- UnityPoint Health (Des Moines, IA)
- …Care report. + Ensure verbal communication with the ambulatory / cross continuum care manager regarding patients who have moderate or red vulnerability at ... multiple service needs, promotes continuity through elimination of fragmentation of care /service and facilitates the effective utilization of resources. Serves… more
- Blue KC (Workman, MN)
- …and internal associates and articulates the value of Blue KC's approach to managing care delivery to the employer groups. + Serves as a key subject matter expert ... and regularly attends client meetings (with benefits managers and executives) to review health outcomes and cost information. + Actively monitors care … more
- Northwell Health (Plainview, NY)
- …- planning, assessing, implementing and evaluating patient in collaboration with the health care team. + Conducts chart review for appropriateness of admission ... the patient and facility/physician. Ensures a continuum of quality patient care throughout hospitalization and oversees provisions for patient's discharge. Assesses,… more
- Nuvance Health (Carmel, NY)
- …experience in an acute care setting; Leadership experience preferred; Utilization review , discharge planning or case management experience preferred. ... in New York - plus multiple primary and specialty care physician practices locations, including The Heart Center, a...including The Heart Center, a leading provider of cardiology care . Non-acute care is offered through various… more
- Fresenius Medical Center (East Hartford, CT)
- …of their clinical and operational processes to impact patient centered care resulting in improved patient outcomes and satisfaction and decreased morbidity ... barriers to quality improvement. This includes promoting the adoption and utilization of Corporate Medical Advisory Board Recommended Algorithms and Standing Orders,… more
- Leonardo DRS, Inc. (Melbourne, FL)
- …proposal preparations including: bid/no-bid requirements; cost estimating; pricing; RFP review ; risk mitigation; and negotiation + Understand source selection ... proposal preparations including: bid/no-bid requirements; cost estimating; pricing; RFP review ; risk mitigation; and negotiation + Understand source selection… more
- KPH Healthcare Services, Inc. (Hoffman Estates, IL)
- …nurses and physicians in all clinical activities as required, including start of care prospective review of medical and drug histories, pharmacokinetic dosing, ... policies as it relates to the provision of the highest quality health care service to our patients. **Responsibilities** **Job Duties:** + Responsible for AristaCare… more
- Highmark Health (Harrisburg, PA)
- …established industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create ... member needs and/or triaging members to appropriate resources for additional support. + Implement care management review processes that are consistent with… more
- Hartford HealthCare (Manchester, CT)
- …Manchester Region serves a region of 300,000 people in 19 towns. POSITION SUMMARY: The Utilization Review Case Manager (UR CM) works in collaboration with ... acute- care setting. * Minimum of 1 year Utilization Review experience preferred via industry clinical...and status on all patients through collaboration with Case Manager . * Demonstrates thorough knowledge in the application of… more
- Sharp HealthCare (La Mesa, CA)
- …requires the ability to combine clinical/quality considerations with regulatory/financial/ utilization review demands to assure patients are receiving care in ... level of care ; work closely with ambulatory care manager (ACM) at the system level,...provides information to the department head as indicated. + Utilization review and utilization managementThe… more