9,547 Patient Management jobs in the United States
Patient Care Management Coordinator
Posted 5 days ago
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Job Description
This .8 position supports the inpatient peds units at Masonic Children's Hospital. The Patient Care Management Coordinator provides comprehensive care coordination of patients as assigned. The care coordinator assesses the patient's plan of care and develops, implements, monitors, and documents the utilization of resources and progress of the patient through their care, facilitating options and services to meet the patient's health care needs. The intensity of care coordination provided is situational and appropriate based on patient need and payer requirements. This position is accountable for the quality of clinical services delivered by both them and others and identifies/resolves barriers which may hinder effective patient care. This position has responsibility to determine how to best accomplish functions within established procedures, consulting with leader on any unusual situations. Internal customers include all levels of nursing management and staff, medical staff, and all other members of the interdisciplinary health care team. External customers include physicians and their office staff, payers, community agencies, provider networks, and regulatory agencies.
**Responsibilities**
+ Manages patients across the health care continuum to achieve the optimal clinical, financial, operational, and satisfaction outcomes.
+ Acts as one point of contact for patients, physicians, and care providers throughout the patient's hospitalization.
+ Initiates/implements transition functions and activities for patients communicating with patients, families, and the health care team to ensure seamless transitions.
+ Assesses patient admissions and continued stay utilizing evidence-based criteria.
+ Contributes to the development and implementation of individualized patient care plans.
+ Collaborates with health care team partners and patients/family to manage the patient discharge plan.
+ Effectively communicates the plan across the continuum of care.
+ Assist in the development and implementation of process improvement activities to achieve optimal clinical, financial and satisfaction outcomes.
+ Enables efficiency in care by identifying and reducing delays, ensuring appropriate level of care, facilitating length of stay reductions, and identifying resources to promote a safe and effective discharge.
+ Collects data and other information required by payers to fulfill utilization and regulatory requirements.
+ Identify and communicate, to appropriate leader, all issues related to case escalation.
+ Establishes a collaborative relationship with physicians, medical directors, nurses and other unit staff, and payers.
+ Demonstrates effective communication by being a critical link with attending and consulting physicians and all health care team members and payers. Facilitates resolution to any identified issues.
+ Mentors internal members of the health care team on case management and managed care concepts.
+ Understands and focuses on key performance indicators.
+ Actively tracks outcomes and participates in quality planning.
+ Facilitates integration of concepts into daily practice.
**Required Qualifications**
+ Bachelors Degree in Nursing
+ 1 year RN experience
+ Registered Nurse
**Preferred Qualifications**
+ Case Management Nurse
+ Basic Life Support (American Heart Assoc, Red Cross)
**Benefit Overview**
Fairview offers a generous benefit package including but not limited to medical, dental, vision plans, life insurance, short-term and long-term disability insurance, PTO and Sick and Safe Time, tuition reimbursement, retirement, early access to earned wages, and more! Please follow this link for additional information: Disclaimer**
The posted pay range is for a 40-hour workweek (1.0 FTE). The actual rate of pay offered within this range may depend on several factors, such as FTE, skills, knowledge, relevant education, experience, and market conditions. Additionally, our organization values pay equity and considers the internal equity of our team when making any offer. Hiring at the maximum of the range is not typical. If your role is eligible for a sign-on bonus, the bonus program that is approved and in place at the time of offer, is what will be honored.
**EEO Statement**
EEO/Vet/Disabled: All qualified applicants will receive consideration without regard to any lawfully protected status
Epic Patient Access Management Consultant

Posted 1 day ago
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Job Description
Join our team as the expert you are now and create your future.
At Huron, we empower healthcare organizations to elevate their digital strategies and achieve measurable clinical and financial improvements. As a Management Consultant, you will work with a team of technical and project management consultant to support integrated initiatives that optimize Epic systems, driving sustainable, enterprise-wide transformation.
You'll collaborate with cross-functional teams and client stakeholders to deliver innovative, data-driven solutions that address complex digital challenges. Your role will be pivotal in aligning Epic capabilities, enhancing interoperability, streamlining workflows, and improving patient outcomes.
In this position, you'll cultivate trusted client relationships, mentor team members, and foster a culture of inclusion and collaboration. If you're passionate about leveraging Epic to create lasting impact and thrive in a dynamic, purpose-driven environment, Huron offers a rewarding path forward.
As the Epic Patient Access Management Consultant, you will:
+ Partner with healthcare clients and stakeholders to deliver innovative, customized technical solutions ensuring alignment with strategic goals and regulatory requirements
+ Collaborate with cross-functional teams to integrate technical solutions impacting effective use of Epic systems
+ Provide insights on workflow design, upgrades, system changes and ongoing maintenance
+ Identify opportunities for system optimization and enhancements
+ Facilitate meetings effectively and efficiently with stakeholders of all levels through the development of clear agendas and objectives, documenting notes and ensuring follow-ups are tracked and completed
Requirements:
+ Bachelor's degree required or equivalent work experience
+ Current Epic Certification in Prelude, Cadence, Grand Central and/or Referrals with extensive knowledge of its products and solutions
+ 5+ years of Epic experience providing Epic consulting in hospitals and healthcare systems
+ Project management and experience with Epic implementations
+ Current permanent U.S. Work authorization required
+ Willingness to travel to client sites as needed
**Position Level**
Manager
**Country**
United States of America
At Huron, we're redefining what a consulting organization can be. We go beyond advice to deliver results that last. We inherit our client's challenges as if they were our own. We help them transform for the future. We advocate. We make a difference. And we intelligently, passionately, relentlessly do great work.together.
Are you the kind of person who stands ready to jump in, roll up your sleeves and transform ideas into action? Then come discover Huron.
Whether you have years of experience or come right out of college, we invite you to explore our many opportunities. Find out how you can use your talents and develop your skills to make an impact immediately. Learn about how our culture and values provide you with the kind of environment that invites new ideas and innovation. Come see how we collaborate with each other in a culture of learning, coaching, diversity and inclusion. And hear about our unwavering commitment to make a difference in partnership with our clients, shareholders, communities and colleagues.
Huron Consulting Group offers a competitive compensation and benefits package including medical, dental, and vision coverage to employees and dependents; a 401(k) plan with a generous employer match; an employee stock purchase plan; a generous Paid Time Off policy; and paid parental leave and adoption assistance. Our Wellness Program supports employee total well-being by providing free annual health screenings and coaching, bank at work, and on-site workshops, as well as ongoing programs recognizing major events in the lives of our employees throughout the year. All benefits and programs are subject to applicable eligibility requirements.
Huron is fully committed to providing equal employment opportunity to job applicants and employees in recruitment, hiring, employment, compensation, benefits, promotions, transfers, training, and all other terms and conditions of employment. Huron will not discriminate on the basis of age, race, color, gender, marital status, sexual orientation, gender identity, pregnancy, national origin, religion, veteran status, physical or mental disability, genetic information, creed, citizenship or any other status protected by laws or regulations in the locations where we do business. We endeavor to maintain a drug-free workplace.
Patient Navigator- Care Management ( Full-time/ Day)

Posted 15 days ago
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Job Description
Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines.
Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work?
Location: **Parkersburg, PA ( Gap + Chester region)**
Hours: 8 am - 4:30 pm ( Mon - Fri), no weekends/holidays
+ Position Summary: The Patient Navigator PN will be an integral member of the Care Management multi-disciplinary outreach team. Together with Care Managers, Social Workers and providers, the PN will assist in care plan development and implementation, provide advocacy to patients, help develop care management strategy for enrolled patients and help create linkages for the various health and social needs of patients. The Patient Navigator will be the direct contact for patients enrolled in the program and will help provide the coaching necessary for identified patients to achieve success in implementing and achieving their healthcare goals.
Qualified individuals must have the ability with or without reasonable accommodation to perform the following duties:
+ Works under the direction of the Care Manager; determines plans for care management; coordinates care plans and completes tasks as necessary to complete social behavioral care plan goals. Tasks may include, but are not limited to:
+ - Coordination of public assistance entitlements
+ - Coordination of behavioral health services
+ - Accompanying patients to appointments as needed
+ - Arranging referrals to any additional services e.g. supportive housing programs, legal aid, etc.
+ - Assists patients in learning medication adherence systems, as well as conducting medication reconciliations as appropriate
+ Acts as a liaison between the Emergency Department, specialists, community resources and managed care insurance plans on behalf of enrolled patients to ensure patient-centered coordination of care.
+ Attend meetings run by community organizations as deemed necessary
+ Attend continuing education classes or conferences as deemed necessary
+ Other duties as assigned.
Keys to success:
+ Team-oriented
+ Engaging
+ Self-started, independent
+ High level of organization
+ Prior acute hospital experience or ambulatory practice experience
+ Prior experience with patient home visits
Minimum Required Qualifications:
+ High School Diploma or General Equivalency Degree GED with at least one year of experience in the social services and or medical field or as a former high-risk patient who successfully transformed their health, in conjunction with healthcare providers, utilizing education and controlled preventative measures.
+ Valid Pennsylvania Driver's License; must have daily access to an insured automobile.
+ Ability to travel to multiple office locations and into patient homes.
+ Mileage reimbursement offered
Responsibilities:
+ Proficient understanding of medical terminology, case management and or outreach services.
+ Exceptional organizational and interpersonal skills, with attention to detail required; strong oral written communication skills is a must
+ Ability to work collaboratively in a team, manage multiple priorities, utilize effective time management skills, and exercise sound administrative and clinical judgment.
+ Demonstrated ability to work well with people of various ages, backgrounds, ethnicities, and life experiences.
Education or Equivalent Experience:
+ H.S. Diploma/GED (Required)
We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives.
Live Your Life's Work
We are an Equal Opportunity employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law.
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Case Manager I, MSW - Patient Case Management
Posted 1 day ago
Job Viewed
Job Description
Responsible for providing patient case management services to assigned populations. They use a collaborative interdisciplinary approach to anticipate, integrate, and coordinate the patient's care plan, discharge plan, and reentry into the community. The primary goal is to meet patients' needs to optimize clinical and resource outcomes while monitoring the plan's effectiveness. In collaboration with the clinical team, identifies patients who would benefit from case management services. They perform assessments to identify patient needs and barriers, assisting in the development of the care plan. Acting as a patient and family advocate, serves as a communication link between the physician, patient, family, healthcare team, community resources, and payers to reduce redundancy and fragmentation of care. They anticipate potential delays in the healthcare process and proactively work to avoid these delays. Ensures that patients are provided with the most appropriate level of care at discharge while coordinating a smooth transition based on patient choice and availability.
Department Description
Serving the community since 1961, WakeMed Health & Hospitals is the leading provider of health services in Wake County. With a mission to improve the health and well-being of our community, we are committed to providing outstanding and compassionate care. For more information, visit .
EOE
Licensure
Not Applicable
Education
Master's Degree Social Work Required
Experience
No Experience Required
Case Manager I, RN - Patient Case Management
Posted 8 days ago
Job Viewed
Job Description
Responsible for providing patient case management services to assigned populations. They use a collaborative interdisciplinary approach to anticipate, integrate, and coordinate the patient's care plan, discharge plan, and reentry into the community. The primary goal is to meet patients' needs to optimize clinical and resource outcomes while monitoring the plan's effectiveness. In collaboration with the clinical team, identifies patients who would benefit from case management services. They perform assessments to identify patient needs and barriers, assisting in the development of the care plan. Acting as a patient and family advocate, serves as a communication link between the physician, patient, family, healthcare team, community resources, and payers to reduce redundancy and fragmentation of care. They anticipate potential delays in the healthcare process and proactively work to avoid these delays. Ensures that patients are provided with the most appropriate level of care at discharge while coordinating a smooth transition based on patient choice and availability.
Department Description
Serving the community since 1961, WakeMed Health & Hospitals is the leading provider of health services in Wake County. With a mission to improve the health and well-being of our community, we are committed to providing outstanding and compassionate care. For more information, visit .
EOE
Licensure
Registered Nurse Required
Education
Bachelor's Degree Nursing Required
Experience
No Experience Required
Case Manager I, RN - Patient Case Management
Posted 17 days ago
Job Viewed
Job Description
Responsible for providing patient case management services to assigned populations. They use a collaborative interdisciplinary approach to anticipate, integrate, and coordinate the patient's care plan, discharge plan, and reentry into the community. The primary goal is to meet patients' needs to optimize clinical and resource outcomes while monitoring the plan's effectiveness. In collaboration with the clinical team, identifies patients who would benefit from case management services. They perform assessments to identify patient needs and barriers, assisting in the development of the care plan. Acting as a patient and family advocate, serves as a communication link between the physician, patient, family, healthcare team, community resources, and payers to reduce redundancy and fragmentation of care. They anticipate potential delays in the healthcare process and proactively work to avoid these delays. Ensures that patients are provided with the most appropriate level of care at discharge while coordinating a smooth transition based on patient choice and availability.
Department Description
Serving the community since 1961, WakeMed Health & Hospitals is the leading provider of health services in Wake County. With a mission to improve the health and well-being of our community, we are committed to providing outstanding and compassionate care. For more information, visit .
EOE
Licensure
Registered Nurse Required
Education
Bachelor's Degree Nursing Required
Experience
No Experience Required
Case Manager I, MSW - Patient Case Management
Posted 17 days ago
Job Viewed
Job Description
Responsible for providing patient case management services to assigned populations. They use a collaborative interdisciplinary approach to anticipate, integrate, and coordinate the patient's care plan, discharge plan, and reentry into the community. The primary goal is to meet patients' needs to optimize clinical and resource outcomes while monitoring the plan's effectiveness. In collaboration with the clinical team, identifies patients who would benefit from case management services. They perform assessments to identify patient needs and barriers, assisting in the development of the care plan. Acting as a patient and family advocate, serves as a communication link between the physician, patient, family, healthcare team, community resources, and payers to reduce redundancy and fragmentation of care. They anticipate potential delays in the healthcare process and proactively work to avoid these delays. Ensures that patients are provided with the most appropriate level of care at discharge while coordinating a smooth transition based on patient choice and availability.
Department Description
Serving the community since 1961, WakeMed Health & Hospitals is the leading provider of health services in Wake County. With a mission to improve the health and well-being of our community, we are committed to providing outstanding and compassionate care. For more information, visit .
EOE
Licensure
Not Applicable
Education
Master's Degree Social Work Required
Experience
No Experience Required
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Director, Risk Management & Patient Safety
Posted 23 days ago
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Job Description
Job Summary:
The Director, Risk Management & Patient Safety reports to the General Counsel and works closely with the Medical Staff, Nursing and Ancillary leadership to provide expertise, oversight and leadership of Enterprise Risk Management (ERM) and patient safety according to the goals as set by the organization. Provides leadership and influence with the development, planning, coordination and administration of a systematic risk management and patient safety program designed to promote high reliability, culture of safety and reduce organizational risk and injury. Analyzes clinical risk management data and develops and conducts clinical risk educational programs in compliance with clinical risk management related standards established by DNV, CDPH and other regulatory agencies. Oversees Enterprise Risk Management program and analysis. Supports change through promoting patient safety, enhancing quality care and minimizing loss to protect the assets of the organization. Supports process improvement with multidisciplinary teams to achieve the organization’s mission and vision and values for the highest level of safety and efficient patient care.
EXPERIENCE/QUALIFICATIONS:
- 5-7 years nursing experience in a hospital or clinical environment and 1-3 years progressive healthcare leadership in nursing or other related field required.
- 5-10 years Risk Management and/or Patient Safety experience required.
- Knowledge and experience with risk management principles, patient safety, lean and quality management-performance improvement methods required.
- Ability to effectively utilize a variety of computerized software applications including Excel, Word, etc.
- Excellent communication skills accompanied by the ability to analyze and present data to influence behavior, stimulate innovation, promote best practices and drive organizational change.
EDUCATION:
- BSN degree in Nursing required
- JD Required
LICENSURES/CERTIFICATION:
- Current licensure with the California Board of Registered Nursing required
- CPHRM or equivalent certification preferred.
- Must successfully complete and maintain LA City Fire Card certification at the time of hire or within the first 30 days of employment
DUTIES AND RESPONSIBILITIES:
- Develops and manages an effective risk management (RM) and patient safety (PS) program for hospital operations, departments and services; and utilizes a high degree of judgement, prioritization, problem solving, and decision-making to complete a comprehensive review of quality-of-care incidents.
- Evaluates potential and/or actual patient harm clinical incidents to ensure a multi-disciplinary, risk-based approach is taken to effectively learn from unanticipated outcomes, patient safety events, sentinel events, and medical errors; and leads the root cause analyses (RCA) process to identify opportunities for improvement and eliminate deficiencies that may adversely affect patients, visitors and employees; conducts Failure, Mode, Effects Analysis (FMEA); deploys lean tools to streamline processes; and collaborates with Safety, EOC and Emergency Management on hazard vulnerability assessments.
- Develops and revises RM, PS and other organizational plans, policies and procedure process when needed and as requested.
- Recommend and facilitate change within the organization to improve patient safety based on identified risks.
- Functions as organizational Patient Safety Officer.
- Leads the claims management function; partners with outside counsel and third-party administrators for claims reviews, discovery and coordinates interviews, site visits and depositions and to provide clinical knowledge and assistance throughout the litigations process; and attendance at depositions, mediation and trials may be required.
- Works with Patient Financial Services (PFS) team regarding billing procedures on pertinent patient incidents and General Counsel to recommend write-off or discount charges deemed necessary to proactively mitigate claim potential.
- Maintains regulatory knowledge specific to EMTALA, consents, restraint use, CDPH-reportable adverse events, and other Federal and State patient safety requirements, programs and/or initiatives; and provides education to the organization regarding regulations.
- Responds to state inspections and regulatory audits and reviews.
- Owns the analysis and investigation of incident reports and maintains oversight of the incident reporting system. Performs statistical analysis and creates reports on trending of events and leads the proactive assessment and develops mitigation and sustainable strategies for clinical risk vulnerabilities.
- Reports trended data and mitigation actions to the appropriate committees, departments and individuals.
- Educates and assists other managers and directors in proactively assessing their areas of responsibility for exposures to loss and unsafe processes and conditions.
- Leads timely investigation, communication and documentation of errors or serious events in accordance with legal requirements and/or accreditation standards.
- Conducts annual proactive risk assessments to identify opportunities to improve reliability in processes and reduce risk and provides education to the Board of Directors and the Quality & Patient Safety Committee of the Board.
- Coordinates Enterprise Risk Management orientation and continuing education and training programs for providers, management and staff to enhance awareness of their role in high reliability, just culture, patient safety, risk reduction and event reporting.
- Participates in Patient Safety Teams and other committees as needed to communicate findings, recommendations, actions and results.
- Provides clinical risk management information on medical and allied health staff to Medical Staff Services for use in the reappointment and/or credentialing process.
- Manages and responds to patient complaints and grievances.
- Collaborates with Quality Department staff in matters related to regulatory compliance, policy planning and implementation.
- Stays abreast of health care risk management and patient safety related legislation, guidelines and/or accreditation standards and advises the organization on developments which may affect patient safety and ERM.
- Assesses the ongoing culture of safety and leads actions to strengthen the culture.
- Demonstrates excellent communication/interpersonal skills; ability to problem solve, analyze situation, think critically, give constructive feedback and supervise and team with other.
- Reviews and meets ongoing competency requirements of the role to maintain the skills, knowledge and abilities to perform, within scope, role specific functions.
- Any other risk management and patient safety related duties as may be assigned from time to time by the General Counsel.
$74.54 to $93.55 per hour < /p>
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