- AccentCare, Inc. (Middlebury, CT)
- …admissions, and interdisciplinary meetings; manage care and scheduling using the Case Management model when serving as Care Manager + Supervise and support ... internal and external partners, ensuring timely updates, interventions, and resource utilization + Provide patient and caregiver education, document care accurately,… more
- AmeriHealth Caritas (Philadelphia, PA)
- …it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other ... + Documents date that the request was received, nature of request, utilization determination (and events leading up to the determination). + Utilize technology… more
- Wheeler Clinic (Hartford, CT)
- …The PROUD (Parents Recovering from Opioid Use Disorder) Clinician provides clinical and case management services for adults ages 18+ in an integrated health ... treatment. Provides guidance and crisis support to staff. Works with program manager or designee to develop, monitor, and analyze clinical and program performance… more
- Elevance Health (Waukesha, WI)
- …with state regulators. **How you will make an impact:** + Supports the Medical Management staff to ensure timely and consistent responses to members and providers. + ... with providers and external physicians. + May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers to discuss… more
- KPH Healthcare Services, Inc. (Hoffman Estates, IL)
- …activities, educational programs and departmental/branch meetings. + Drives the Primary Case Management Model (PCMM) in daily interactions through the ... **Overview** **Job Summary:** Under the supervision of the pharmacy manager and/or pharmacy supervisor, performs all duties necessary to provide for the efficient… more
- Manchester Center for Rehabilitation and Healing (Manchester, TN)
- …regulations and guidelines that govern the process + Acts as an in-house Case Manager demonstrating detailed knowledge of residents health status, critical ... appropriate follow-up action is taken + Facilitates the Care Management Process engaging the resident, IDT and family in...basis + Responsible for timely and accurate completion of Utilization Review and Triple Check + Serves on, participates… more
- RTX Corporation (Aguadilla, PR)
- …requirements definition, requirement allocation, requirement traceability, use case development for software/hardware, systems integration, verification testing ... engineers, Technical Project Engineers (PEs), Product Line / Program Management , software, hardware, electrical and support staff to assure...2 days remote following the schedule assigned by the Manager . **What YOU will do:** + Define and review… more
- J&J Family of Companies (Santa Clara, CA)
- …looking for a Head of US Clinical Sales, OTTAVA, reporting to the General Manager , OTTAVA US, who can build capital selling capabilities while leveraging the breadth ... goals with the new technology and overall customer satisfaction driving higher customer utilization rates. * Must develop and maintain expert level knowledge of all… more
- Queen's Health System (Honolulu, HI)
- …nursing and rehabilitation concepts. Other key responsibilities include patient/family education, utilization management , and coordination of care and discharge ... planning. * Serves as a case manager and supervises home health aides. * Performs duties in accordance with policies and procedures as established by the agency.… more
- Stanford Health Care (Palo Alto, CA)
- …area. + Knowledge of basic business aspects of position, such as utilization management , charging practices and regulatory practice compliance. + Knowledge ... for mentorship, education and skill enhancement o Frequent inservices, case studies and journal clubs for continued learning o...meeting those needs. + With the support of the manager , may initiate clinical research within area of clinical… more