Aetna Nurse Case Manager

Collaborating For Care: Embedded case Managers, Extending ...
Collaborating for care: Embedded case managers, extending care management value . Randall Krakauer, MD, FACP, contact RN Case Manager • Groups with ~1,000 Aetna MA members are eligible for a full-time, • Post-acute and home care Aetna nurse case managers ... Retrieve Full Source

Anthem Care Management.......Julie Bietsch, RN - YouTube
Nurse Triage Call Procedures: Types of Difficult Anthem Blue Cross Blue Shield Vs. Aetna: Who is Better? - Duration: 5:54. Giangola Insurance 23,165 views. 5:54. Whats it like for an RN on her first day Case manager interview questions and answers - Duration: 4:44 ... View Video

Texas Long Term Disability Lawyer On Understanding Your ...
Texas long term disability lawyer Marc Whitehead, Who reviewed the evidence- for example an in house nurse, case manager or even a doctor hired as a consultant or non- medical reviewers. and Aetna follow this procedure. ... View Video

The Roles And Qualities Required Of A Case Manager
This care delivery method has created two new, significant roles for nurses - that of pivot nurse and that of case manager. The task is demanding for both nurses offering care to patients in the “The Roles and Qualities Required of a Case Manager”, ... Fetch Document

CASE MANAGEMENT Section 8 - Georgia | WellCare
CASE MANAGEMENT Section 8 Georgia Provider Handbook Disease Management Program Overview . nurse will conduct a comprehe. to fill any identified gaps or barriers to improve access . coordination of care . • Evaluation—A Case Manager, a registered professional ... View Full Source

AETNA BETTER HEALTH PREMIER PLAN
Better Health Premier Plan case manager will help manage your health care needs. Aetna Better Health Premier Plan may not cover the service or drug if you please call the Nurse Advice Call line: ... Return Doc

Comprehensive Maternity Management Program - Cigna
Through our Comprehensive Maternity Management program, CIGNA supports all our pregnant and pre-pregnant members, The maternity nurse case manager reaches out to Tracey within 24-48 hours and conducts an in-depth, high-risk maternity assessment. ... Doc Viewer

JOB DESCRIPTION Job Title: Utilization Management Nurse ...
JOB DESCRIPTION Job Title: Utilization Management Nurse Department: Utilization Management Reports to: Clinical Manager FLSA Status (Exempt/Non-Exempt): Non-Exempt Date: 08/26/2008 Purpose of the job: ... Doc Retrieval

AETNA BETTER HEALTH - Ldh.la.gov
Aetna Better Health, together with its affiliates We have arrangements with physicians and nurse practitioners who make home visits to individual the primary case manager and recipient work together to develop a care plan and the case manager ... Access Doc

Case Management Procedure Manual
Case Management Manual Chapter One: Referral to Decision on Case Opening This 2013 case procedures manual update to an electronic format accommodates “live” please contact your State CCS Program office administrative or nurse consultant. ii This page left intentionally blank . ... Fetch Document

Disease Management Programs & Clinical Practice Guidelines
Registered nurse case manager throughout the program. Risk Assessment — When the plan is notified of a subscriber’s Clinical Practice Guidelines (CPGs) are available for asthma, attention deficit/hyperactivity disorder, cardiovascular. ... Fetch This Document

Case Management - Wikipedia
Case management is the coordination of services on behalf of an individual person who may be considered a case in different settings such as health care, nursing, rehabilitation, social work, disability insurance, employment, and law. Case management may refer to: Case management (mental health), a specific approach for the coordination of ... Read Article

Aetna OfficeLink Updates MidAmerica Region - Center Care
Policy and coding updates Aetna OfficeLink Updates • Aetna Health Connections SM case management program assigns a nurse case manager to work with you and your patient to help them get well and stay healthy. ... Read Here

Aetna Medicare Advantage PPO
The Aetna Medicare Advantage plan is a Preferred Provider Organization (PPO) plan. You can use Carole, an Aetna nurse case manager, helped Barbara understand her health plan coverage and get the medical equipment she needed for her recovery. ... Doc Retrieval

CASE MANAGER SPECIFIC COMPETENCIES
CASE MANAGER SPECIFIC COMPETENCIES ©2004QFHC, Inc. Disclaimer about this document http //bphc.hrsa.gov/technicalassistance/resourcecenter/disclaimers.html ... Document Retrieval

Care Management Institute Guidelines
Care Management Institute Guidelines Table of Contents Registered Nurse Certified Case Manager (CCM) requirement The care manager case-load is dependent on the practice setting and the type of population served. ... Fetch Full Source

Disease Management (health) - Wikipedia
Phase I of the project involved disease management companies (such as Aetna Health Management, better management of blood pressure and cholesterol) if they received nurse-led disease management instead of usual care. Disease management: a guide for case managers. St. ... Read Article

WCC Registered Nurse Case Managers 7/19/2018
Mary mullins g2865‐2018 2021 aetna listing of registered nurse case managers revised by rbrown 7/19/2018 page 1. first name last name wcc number ... Retrieve Content

A Comprehensive Case Management Program To Improve Access To ...
Access to Palliative Care . Aetna’s Compassionate Care. SM management teams – nurse case managers, social workers and delivered by the Aetna’s Medicare Case Management program. The 2008 survey included members who had ... View This Document

Health Maintenance Organization - Wikipedia
In the United States, a health maintenance organization In either case, the HMO takes a greater level of involvement in the patient's care, assigning a case manager to the patient or a group of patients to ensure that no two providers provide overlapping care, ... Read Article

Complex Care Management Toolkit - Calquality.org
Fit in your organization, as it relates to other efforts for population, disease or case management. caseload of the care manager over time, starting off with recruitment phone calls, transitioning to intake visits and assessments, ... Access Doc

Case Management For High-Cost Medicare Beneficiaries
We estimated the effects of three Health Care Financing Administration (HCFA)-funded case management demonstrations for high-cost Medicare beneficiaries in the ... Visit Document