- Carnival Cruise Line (Miami, FL)
- …empathy. + Review clinical care plans for appropriateness and support the case management team in decision-making. + Oversee care coordination for referred ... the attention of risk management and the case management (MD), clinical governance,...bonus program, while sales roles have an incentive plan. Director and above roles may also be eligible to… more
- Mount Sinai Health System (New York, NY)
- …other clinicians to expedite diagnostic testing, treatment and consultations. d. Documents all clinical reviews in Case Management Documentation system. e. ... **Job Description** **RN/ Case Manager MSH Case Management...(ELOS). The CM works collaboratively with physicians, social workers, clinical nurses, home care services, and other members of… more
- RiseBoro Homecare Inc. (Brooklyn, NY)
- …for providing day-to-day support, leadership, and general supervision to Therapists and Case Managers. The FFT Director is responsible for maintaining adherence ... clinical interventions to young adults and families. The Director will assist in the overall functioning of the...checking email, etc. + Assign cases to Therapists and Case Managers + Monitor, review, and approve all written… more
- Mount Sinai Health System (Long Island City, NY)
- …and workload within each department. Directs, coaches, mentors and assesses staff in clinical case management service delivery. 2.Ensures departments achieve ... **Job Description** The Director will direct and manage departmental activities involved...field **Experience Requirements** 5 years of Case Management and 6 years of clinical nurse… more
- Children's Mercy Kansas City (Kansas City, MO)
- …for providing leadership, strategic planning, and oversight of daily operations of the case management department which includes utilization management , care ... The position will ensure consistency in workflows, documentation, quality and outcomes for case management across the health system. At Children's Mercy, we are… more
- UTMB Health (Friendswood, TX)
- …optimal quality, cost, and service/outcomes. Supports and actualizes the UTMB Utilization Review/ Case Management program by utilizing clinical knowledge, ... inappropriate resource utilization to Director and/or Assistant Director of Utilization Review/ Case Management ....with clinical issues for non-nursing Utilization Review Case Management staff. + Contributes to the… more
- Elevance Health (Winston Salem, NC)
- …considered. The **Medical Director ** will be responsible for utilization review case management for North Carolina Medicaid. May be responsible for ... **Utilization Management Medical Director - NC Medicaid** Location:...with providers and external physicians. + May conduct peer-to-peer clinical appeal case reviews with attending physicians… more
- The County of Los Angeles (Los Angeles, CA)
- …case management services is defined as:development, implementation, and/or evaluation of clinical or case management services or direct supervision of ... DIRECTOR , CARE TRANSITIONS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/5031132) Apply ... clinical or case management staff in a comprehensive health… more
- Elevance Health (Metairie, LA)
- … clinical expertise in all aspects of utilization review and case management . Provides input on the clinical relevance to account reporting regarding use ... medical director is directly involved in Utilization Management and Case Management . +...used for operational reviews. + Leading multidisciplinary rounds for case management /complex clinical … more
- Humana (Lansing, MI)
- …with the Chief Medical Officer, Quality Improvement Director , Utilization Director , Population Health Management Director and National Medicaid ... management /coordination within Humana's population health strategy, education, utilization management , and quality improvement activities for the clinical...LTSS Care Management Director to oversee the processing of LTSS utilization … more