duties; filing, record management, data entry, mail sorting and distribution.
  • Handled freight routing, tracking, quoting, data entry, troubleshooting, and customer support.
  • Reduced data entry errors by 50% in six months by retraining all department staff.
  • Assisted manager with occasional research projects, data entry, data mining and outbound calls.
  • Facilitated enrollment procedures; process intake forms, collecting documents and data entry.
  • Corrected staff errors in data entry and provided guidance on proper documentation.
  • Reviewed all variances before data entry for consistency and patterns of occurrences.
  • Support Asset Management in data entry and projects by request.
  • Complete all data entry for quarterly lead tracking reports.
  • Prepared clients case management, record and data entry.
  • General data entry within a fast paced environment.
  • Provided accurate data entry of orders.
  • Promoted to Club Coordinator/Management Collections, organizing members information, data entry, filing, sales representative.
  • Prepare documents for data entry Verify updated and corrected source documents.
  • Perform administrative functions for the department to include typing, filing, records management, data entry an preparing routine reports.
  • Case Management, Planning, and Event organizing Creating budgets, teaching independent living skills, Data Entry, etc.
  • perform all administrative duties and support, supplying pertinent information, maintaining files, and scheduling appointments and data entry.
  • Performed heavy data entry, utilizing Excel spreadsheet and daily use of the Florida Medecision system.

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3. Treatment Plans

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high Demand
Here's how Treatment Plans is used in Case Management Coordinator jobs:
  • Coordinate and implement behavioral programming specified in treatment plans.
  • Developed person-centered treatment plans with clients.
  • Conduct intake evaluation and refer clients for mental health assessments as needed and develop support and treatment plans with client participation.
  • Supervised 10-12 PRP counselors to ensure proper information of the client background, diagnosis, treatment plans, and goals.
  • Facilitate Groups on Mental Illness -Billing for 30+ clients -Documentation for 30+ clients -Treatment plans -Behavior Management -Program Curriculum
  • Assisted in the establishment of community support networks and developing treatment plans for the mentally disabled.
  • Maintained detail documentation, treatment plans and monthly reports as required by Medicaid reimbursable services.
  • Manage case load of 25-50 patients, with various diagnosis and treatment plans.
  • Developed treatment plans, assessments, reassessments, and risk assessments.
  • Complete initial and updated treatment plans with measurable goals and objectives.
  • Reviewed mental health treatment plans with staff Psychiatrist for medical necessity.
  • Completed clinical assessments to create individualized treatment plans for each youth by collaborating with the multi-disciplinary team members.
  • Developed comprehensive treatment plans that focused on accurate diagnosis and behavioral treatment of problems.
  • Coordinated appropriate treatment plans with Physicians, local daycares, Department of Children's Services, and Elementary schools.
  • Work closely with dental providers to confirm appointments, request treatment plans, x-rays, pre-authorizations and referrals
  • Developed appropriate Opta Comp treatment plans that ensure balance between quality of care and cost effectiveness.
  • Developed treatment plans, provided individual and group counseling; and supervised seven direct care staff.
  • Completed intake packets, psychosocial assessments, treatment plans and quarterly report.
  • review of services, coding and treatment plans
  • Review treatment plans and psychosocial assessments.

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4. Mental Health Services

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high Demand
Here's how Mental Health Services is used in Case Management Coordinator jobs:
  • Administered mental health assessments and eligibility determinations for State mental health services.
  • Designed therapeutic exercise program for consumers of mental health services.
  • Provided extensive mental health services, through life skills classes, group sessions, individual assessment and one on one intervention.
  • Provided outreach mental health services for seniors 60 plus with a diagnosis of mental illness living independently in the community.
  • Assess and evaluate the needs of consumers receiving mental health services and authorize for medically necessary services.
  • Assisted health plan members with selection of appropriate mental health services covered by their insurance plan.
  • Provide intense behavioral health case management services and coordinate mental health services.
  • Provide comprehensive mental health services by linking and coordinating to appropriate services.
  • Process referrals thru OCDD for client referrals to mental health services thru Waive program.

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5. Community Resources

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high Demand
Here's how Community Resources is used in Case Management Coordinator jobs:
  • Coordinate housing and community resources for special needs offenders and identify gaps in service availability.
  • Assisted individuals with accessing community resources to improve living conditions.
  • Possess demonstrated knowledge of community resources.
  • Provided referrals to community resources.
  • Identified community resources and completed referrals as appropriate to assist consumers with goal attainment and with removal of barriers to service.
  • Linked individuals to community resources including day and work program and or school to promote recovery and well being.
  • Work with the family to achieve independence, provides information concerning community resources and linkages to other services.
  • Linked children who had severe emotional disturbance and their families to community resources, monitoring clients progress weekly.
  • Developed community resources to meet the needs of assigned clients for activities and other support services.
  • Linked the clients to community resources and assisted them with developing skills to enhance their lives.
  • Act as a liaison for individuals via state, federal and community resources.
  • Network with community resources to enhance the quality of life for the consumer.
  • Carried own case load and provided community resources to clients.
  • Maintain current knowledge of community resources and social service providers.
  • Linked clients to community resources and monitored their progress.
  • Linked and assisted clients in assessing all community resources.
  • Referred members over to the appropriate community resources.
  • Coordinate community resources Report critical incidents and information regarding quality of care issues.
  • Refer patients to community resources as needs are identified through ongoing assessment.
  • Coordinated outside community resources, provided staff training, and served as the school's discipline management coordinator.

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3 Community Resources Jobs

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6. Social Workers

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Here's how Social Workers is used in Case Management Coordinator jobs:
  • Meet regularly with Case Managers/Social Workers to discuss patients/family needs related to individual cases of nursing home placements.
  • Collaborated with licensed social workers, mental health counselors and community supports in advocacy for consumers.
  • Worked closely with county social workers to facilitate as reunification as court ordered.
  • Processed Social Workers billing statements.
  • Coordinate the referrals to long term care facilities; work closely with Case Managers/Social Workers and extended care facility admission coordinators.
  • Collaborate and work closely with AMHD Psychiatrist, other mental health providers (POS), Social Workers and Access/UM Specialist.
  • Monitored and lead the communication processes; facilitated patient care by corresponding with Social Workers, nurses and other team members.
  • Work in conjunction with team of case managers and social workers with the object of shorter length of stay.
  • Maintained the Master Checklist on home visits and needed reports from Agency Social Workers as needed.
  • Improved employee retention by redesigning new hire orientation for social workers and nurse case managers.
  • Reviewed resumes and assisted with hiring nurse case managers, social workers and administrative assistants.
  • Work with physicians, social workers and psychiatrist to ensure appropriate care for patients.
  • Correspond with Social Workers, nurses and other team members to facilitate patient care.
  • Communicated with County Social Worker and Agency Social Workers for needed paperwork.
  • Facilitated the interaction between clients, social workers, and attorneys.
  • Supervised clinical social workers, emergency room staff and graduate students.
  • Maintained orderly and accurate files for caseloads of 12 Social Workers.
  • Scheduled daily Case Managers and Social Workers assignments.
  • Assisted Agency Social Workers to manage their files Assisted with Certified Parents, Prospective Parents and Adoptive Parents.
  • Hired, trained and supervised 5 masters level social workers.

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7. Risk Management

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Here's how Risk Management is used in Case Management Coordinator jobs:
  • Assist Director with all property risk management and asset protection programs to ensure continuity and effectiveness of activities.
  • Review vendor contracts and agreements for language affecting risk management and loss control considerations.
  • Established & maintained relationships with risk management and insurance consultants and vendors.
  • Provided administrative support to Director of Risk Management/Corporate Attorney and General Counsel.
  • Generated and distributed risk management data reports.
  • Perform duties in line with organizational and loss prevention goals and objectives while providing additional support to the Risk Management Director.
  • Assisted in the planning, development, design and implementation of computer based information systems in support of risk management functions.
  • Implemented the risk management process in a professional and knowledgeable manner between The Sullivan Group and ESP physicians and affiliate staff.
  • Maintain close liaison with the Medical Education and Credentials Section to ensure correspondence and communication in Risk Management issues.
  • Assisted with successful roll out of new firm risk management and engagement setup software across multiple offices during Q4 2009
  • Coordinated the Risk Management program for Emergency Service Partners (ESP).
  • Compile and analyze aggregate risk management data for each department.
  • Develop and oversee the agency's risk management plan.
  • Provided Risk Management oversight for 1,000 -employee workforce worldwide.
  • Head of risk management for all fraternity events.
  • Aided the overall function of risk management.
  • Report to Corporate Director of Risk Management/PI Handle all administrative and clerical duties
  • Developed, implemented and provided on-going oversight of risk management education for new hires, students, volunteers and vendors.
  • Coach and assist 43 branches in Macomb and Oakland County on risk management procedures.
  • Promoted to Risk Management Analyst within 1 year of orginal hire date.

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10 Risk Management Jobs

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8. Crisis Intervention

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Here's how Crisis Intervention is used in Case Management Coordinator jobs:
  • Intervened in crisis intervention to ensure client safety as necessary.
  • Provided support, crisis intervention and behavior modification.
  • Provided crisis intervention skills to a diverse population.
  • Conducted crisis interventions and monitored medication compliance.
  • Provided crisis intervention/resolution services and follow-up.
  • Counseled clients and provided crisis intervention.
  • Assess and provide crisis intervention for HIV positive client's around issues such as substance abuse, homelessness and sex work.
  • Performed crisis intervention services and prepared reports for courts, probation and parole boards, and outside agencies.
  • Planned for crisis prevention, and provided crisis intervention when needed; periodically operated 24-hour crisis line.
  • Engaged in acute crisis intervention, weekly group and individual counseling.
  • Provide and prioritize crisis intervention with clients as needed.
  • Monitored fiscal, human resources and crisis intervention strategies.
  • Assist in crisis intervention and meeting client's requests.
  • Provided crisis intervention/resolution services Prepared and presented oral and written reports to the courts and management as required.
  • Provided applied behavior analysis interventions to children with Autism Spectrum Disorder Developed and implemented therapeutic crisis intervention plans.
  • Utilized crisis intervention techniques to stabilize clients experiencing mania, depression, suicidal ideations and psychotic episodes.
  • Conducted outreach, advocacy and rehabilitative services for regular cases and crisis intervention.
  • Staffed hotline and provided crisis intervention services.
  • Provide crisis intervention as needed Prepare an agenda and conduct weekly planning sessions for assigned caseload.
  • Group didactics Crisis intervention Referrals to higher levels of care NJ SAMS data entry

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9. Providers

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high Demand
Here's how Providers is used in Case Management Coordinator jobs:
  • Established relationships with in network providers to ensure effective and efficient care coordination for members and caregivers/families.
  • Create and develop strong working relationship with internal and external consumers and all transportation service providers.
  • Monitored emergency and safety preparedness exercises for providers of services for individuals with intellectual disabilities.
  • Promoted linkage development and monitored the effectiveness of linkages with other service providers.
  • Participated in Transitional Meetings when new providers were selected.
  • Administered the benefit programs, evaluate/enhance performance of providers.
  • Provided conflict resolution between person/family/caregiver and service providers.
  • Assisted Case Managers with sending personalized Care Plans and educational materials to members, Primary Care Providers, and/or family members.
  • Assisted medical providers with medical billing and service approval questions, and coordinated case assignments to appropriate nurses.
  • Addressed individual member and provider needs as pertains to member benefits and payment of services for providers.
  • Connect clients to the proper service providers to enable them to complete court ordered case plan tasks.
  • Provided education to the patient, family and care providers to support goals and objectives.
  • Coordinate care with multiple providers to ensure authorizations were paid and specialist appointments were met.
  • Served as a resource for the RN Case Manager Coordinator and other health care providers.
  • Networked w/ service providers to develop partnerships to advance client services.
  • Assist client with transportation and outside service providers.
  • Research closer providers in the area.
  • Provide healthcare providers with approved authorization information.
  • Receive trigger referrals from various sources such as UM, providers, Medai, Health Plan/Fund administrators and employer groups.
  • Established Case management programs Appointed member of Quality Improvement Board for national health care providers.

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5 Providers Jobs

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10. Patient Care

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high Demand
Here's how Patient Care is used in Case Management Coordinator jobs:
  • Disseminated information relating to Medicare, Medicaid, private/commercial insurance, and other community-based support systems relative to post-hospital patient care.
  • Prepared daily inpatient census, confirmed accuracy and reported statistics to Manager of Inpatient Care Management.
  • Evaluated patient care procedural changes for effectiveness.
  • Collaborated with community agencies - CPS, Mental Health and Rehabilitation centers, and court system -facilitating procedures for outpatient care.
  • Restructure of Patient Care Conferences/Inter-disciplinary Team meetings to meet Joint Commission requirements and decrease WPS (RAC) denials.
  • Provided direct patient care in accordance with the policies and standards of the organization.
  • Monitored patient care, patient charts, planning discharge in a large urban facility.
  • Plan and perform patient care as outlined by patients care plan and needs withstanding.
  • Participate in the development and implementation of patient care policies and procedures.
  • Developed patient care plans, including assessments, evaluations and nursing diagnoses.
  • Supervised and educated LPN's and HHA's for patient care.
  • Utilized strong assessment skills to determine necessary patient care.
  • Navigated patient care for transplant candidates and recipients.
  • Direct patient care in the home setting.
  • Review of inpatient and outpatient care.
  • Supervised and provided patient care.
  • Research relevant literature as appropriate for management and resolution of issues affecting patient care and other potential claims; !
  • Assist several MDs as in ensuring optimal patient care and smooth daily functioning of office.
  • Evaluated patient care needs, prioritized treatment, and maintained patient flow.
  • Ensured the patient care environment and enhanced it for the patient healthcare.

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6 Patient Care Jobs

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11. Medical Records

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high Demand
Here's how Medical Records is used in Case Management Coordinator jobs:
  • Investigated incidents and claims including: o Interviewed related personnel o Reviewed medical records and related documents o Provided reports to counsel
  • Review, organize and evaluate patient medical records for accuracy and completeness.
  • Understand medical terminology and interpret medical records.
  • Release medical records in an effective and efficient manner, following HIPAA guidelines, NC Statues, within established time constraints.
  • Collect supplementary information needed to assist client, such as medical records, employment pay stubs and other information as needed.
  • Print billing invoices, itemized bills, and medical records from patient s charts when requested by various vendors for billing.
  • Observed all legal aspects of medical records, including privacy, confidentiality, and information release as applied by HIPPA.
  • Manage a variety of vendors for medical records retrieval, Face to Face Interviews and phone history interviews.
  • Completed data entry from over 5000 medical records with 100% accuracy rate for HEDIS audit.
  • Obtained information through a review of medical records, staff interviews, and resident interviews.
  • Monitor patient medical records, investigate potential violations of HIPAA, and maintain database.
  • Maintained client and egg donor files, including relevant documents and medical records.
  • Audited medical records to assist with lawsuits, billing questions, correct documentation.
  • Monitor medical records charts request via the computer system and paper.
  • Maintained medical records and kept confidential reports ensuring HIPPA compliance.
  • Maintain and update medical records.
  • Provide medical records to facilities during patient admission Answering phones taking and relaying messages, photocopying and faxing.
  • Scanned all authorized ETARS in patient's medical records as well as facility denial correspondence.
  • Scheduled monthly pickup for shipping of medical records to offsite storage per HIPP laws.
  • Work closely with hospital attorneys (scheduling depositions, requesting medical records).

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2 Medical Records Jobs

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12. Utilization Review

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high Demand
Here's how Utilization Review is used in Case Management Coordinator jobs:
  • Performed admission and concurrent utilization reviews to identify medical necessity, level of care, and appropriateness of setting.
  • Review health information to determine pharmaceutical needs, interdisciplinary treatment scheduling, and appropriate utilization review submission.
  • Assisted in proposal writing and development of computerized, call management system for utilization review.
  • Conducted drug utilization reviews, providing valuable information to the appropriate state regulatory agencies.
  • Accessed and assigned cases for medical case management and utilization review.
  • Conduct utilization review activities according to established criteria and guidelines.
  • Performed concurrent and retrospective utilization review of claims data.
  • Used case management approach utilization review standards.
  • Notified providers of approved utilization review requests.
  • Provided case management and utilization review.
  • Evaluated home environment including obstacles and assistance in the home in order to develop a discharge plan and inform Utilization Review.
  • Conduct initial, concurrent and retrospective utilization reviews for inpatient services (Telemetry, Medical /Surgical, Observation).
  • Started up all aspects of utilization review and case management for the department in Indianapolis office.
  • Covered concurrent utilization reviews on ED patients using the InterQual program.
  • Supported clinical staff through the completion of the utilization review process.
  • Trained staff to case management, utilization review and support positions.
  • Provided accurate information to callers based on customer requests; triages telephone calls between utilization review and telephonic case managers.
  • Entered authorizations and pre-certifications into AMISYS for claims processing as requested by the Case Manager and Utilization Review Nurse.
  • Called list of facilities to submit utilization review documentation for "In -House/ Discharged" members.
  • Conduct psychosocial assessments on patients admitted to the unit Perform clinical utilization reviews with insurance companies Supervise graduate level Social Work interns

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7 Utilization Review Jobs

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13. Insurance Companies

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high Demand
Here's how Insurance Companies is used in Case Management Coordinator jobs:
  • Acted as a liaison between insurance companies and facilities ensuring documentation is organized in multiple databases emphasizing personal interaction.
  • Furnished clinical information provided by Case Managers to insurance companies for reimbursement.
  • Obtain necessary authorizations from insurance companies/HMO regarding MD orders.
  • Coordinated insurance coverage with insurance companies, managed length of stay, qualification of stay, etc.
  • Worked with various insurance companies to ensure continuity of care and smooth transition when returning home.
  • Provide clinical updates to managed care programs, insurance companies and other payers case managers.
  • Acknowledge, Resolve and Follow-Up on Medical Providers and Insurance Companies claim issues and/or disputes.
  • Converse with insurance companies to provide clinical review to substantiate admission and concurrent stay.
  • Participated in annual contract meetings with insurance companies, hospital CFO and contracts manager.
  • Reconciled outstanding balances and incidents of returned claim checks from Major Insurance companies.
  • Created and maintained a report to decrease outstanding claims sent to insurance companies.
  • Follow up with insurance companies regarding appeal status and payments.
  • Contacted insurance companies for appeal status and accounts receivables.
  • Facilitated process of securing information from insurance companies to obtain necessary pre-admittance authorizations and benefit limitations.
  • Experienced working with insurance companies and obtaining authorizations.
  • Assured employee injuries and vehicle accident claims were reported to insurance companies in a timely manner.
  • Coordinate litigation activities amongst the County Attorney's office, outside counsel and the insurance companies.
  • Make outbound calls to Healthcare providers, insurance companies and patients to obtain missing information.
  • Collaborated with attorneys, insurance companies, and multi-disciplinary teams in the investigation of claims.
  • Monitored and followed up on claim denials with insurance companies in a timely manner.

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14. Management System

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Here's how Management System is used in Case Management Coordinator jobs:
  • Created overarching internal management systems and database for document management and tracking; developed and implemented associated employee training.
  • Audit the Configuration Management system database with physical verification, cross reporting of other modules and 3rd party tools
  • Produced department policies and procedures for case management systems training.
  • Designed and installed the university's first energy management system.
  • Developed and maintained ETO Academic Case Management System to monitor the academic action plan strategies for each student.
  • Implemented BP's Incident Management System successfully for BP's North America businesses impacting over 30,000 employees.
  • Awarded the Navy and Marine Corp Achievement Medal while serving as Retail Ordnance Logistics Management System administrator.
  • Maintain and update the workforce management systems with daily exceptions for both in-house and field operatives.
  • Developed a new database management system within Team center, tested, and implemented.
  • Provided drive tracking information via Test Management System (TMS) engineering inventory database.
  • Served as a subject matter resource in firm related accounting and risk management systems.
  • Coordinated the establishment of policies and procedures that would improve the management system.
  • Redesigned and developed Knowledge Management System (KMS) web-based platform.
  • Conducted complex updates to the jury management system.
  • Implemented an asset tracking and condition assessment matrix for stormwater facilities in the City's Asset Management System.
  • Input and reviewed notes/diaries in claims management system as instructed Processed payments.
  • Maintain workforce management systems and integrity of workforce data (i.e.
  • Created all phone and work force management system user logins.
  • Entered new claims data into the claims management system.
  • Standardized visual management system for shop floor management (Genba Kanri) in all areas.

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2 Management System Jobs

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15. Durable Medical Equipment

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Here's how Durable Medical Equipment is used in Case Management Coordinator jobs:
  • Maintained professional relationships with homemaker agencies, durable medical equipment providers, home delivered meals and PERS system providers.
  • Worked directly with contracted vendors re: Durable Medical Equipment.
  • Preauthorized procedures, durable medical equipment, therapy visits, etc.

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1 Durable Medical Equipment Jobs

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16. CMS

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Here's how CMS is used in Case Management Coordinator jobs:
  • Conducted continuous practice billing (IDX) and documentation audits to optimize reimbursement while complying with CMS (HCFA) regulations.
  • Work in support of CMS directives to implement major provisions of The Patient Protection and Affordability Care Act.
  • Send Notice of Medicare Non Coverage (NOMNC) letters to providers according to CMS standards.
  • Designed custom reports within AVAYA CMS used to assist with forecast and staff implementation.
  • Participated in maintaining statistics and hiring of ICMS staff.
  • Process denial letters using Medicare guidelines (CMS).
  • Prioritized and organized tasks to meet CMS compliance deadlines.
  • Utilize management tools such as CMS to retrieve data.
  • Monitor all call queues using CMS Supervisor.
  • Ensured compliance with CMS Diagnostic Coding guidelines for hospital-based outpatient services.
  • Possess understanding of HMO and third party administration, CMS guidelines, homebound status, Plan of Care and 485/486 documentation.
  • Monitored adherence to performance metrics and agent productivity, via Avaya - CMS RTA software.
  • Train and provide orientation to plan staff and departments as required by cms.
  • Monitored call center via Avaya CMS Supervisor software application.
  • Implement the standards for URAC, NCQA and CMS for case management.

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3 CMS Jobs

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17. Management Department

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Here's how Management Department is used in Case Management Coordinator jobs:
  • Supervised Case Management department and provided in-home services for at risk children and families with domestic violence and/or drug/alcohol related issues.
  • Participate in concurrent review, discharge planning case management, and disease management function within the Medical Management department.
  • Established and provided leadership for the Case Management Department Policy and Procedure Committee and Performance Improvement Committee.
  • Assisted in the overall development and implementation of the Quality Management Department including payroll duties.
  • Participate in development of interdepartmental processes and procedures to improve the case management department.
  • Facilitated the comprehensive development of new collections unit for the Revenue Management department.
  • Review and coordinate all utilization management/case management referrals for the Medical Management Department.
  • Participate in peer review process and maintain compliance with utilization management departments.
  • Assisted in development of newly formed Risk Management Department in Central Division.
  • Entered responses from Utilization Management departments of various insurance companies.
  • Provided support to the Utilization Management department as needed.
  • Supported vice-president in developing Risk Management Department.
  • Assisted in supervision of departmental staff of six and responsible for the day-to-day operations of the case management department.
  • Complete Dental Health Assessments with members/responsible parties that are requesting assistance or referred to the Case Management Department.
  • Collaborate with the marketing department to create campaigns, and plan events for the Wealth Management department.
  • Assist in training new case management and social work employees for the case management department.
  • Established a Case Management Department within the primary care departments.
  • Reported to the Manager of the Case Management Department.
  • Established the agency's first Incident Management Department.
  • Team leader for Care Management department.

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14 Management Department Jobs

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18. Substance Abuse

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Here's how Substance Abuse is used in Case Management Coordinator jobs:
  • Monitored participation in outpatient substance abuse treatment; facilitated contact and appointments for community resources.
  • Conduct 9,000 hours of substance abuse education/counseling with the co-occurring disorder population.
  • Experience working with a variety of populations, including those individuals living with mental illness, substance abuse and developmental disabilities.
  • Coordinate funding and social services for patients such as Medicaid, county funding, substance abuse initiative assistance.
  • Provided case management services to adults, children, and adolescents in mental health and substance abuse.
  • Conduct assessments for depression, elder abuse, home safety, and alcohol and substance abuse.
  • Provide mental health and substance abuse referrals to member's struggling with addictions and mental illnesses
  • Gained a deeper understanding of the impact of substance abuse and the human experience.
  • Provided referrals to substance abuse and or mental health centers when needed.
  • Teach family support and education regarding substance abuse and mental illness.
  • Manage clients with mental health and substance abuse issues.
  • Provided mental health and substance abuse screening.
  • Qualified Professional/Mental Health-Substance Abuse Accepted new referrals and completed admission documentation and PCP within 30 days from referral date.
  • Collaborated with other resources for individuals who were experiencing co-occurring disorders substance abuse and mental illness).

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19. Phone Calls

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Here's how Phone Calls is used in Case Management Coordinator jobs:
  • Handled extensive phone calls from internal and external customers
  • Controlled documentation of all transactions regarding money, medications, first-aid supplies, mail, visitors, telephone calls and referrals.
  • Perform standard communication (phone calls, emails, and letters) to appropriate parties throughout the duration of the leave.
  • Prioritized and maintained the calendar, phone calls and faxes for the Vice President of Loss Prevention and Food Safety.
  • Manage the past due accounts and draft letters as well as make phone calls and collect past due amounts.
  • Answer phone calls to assist members, agents, providers, and pharmacists regarding policy and benefit inquiries.
  • Receive, screen and transfer telephone calls, supplies information, take accurate messages and manage request.
  • Manage inbound employee and employer telephone calls and gather pertinent data necessary to compile client files.
  • Manage phone calls, Iron Mountain storage of records, product recall and order supplies.
  • Monitored and answered inbound phone calls and chat for the risk management and claims departments.
  • Answered inbound risk management and claims phone calls, emails and chat sessions.
  • Maintain resident relations, receives and screens telephone calls from resident's.
  • Answered phone calls and responded accordingly to leadership and advocate needs.
  • Answer and direct phone calls to decrease customer-owner wait times.
  • Provided follow-up phone calls and maintained diaries.
  • Answered and placed necessary phone calls.
  • Answer phone calls and emails.
  • Perform administrative tasks, such as answering telephone calls, filing court documents, or maintaining office supplies or equipment.
  • Answer incoming phone calls from guests identifying the type of assistance needed, (i.e.
  • Answer phone calls recieved from claimants.

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20. Care Coordinator

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Here's how Care Coordinator is used in Case Management Coordinator jobs:
  • Mentored, trained, and provided work direction to Logistics Coordinators and/or Customer Care Coordinators.
  • Job Duties: Client assessments, care plans & case management/care coordinator.
  • Developed the specific scope of practice for Fee Care Coordinator position.
  • Assist with on-boarding and training of new Managed Care Coordinators.

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3 Care Coordinator Jobs

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21. Monthly Reports

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Here's how Monthly Reports is used in Case Management Coordinator jobs:
  • Produced daily and monthly reports for management regarding center, departmental, and individual statistics.
  • Analyzed financial actives and prepared monthly reports.
  • Create and provide real time, daily and monthly reports on all lines of business to senior management.
  • Compiled operational data and prepared daily, weekly and monthly reports for the CEO & COO.
  • Compiled monthly reports and handled special HR projects regarding employee performance, benefits, and attrition.
  • Prepared monthly reports for Financial Review as well as weekly HBS discrepancy reports.
  • Process monthly reports for program performance and caseload directly related to funding.
  • Supervised daily, weekly and monthly reports designed to monitor company profits.
  • Compiled monthly reports and evaluated data to maintain track record.
  • Prepared daily, weekly, and monthly reports for headquarters.
  • Complete monthly reports of guest and employee injuries.
  • Performed desk review of audits and monthly reports.
  • Compose monthly reports and training program outcomes.
  • Created pivot tables to reconcile monthly reports.
  • Generated weekly and monthly reports.
  • Managed liability claims * Managed accounts payable * Generated monthly reports * Processed workers compensation payments
  • Prepare monthly reports Monitor rent collection/reconciliations and ensure landlord/tenant statutes are followed.
  • Monitor monthly report data downloads and run monthly reports in a timely manner.
  • Extrapolate Monthly reports Monitor Case Progress reports and document referrals and encounters.
  • Reviewed daily and monthly reports to confirm the department is processing denials/appeals within the appropriate time frame.

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22. Ensure Compliance

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Here's how Ensure Compliance is used in Case Management Coordinator jobs:
  • Provided assistance regarding non-routine/complex situations that would adhere to policies/procedures with regulations to ensure compliance and patient safety.
  • Work in collaboration with the Chairman of the Education Committee to ensure compliance with policies, procedures, forms and processes.
  • Assist in the development and implementation of training programs to ensure compliance with all Federal and State laws and regulations.
  • Monitored engagement metrics to help ensure compliance with team standards; initiate corrective actions as needed.
  • Reviewed policies and regulations related to health care programs to ensure compliance within IT systems.
  • Adhere to policies, procedures and regulations to ensure compliance and patient safety.
  • Communicate with staff to ensure compliance of all personnel management policies and procedures.
  • Assist in auditing resident files to ensure compliance with Federal regulations as needed.
  • Participated in HEDIS quality assurance team to ensure compliance.
  • Monitored engagement metrics to ensure compliance with firm standard.
  • Performed audits to ensure compliance with company guidelines.
  • Reviewed multiple contracts to ensure compliance.
  • Review all service contracts for indemnification, warranty, insurance requirements, employeescreening, safety and bonding requirements to ensure compliance.
  • Conducted regular trainings for the site to ensure compliance with policies and licensing requirements.
  • Audit team members work to ensure compliance with established billing/pre-billing processes and guidelines.
  • Conduct regular, random branch/department Kronos timecard audits to ensure compliance with applicable wage & hour laws and internal guidelines.

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23. Special Projects

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Here's how Special Projects is used in Case Management Coordinator jobs:
  • Maintained effective communication with management regarding developments within areas of assigned responsibilities and performed special projects as required or requested.
  • Managed activities relating to special projects for utilization management and resource consumption.
  • Manage special projects and participate in project planning sessions with Order Management, PM's, SE's and provisioning teams.
  • Provide confidential operational and technical assistance with daily activities and special projects within the Risk Management function of the bank.
  • Work with Management to assist with implementing planning and special projects as pertinent to various Lenders.
  • Participated on various committees, assisted in writing policies and procedures and completed special projects.
  • Researched and completed special Projects including Patient's Success Stories for impromptu Client Meetings.
  • Handled campus wide program marketing, and coordinated with graphic designers on special projects.
  • Point of contact for handling all day-to-day workload, as well as special projects.
  • Handled special projects as assigned and provided back-up support for Chief of Risk Management.
  • Maintain Worker Comp logs and assists the department analyst's with special projects.
  • Complete and resolve weekly special projects assigned by the team manager.
  • Responded to special projects needs as dictated by Management.
  • Assist is special projects including administrative duties for Director.
  • Perform data and system audits and assist with special projects
  • Assist Project Accountants for special projects and vendor concerns.
  • Served as Assistant to Department Manager on special projects
  • Completed special projects as needed or requested.
  • Lead special projects related to transition of home-grown PLM to TC within Engineering Services and Packaging Engineering Group.
  • Manage special projects and requests from Prospect Managers, Doctors and Development staff .

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24. RN

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Here's how RN is used in Case Management Coordinator jobs:
  • Analyzed and interpreted technical procedures and government regulations in order to translate business needs into innovative strategies and viable action plans.
  • Coordinate internal and external property audits to ensure all safety and security hazards are identified and resolved.
  • Managed all Federal and State regulatory records, California Waste Management program requirements and Public relations.
  • Provided timely problem resolution to internal and external customers in support of customer retention/satisfaction/profitability.
  • Managed customer orders adhering to a 3-day turnaround and established customer billing.
  • Assist internal customers with questions/concerns revolving around Workforce Management.
  • Educate properties in all aspects of claims management, return to work options, and all other topics within this arena.
  • Complete review and approval of all architectural, MEP and sign drawings in compliance with area governing codes and Mall Criteria.
  • Developed plans of action to address concerns and timely follow up on plan of action.
  • Charge Nurse: 9 years experience as weekend contingent RN for local nursing homes.
  • Coordinate services with external agencies to provide effective services for children and families.
  • Served as a liaison between the member and the RN Case Manager.
  • Review and draft enhancements to accident prevention and return to work programs.
  • Tracked the return on investment of all marketing campaigns for efficiency.
  • Attend discharge rounds and offer alternatives for difficult discharges.
  • Ordered facilities internally and from ILEC or CLEC.
  • Action returns requests by direct customer interaction.
  • Perform discharge planning and identify alternate treatment programs that provide medically necessary potentially cost effective services.
  • Complete Assessment of Psychosocial needs/concerns, Bereavement Assessment, and ongoing assessments to address patient plan of care and ongoing needs.
  • provision Phone lines at internal switch level to ensure dial tone at customer premise.

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18 RN Jobs

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25. Staff Members

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Here's how Staff Members is used in Case Management Coordinator jobs:
  • Developed and rolled out a training plan ultimately integrated into the agenda as the go-to document for all new staff members.
  • Managed vacation schedules to balance the needs of staff members and ensure proper coverage in departments.
  • Provide formal notice of right to a hearing to staff and house staff members involved.
  • Develop train and prepare new and senior staff members on claims process changes and procedures.
  • Supervised up to 13 staff members in up to four programs and special program staff.
  • Supervised a team of 20 case managers and support staff members operating under multiple contracts.
  • Project manager responsible for organizing JCAHO training from outside educators for 150 staff members.
  • Oversee 12 self contained, K-8 special education classes and 50 staff members.
  • Train and mentor other staff members in a full range of crisis protocols.
  • Assist in the orientation and training of new staff members and processes.
  • Assist Partners and practice staff members with automated systems to establish compliance.
  • Provide supervision to staff members who are working toward LPC certification.
  • Deploy equipment, update software and train staff members in CPR.
  • Mediated disputes between patients, MD and staff members.
  • Worked closely with other staff members as a team,
  • Provide coaching/mentoring to less experienced staff members and peers.
  • Assisted with HIPPA training for all staff members.
  • Conduct performance appraisals for staff members.
  • Assigned as show manager and organized program for show in sequential order Supervised the staff members for assignments and schedules
  • Ensured that incident reports are written by staff members by the end of their shift; 3.

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26. Fmla

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Here's how Fmla is used in Case Management Coordinator jobs:
  • Analyzed and reviewed medical information and determined FMLA eligibility.
  • Conduct concurrent medical record review using specific indicators and criteria as approved by FMLA and ADA to approve leave of absences.
  • Educate callers regarding the processes of STD/LTD, FMLA and other employer approved leaves in a call center setting.
  • Processed leaves of absence, such as FMLA, according to company, state, and federal laws.
  • Supply technical support and advice concerning FMLA regulations, and coordinate employees' benefits while on FMLA.
  • Experienced in FMLA, Workers Compensation claims, Employee Relations, HR Compensation and Employee Benefits.
  • Respond to employee and employer inquiries regarding the status or availability of FMLA and Company leave.
  • Oversee the review and processing of Family Medical Leave Act (FMLA) requests.
  • Update FMLA spreadsheet; communicate with sups/HR as needed on status of employees.
  • Handled disability as well as FMLA absence claims for people insured by MetLife.
  • Managed from onset to completion FMLA/LOA, short term disability/workers compensation programs.
  • Developed standardized FMLA/LOA process to be used across the organization.
  • Determine eligibility for FMLA and other leaves during intake call.
  • Assisted Employee Relations Specialists with FMLA and termination issues.
  • Document employee FMLA and leave of absence occurrences.
  • Ensured FMLA qualifications met utilizing HRIS queries.
  • Tracked headcount (FMLA, LOA, terms, etc.)
  • Handle Intake calls for FMLA claims.
  • Adhered with the guidance set forth for intermittent and block FMLA, ADA and company LOA practices 5.
  • Tracked employee sick and vacation hours Prepared FMLA, STD, LTD and other communications to management.

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27. Service Plans

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Here's how Service Plans is used in Case Management Coordinator jobs:
  • Developed and coordinated individual service plans using member assessments, identified early risk factors and conducted ongoing assessments.
  • Developed and monitored consumer Individual Service Plans for implementation by providers, employment staff, and caregivers.
  • Determine need for services and developing service plans, verifying data, explaining program benefits and requirements, Nursing home visits.
  • Obtain consent for services via agency releases, assess program eligibility, and work with the families to implement service plans.
  • Participate with clients in creating quarterly service plans focused on youth's targeted goals towards self and familial growth and improvement.
  • Planned, coordinated and develop Individual Service Plans (ISP) and Individual Financial Plans (IFP).
  • Provided support services, assisted with housing, and developed comprehensive service plans that were goal-oriented.
  • Worked with the case managers to create and sustain service plans that addressed treatment issues.
  • Assessed client needs pursuant to the allegations at hand and develop court approved service plans.
  • Assisted in developing individual service plans, Family partnership agreements and health plans.
  • Perform assessments to obtain level of care, develop and implement service plans.
  • Developed protective service plans for individuals and trained staff to implement plans.
  • Assured timely intakes, assessments, service plans and referrals.
  • Developed and implemented consumer-specific service plans..
  • Managed cases and developed needs and service plans for youth upon intake through departur
  • Documented all patient information including service plans, treatment reports and progress notes.

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28. Primary Care Services

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29. Osha

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Here's how Osha is used in Case Management Coordinator jobs:
  • Maintain OSHA records* Chairman of Safety Committee* Generate worker compensation claims* Responsible for employee training
  • Ensured employee awareness of safety issues according to established departmental procedures and OSHA regulations.
  • Create custom reports for the Human Resources, Payroll, Benefits, Finance and Health and Safety (OSHA) departments.
  • Required working knowledge of OSHA, RCRA and DOT regulations as they pertain to the proper disposition of hazardous waste.
  • Developed the Exposure Control Program for each department and wrote policies and procedures to pass OSHA review.
  • Designed, developed, and implemented training programs for various safety related initiatives in compliance with OSHA.
  • Conducted weekly inspections of less than 90-day hazardous and non-hazardous waste storage areas according to OSHA regulations.
  • Manage and provide OSHA and company safety training as required for all assigned personnel.
  • Maintain OSHA logs, Safety Training logs, and Material Data Safety Sheets.
  • Maintained OSHA related reports, surveys, and compliance on sites responsible for.
  • Prepared and distributed year-end OSHA reports for all facility reporting.
  • Created a relationship with OSHA consultation for improvements.
  • Maintained OSHA Logs for 250 Occupational Medical Centers.
  • Assist with OSHA compliance inspections and training.
  • Research & compliance with all aspects of ADA, fire codes, OSHA compliance, etc.
  • Maintained documentation of work-related injuries/illnesses, trainings, and workstation assessments; produced reports for OSHA-related incidents.
  • Facilitated OSHA safety trainings, for company employees that reduced staff injuries and resulted in a $30,000 insurance dividend.

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30. Interqual

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Here's how Interqual is used in Case Management Coordinator jobs:
  • Initiated requirement for daily clinical updates from non-VA facilities and completed appropriate reviews using InterQual criteria.
  • Utilized InterQual criteria for concurrent medical record review.
  • Run daily report for patients that do not meet criteria by InterQual and distribute to managers for review.
  • Work with Midas and InterQual software.
  • Utilize Interqual criteria for Utilization Review.
  • Accomplished application of Interqual criteria.
  • Apply strong critical thinking skills to determine necessary level of care based on Interqual criteria.
  • Utilized Interqual Criteria for all patients in the hospital to ensure appropriate level of care.
  • Use of InterQual and Milliman Care Guidelines.
  • Determine appropriate admission status based on InterQual Criteria or Medical Necessity Promote effective and efficient utilization of clinical resources.
  • Well established computer skills including knowledge of Interqual Criteria for precertification.
  • Implemented Insurance case management program Certified Interqual instructor and DRG/Coding Educator for the West Region.
  • Utilize the Miliman/ Interqual criteria to determine goal length of stay for pre-certified admissions.

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31. Medical Necessity

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Here's how Medical Necessity is used in Case Management Coordinator jobs:
  • Provide clinical information required to obtain placement, authorization/ certification for medical necessity and approved hospital stays.
  • Gathered clinical information and reviewed cases for medical necessity and determined the appropriateness of treatment and services.
  • Evaluated and authorized medical necessity stays and assigned appropriate inpatient length of stays based on established criteria.
  • Assessed the medical necessity of inpatient admissions, surgical and diagnostic procedures.
  • Evaluate admissions for medical necessity.
  • Determine medical necessity/appropriateness of care.
  • Chart reviews for medical necessity and documentation * Mid South Hospital Memphis TN- director of case management and utilization review 1.
  • Facilitated and conducted reviews for First and Second Level Appeals for medical necessity denials.
  • Revise all medical documentation to assure it supports medical necessity for the requests.
  • Review concurrent and post discharge cases for medical necessity RAC Management Team-review RAC audit requests for medical necessity

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4 Medical Necessity Jobs

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32. Powerpoint

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Here's how Powerpoint is used in Case Management Coordinator jobs:
  • Created PowerPoint presentations, standardized forms, and other administrative documents.
  • Designed PowerPoint presentation to be distributed to the community.
  • Developed brochures, binders, and PowerPoint presentations that contain information regarding risk programs.
  • Created monthly PowerPoint presentation to show and track causes of Uncollected COD's.
  • Experience in Excel, Outlook, Word, and PowerPoint.
  • Created PowerPoint presentations used for business development.Organized files, developed spreadsheets, faxed reports and scanned documents.
  • Program expertise in Meditech, Midas, Microsoft Outlook, Word, Excel, and PowerPoint.

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33. HR

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Here's how HR is used in Case Management Coordinator jobs:
  • Provide customer service by coordinating appropriate support services to Medicaid and Medicaid/Medicare enrolled clients through socioeconomic and somatic health assessments.
  • Communicated scheduling information to customers and functioned as primary contact through install of all services.
  • Develop training materials for emergency preparedness educational opportunities throughout the TCH System.
  • Maintained account integrity through quality control and adherence to deadlines.
  • Monitored CHRC supervisory visits mandated by Dept.
  • Contributed to the Company vision of being the industry leader in customer service through quality, commitment, courtesy and teamwork.
  • Allocated customer rings on $12 million special optic fiber cable running through several eastern states.
  • Enter new temps in by entering their information in a form then sending it to HR.
  • Conduct Emergency Preparedness In-Services throughout the organization as requested and weekly at the New Employee Orientation.
  • Case Management work for chronic Mental Ill. assist in independent living Mental Ill residential apartments.
  • Call members to conduct Health Risk Assessment Evaluations (HRA's) upon new enrollment
  • Managed time period of which people were paid through while out of work.
  • Provided case management and education to patients with chronic disease processes.
  • Provided support, counseling and education through home and public health.
  • Worked 30 hrs a week while attending law school full-time.
  • Manage customer complaints and inquiries through phone calls and emails.
  • Identify and escalate quality of care issues through established channels.
  • Monitored and reported status on receivables through aging reports.
  • Followed thru to help deliver a great customer experience.
  • Processed Claims, Surveys and Price Sheets through Salesforce.com

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2 HR Jobs

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34. Hospice

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Here's how Hospice is used in Case Management Coordinator jobs:
  • Case Manager for 20 Hospice patients, many actively dying, as most of my cases were new referrals in SNF.
  • Discharge planning for patients with assistance from Social Services, including nursing home placements, home health, and hospice.
  • Developed working relationships with Home Health and Hospice companies to ensure continuity of care with shared clients.
  • Coordinate patient placements to LTAC, Home Health, Skilled nursing, Hospice and Behavioral Health.
  • Started as Case Manager with case load of members to manage hospice care.
  • Coordinated care of patients and their families with Hospice and Home Health.
  • Coordinate patient's discharge to SNFS, ACF, Hospice, Home Health & Psych facilities.
  • Set up patients with home healthcare and hospice services.

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35. Hipaa

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Here's how Hipaa is used in Case Management Coordinator jobs:
  • Develop and facilitate training related to accreditation standards; state, federal and local regulations, HIPAA and corporate compliance.
  • Have ability to work independently with diverse teams and confidentiality by following all HIPAA principles and practices of case management.
  • Explain and secure consent for all registration forms, HIPAA Privacy Rules, Patients' Rights and Responsibilities.
  • Provided HIPAA, Privacy Act, OIG Compliance training both locally and nationally for Indian Health Service.
  • Maintain both electronic and hard copy records of member information in compliance with HIPAA.
  • Ensured that all third party tools, applications and software met HIPAA compliance requirements.
  • Monitor and investigate potential HIPAA breaches; collaborate with Corporate Compliance Officer.
  • Maintain compliance with HIPAA rules and regulations.
  • Adhered to updated HIPAA and PHI regulations.
  • Provided for HIPAA compliancy training.

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36. Diabetes

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Here's how Diabetes is used in Case Management Coordinator jobs:
  • Maintained up-to-date registry of patients with diabetes, hypertension and other chronic disease as determined by Director of Quality Management.
  • Implemented disease management educational programs for BCBSMS subscribers to include diabetes and weight management.
  • Follow up with diabetic patients to assure they receive the standard checkups and are aware of diabetes complications.
  • Managed global expert engagements and country to country programs for Global Respiratory Franchise, Oncology and Diabetes.
  • Developed and implemented three Disease Management programs for Diabetes, Hypertension and Pediatric Asthma.
  • Provided education concerning, High blood pressure, Diabetes, and CVD, CHF.
  • Write and distribute quarterly newsletter, Diabetes Digest.
  • Educate patient on diabetes self-management skills.
  • Developed and facilitated classes discussing chronic disease such as hyperlipidemia, hypertension, diabetes.
  • Developed, gathered and maintained all statistical data on wellness prevention programs including Asthma, CHF, Diabetes and pre-natal programs.
  • Coordinate diabetes care with healthcare team, including medication management.

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37. Action Plans

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Here's how Action Plans is used in Case Management Coordinator jobs:
  • Prioritize and manage workforce management tasks, proactively identify performance impacting trends and develop action plans to correct.
  • Improved effectiveness of Incident Management and Change Management through targeted recommendations and action plans.
  • Provide directives and disciplinary/corrective action plans.
  • Worked with management to implement appropriate action plans to address these areas, and monitored effectiveness of those actions.
  • Designed, developed and implemented district's Crisis Response Action Plans and Business Continuity Plan.
  • Create responses and corrective action plans for areas of concern that are noted during audits.
  • Identified trends and developed action plans to correct and prevent denials.
  • Evaluated project outcomes and developed action plans to improve business results.
  • Developed action plans and support strategies for intense case resolution.
  • Make recommendations and action plans to achieve results.
  • Action plans and charges profile management.
  • Develop and monitor corrective action plans.
  • Facilitate the formulation of community action plans through community steering group meetings with CSWs, community members/leaders and health professionals.

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38. Process Improvement

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Here's how Process Improvement is used in Case Management Coordinator jobs:
  • Lead informal process improvement meeting between Chemical Management and Purchasing teams identifying issues between processes to work toward solutions.
  • Partnered with warehouse operations, quality control and process improvement departments to minimize corporate overhead and build shareholder value.
  • Process Improvement lead responsible for the elimination of organizational inefficiencies in current processes and procedures.
  • Investigated potential or adverse patient occurrences to determine root causes and provide effective process improvements.
  • Managed process improvement projects and consulted for information systems updates.
  • Participate in miscellaneous projects to generate process improvement.
  • Demonstrated a good working knowledge of the processes and procedures and the ability to identify and implement process improvement opportunities.
  • Hired for this position because of proven ability to innovate and establish process improvement ideas in my previous department.
  • Develop department goals for growth, process improvement, client satisfaction, and cost reducing measures.
  • Identify areas for process improvement.
  • Initiated and implemented efficiencies such as reducing refuse billing time by 50% through business process improvements in the billing office.
  • Identify and establish status accounting metrics, design workflows, and process improvements.
  • Attend weekly meetings in regards to new PCP information, analytics, and process improvement.

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39. CPT

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Here's how CPT is used in Case Management Coordinator jobs:
  • Developed and implemented Compliance Program and conducted education of staff at all levels utilizing ICD-9-CM, CPT and RBRVS.
  • Interpret complex inpatient and ambulatory contracts using CPT, HCPC, DRG, and ICD-9 coding.
  • Attached ICD-9 and CPT codes for medical billing.
  • Analyze claims and CPT codes on daily basis.
  • Validate ICD-9-CM, CPT, and HCPCS code assignments.
  • Familiarized with icd-9, cpt and drg coding.

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40. Service Delivery

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Here's how Service Delivery is used in Case Management Coordinator jobs:
  • Improved service delivery by making relevant information easily available, supporting faster, better informed decisions.
  • Conducted and participated in case conferences to identify and address gaps in service delivery.
  • Monitor individuals face to face monthly to ensure service delivery and satisfaction.
  • Conduct computer troubleshooting with agents to minimize errors in customer service delivery.
  • Investigate complaints and/or concerns about service delivery.
  • Worked across various applications to perform service delivery, error resolution, manual work activities to resolve technical and procedural issues.
  • Maintain the members comprehensive dental record, including documentation of activities performed as part of the service delivery process.
  • Directed staff of a mayoral task force on systems for community participation in service delivery.
  • Monitor and coordinate service delivery within consumers' network of care and support.
  • Received high marks for service delivery, documentation and court report timeliness.
  • Prioritize assignments and adjusts or adapts service delivery as needed.
  • Create and coordinate action plans to avoid reoccurrences and improve the continuity of the service delivery.

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1 Service Delivery Jobs

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41. HIV

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Here's how HIV is used in Case Management Coordinator jobs:
  • Designed and maintained data bases for software development and documentation archive library.
  • Reviewed and archives monthly safety documentation for all restaurants.
  • Recognized for implementation of automated HIV patient records system.
  • Provide long and short term needs assessment and direct service case management primarily to the Latino community living with HIV/AIDS.
  • Provided HIV intake, assessment and case management services in accordance with Washington state HIV medical case management standards.
  • Archive room: created a system to order and organize a set of disheveled archive rooms.
  • Supervised social work staff in the HIV/AIDS and Sickle Cell Case Management Programs.
  • Conduct intakes of eligible HIV positive patients for the NYCDOH Care Coordination program.
  • Coordinate educational and/or support programs for persons living with HIV in the community.
  • Assisted with tracking elevated lead cases, HIV and discharge planning.
  • Facilitate and oversee agency records destruction and/or transfer to State Archives.
  • Project Lead on Late Archival Project.
  • Assisted RN's with educating members about HTN, Diabetes, Asthma, COPD, CHF, Obesity, and HIV.
  • Provide services for individuals living with HIV/ AIDS, MICA Maintains up to date schedules to be presented at team meetings.
  • Provide Brief Intake, Comprehensive Assessment, referral, linkage and compressive support services to HIV clients.
  • Manage care for Disability waivers, Elderly waivers, HIV waivers and traumatic Brain Injuries.
  • Implemented Basware software for AP processing including matching, approving and archiving.
  • Conducted research and article reviews for development of HIV Program (e.g.
  • Initial screening (I.H.S) for pre-certification requests from providers and members through the HIV queue line.
  • Case Management Provided Individual and group counseling Conducted Assessments to determine eligibility for special services Conducted workshops in the community on HIV/AIDS

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42. Data Collection

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Here's how Data Collection is used in Case Management Coordinator jobs:
  • Complete projects requiring data collection, fact finding, analysis, and developing plans/recommendations to improve business process.
  • Developed and implemented partial interval data collection procedures for operationally defined behaviors.
  • Maintained and updated existing database ensuring confidentiality of all data collection.
  • Improved data collection accuracy and quality on reports.
  • Assist the Accreditation Manager with activities related to surveys including: document preparation, data collection, and internal auditing.
  • Participated in patient record utilization review, data collection, and surveys.
  • Provide data collection as per the Data Coordination and Consolidation Center (DCCC), SAMHSA/CSAP performance measures data reporting requirements.
  • Developed on-going monitoring of Risk components through data collection and use of various software programs.

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43. Daily Operations

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Here's how Daily Operations is used in Case Management Coordinator jobs:
  • Provided customers with thorough knowledge of program guidelines while resolving problems encountered during daily operations and determines appropriate solutions.
  • Managed the daily operations of fulfilling patient prescriptions issued by physicians or other authorized medical practitioners.
  • Direct supervision of 80 employees overseeing operations of critically ill patients and daily operations.
  • Maintain data-collection in all aspects of daily operations in preparation for quarterly reports to be presented to the board of education.
  • Assisted with inspection held by headquarters to insure compliance within daily operations, which resulted in overall excellence and stellar performer.
  • Managed daily operations of the CAMU including supervision of the CAMU foreman, equipment operators, and technicians.
  • Provide oversight of office management, the daily operations of hospital Case Management and Hospitalists program.
  • Coach and mentor service desk staff to ensure completeness and integrity of service calls to conduct daily operations.

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1 Daily Operations Jobs

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44. Medical Staff

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Here's how Medical Staff is used in Case Management Coordinator jobs:
  • Maintained communication between governing boards, medical staff, and department heads by attending board meetings and coordinating interdepartmental functioning.
  • Worked with members of the medical staff to ensure compliance with appropriate utilization of services and length of stay guidelines.
  • Analyzed and reported significant utilization trends, patterns, and impact to appropriate departmental and medical staff committees.
  • Work closely with the Vice President of Medical Staff Services to establish a credentialing plan for the practice/plan.
  • Conducted monitor chart audits related to preventive care and diabetes services and presented data to medical staff.
  • Reported monthly on results, trends and areas of risk to the Chief of Medical Staff.
  • Trained medical staff on proper coding of hospital charges, as well as implemented electronic charting.
  • Provided support for Medical Staff committees and Administration regarding quality issues and JCAHO standards.
  • Worked with members of the medical staff to ensure quality patient care.
  • Initiate and support medical staff in the medical peer review process.
  • Coordinate patient's admittance with Physician, Nursing Supervisor and medical staff
  • Collaborate with medical staff to assure continuum of care and resolve any quality of care issues.

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45. Technical Support

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low Demand
Here's how Technical Support is used in Case Management Coordinator jobs:
  • Provide customer service/technical support for any ATM issues or cardholder transactions.
  • Provided intermediate functional and technical support for stores and District Managers.
  • Provide technical support during software installation or configuration.
  • Assist in technical support of program; supervising, training, and providing guidance for administrative and technical staff.
  • Perform monthly trending analysis of all incidents and provide technical support and training to managers and staff.
  • Designed and conducted training for newly-hired staff, field case managers, and technical support staff.
  • Utilized technical support techniques on cellular phones and up sold current clients on new products.
  • Provide training and technical support to all faculty, staff and students.
  • Provide technical support (application, database and network) to end-users.
  • Provided functional and technical support on maximizing ADVENT AXYS software features.
  • Transfer the Incident to expert technical support groups.
  • Maintained daily 'inbox' of DSL order escalations from billing and technical support centers.
  • Manage cell workflow and production, along with providing technical support.
  • Answer Multi-phone line, transfer calls to technical support.
  • Assisted management in enforcing schedule compliance policies.Technical Support/Customer Service Team Leader Facilitated training sessions and performance coaching for support agents.
  • Provide on-going technical support for facility personnel to maintain performance, assist with problem-soving, and continued energy conservation.

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46. Medical Care

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low Demand
Here's how Medical Care is used in Case Management Coordinator jobs:
  • Exhibit patience and excellent customer service to incoming patients/families requiring medical care.
  • Discharge coordination; arrange follow up appointments, DME needs, ongoing medical care, discharge disposition, and education.
  • Conducted personal observations relative to the operation of the medical facility, compliance standards, and quality of medical care.
  • Coordinate medical care and appropriate medical testing with the employee, occupational health provider, and third-party administrator.
  • Review and develop policies and procedures to insure compliance with acceptable standards of quality medical care.
  • Verify enrollment in medical care, and confirm dates and times of next provider visits.
  • Facilitated and coordinate all aspects of the injured workers' medical care.

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47. Ensure Accuracy

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low Demand
Here's how Ensure Accuracy is used in Case Management Coordinator jobs:
  • Audited insurance contracts to ensure accuracy, compliance and completeness.
  • Reviewed and responded to SJCS report card from DDS to ensure accuracy in reporting.
  • Audit client accounts, services and financial records to ensure accuracy and consistency.
  • Review contract and validate services with customer to ensure accuracy.
  • Monitored variance reports to ensure accuracy in utility billing.
  • Proofread reports to ensure accuracy and quality of work product.

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48. Sharepoint

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low Demand
Here's how Sharepoint is used in Case Management Coordinator jobs:
  • Initiated use of BPA; a SharePoint Microsoft Project based application that is specifically designed for Quality Management.
  • Developed custom solutions for business needs of project teams by using SharePoint technology.
  • Generate accurate reports using Automated Notification Reporting tool and SharePoint site.
  • Coordinated development resources for initial design/release of branch SharePoint portal.
  • Managed permissions for users of databases in SharePoint
  • Update internal SharePoint site, compile Nielsen and IRI data for presentations and consumer data for account calls.
  • Designed, developed and maintained internal team MS SharePoint website in partnership with other team members.
  • Train the staff in utilizing the document management system with in SharePoint.
  • Maintained department distribution lists, Intranet site, and SharePoint site.
  • Presented SharePoint ideas and changes in SVP meeting.
  • Architected the knowledge management and collaboration strategy developed on SharePoint.
  • Completed SharePoint redesign simplification and re-launch to entire engineering group.
  • Meet with shipping management, communicate schedules and information though Sharepoint.
  • Used AS400LS, LPS, HomeSaver, HomeBase, Webtrack, Excel, Sharepoint.

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49. Incident Reports

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low Demand
Here's how Incident Reports is used in Case Management Coordinator jobs:
  • Project manager responsible for collecting, organizing and performing trend analysis on incident reports from all medical facilities on the peninsula.
  • Review all incident reports to ensure required information is provided and identify hazards which need corrective action.
  • Completed and reviewed all required incident reports and other required written documentation.
  • Logged incident reports and provide appropriate follow-up until closure.
  • Gathered information and filed incident reports to resolve incidents.
  • Created database for ongoing monitoring of incident reports.
  • Investigate Incident Reports, phone calls and medical device problems for possible Sentinel Event reporting to the state of Maine.
  • Keep incident reports on students and staff in relation to physical restraint, injuries and property damage.
  • Risk analysis and review of hospital incident reports to determine exposure and risk.
  • Ensured that all Incident Reports have been processed and as appropriate will be reviewed by the Human Rights Committee; 13.
  • Created summary reports to track, trend, and analyze incident reports on a quarterly basis (100+ reports/qtr).

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50. Clinical Staff

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low Demand
Here's how Clinical Staff is used in Case Management Coordinator jobs:
  • Conducted educational presentations on the Electronic Incident Reporting System to Administrative and clinical staff.
  • Evaluated previous requests and redirected when a different procedure was recommended by clinical staff.
  • Oriented clinical staff to integrated clinical database and outcomes initiates.
  • Supervised administrative and clinical staff.
  • Provide direct supervision and consultation to clinical staff, case managers, intake staff, mentors, and other assigned staff.
  • Implemented a system of Concurrent Documentation with clinical staff resulting in an increased clinical productivity of 15%.
  • Followed members under the direction of clinical staff to provide support and education.
  • Served as liaison between management, clinical staff and the community.
  • Provide technical and administrative support to clinical staff as needed.
  • Interact with Providers and Clinical Staff.
  • Supervised a multi-disciplinary clinical staff.
  • Provided essential training and mentorship for new clinical staff.

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Case Management Coordinator Jobs

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20 Most Common Skills For A Case Management Coordinator

Customer Service

11.3%

Data Entry

9.7%

Treatment Plans

9.3%

Mental Health Services

7.2%

Community Resources

7.1%

Social Workers

7.0%

Risk Management

6.1%

Crisis Intervention

5.7%

Providers

5.0%

Patient Care

4.9%

Medical Records

3.2%

Utilization Review

3.0%

Insurance Companies

2.9%

Management System

2.7%

Durable Medical Equipment

2.6%

CMS

2.6%

Management Department

2.6%

Substance Abuse

2.5%

Phone Calls

2.3%

Care Coordinator

2.2%
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Typical Skill-Sets Required For A Case Management Coordinator

Rank Skill
1 Customer Service 7.9%
2 Data Entry 6.8%
3 Treatment Plans 6.5%
4 Mental Health Services 5.0%
5 Community Resources 5.0%
6 Social Workers 4.9%
7 Risk Management 4.3%
8 Crisis Intervention 4.0%
9 Providers 3.5%
10 Patient Care 3.4%
11 Medical Records 2.2%
12 Utilization Review 2.1%
13 Insurance Companies 2.0%
14 Management System 1.9%
15 Durable Medical Equipment 1.8%
16 CMS 1.8%
17 Management Department 1.8%
18 Substance Abuse 1.7%
19 Phone Calls 1.6%
20 Care Coordinator 1.6%
21 Monthly Reports 1.4%
22 Ensure Compliance 1.4%
23 Special Projects 1.3%
24 RN 1.3%
25 Staff Members 1.3%
26 Fmla 1.1%
27 Service Plans 1.1%
28 Primary Care Services 1.1%
29 Osha 1.1%
30 Interqual 1.1%
31 Medical Necessity 1.1%
32 Powerpoint 1.0%
33 HR 1.0%
34 Hospice 1.0%
35 Hipaa 1.0%
36 Diabetes 1.0%
37 Action Plans 1.0%
38 Process Improvement 1.0%
39 CPT 0.9%
40 Service Delivery 0.9%
41 HIV 0.9%
42 Data Collection 0.9%
43 Daily Operations 0.8%
44 Medical Staff 0.8%
45 Technical Support 0.8%
46 Medical Care 0.8%
47 Ensure Accuracy 0.7%
48 Sharepoint 0.7%
49 Incident Reports 0.7%
50 Clinical Staff 0.7%
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12,497 Case Management Coordinator Jobs

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