2 clinic nurse medical case manager jobs found

Medical Case Manager - CT08GE We’re determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals – and to help others accomplish theirs, too. Join our team as we help shape the future.              Nurse Case Manager This fully remote role provides telephonic case management for injured workers. The Nurse Case Manager assesses, plans, and coordinates care to support recovery and timely return to work. Using clinical expertise, this role develops proactive strategies, collaborates with key stakeholders, and drives cost-effective medical and claim outcomes. Key Responsibilities Conduct comprehensive clinical assessments using telephonic interviews, medical records, and data from multiple sources, addressing complex conditions including co-morbidities and biopsychosocial factors Develop and implement individualized case management...

Overview The Director of Pharmacy is responsible for supporting the AVP of Medical Cost Containment in the implementation, process improvement, and optimization of clinical programs. The Director of Pharmacy will be responsible for analytic measurement and improvement of medical management of their assigned programs. These programs may include pharmacy and other associated operational processes and interventions. This role will achieve outcomes by focusing on analytics, clinical operations, and development of new programs to support organizational vision, and cost savings. Maintains a solid understanding of AmTrust’s mission, vision, and values. Upholds the standards of the AmTrust organization. Responsibilities Serve as a business owner for medical product management needs specific to pharmacy program and establishing key performance indicators, identifying opportunities, and driving business goals Manage a team of 8...