- Rochester Regional Health (Rochester, NY)
- …savings reduction opportunities. *Gathers benchmarking data to highlight opportunities. *Utilizes case volume to estimate utilization . *Verifies spend data with ... SUMMARY The Supply Chain Professional is responsible for strategic sourcing management across varied commodities system wide. STATUS: Full Time LOCATION: Riedman… more
- Gilead Sciences, Inc. (Foster City, CA)
- …utilization . + Demonstrated practical and technical experience in business case development, planning, implementation, operation, and management of digital ... problems + Demonstrated excellence in delivering skilled communications around change management that build system adherence + Demonstrated excellence in building… more
- Cedars-Sinai (CA)
- …You Will be Doing** The Case Manager is responsible for the case management of patient while hospitalized and upon discharge from various care settings. ... collaboration with the Inpatient Specialty Program (ISP) hospitalists, the Case Manager will assist patients from the...of all injured worker cases receiving case management services. + Ensures appropriate utilization of… 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 ... to patients, nurses and physicians as required regarding the contents, utilization , therapeutic actions, possible adverse reactions, or interactions of drugs. +… more
- Deloitte (Washington, DC)
- …multiple engagements and priorities simultaneously, ensuring efficient and effective project management and resource utilization . + The Team Deloitte Tax's ... role and compensation decisions are dependent on the facts and circumstances of each case . A reasonable estimate of the current range is $146,510 to $272,090. You… more
- UNC Health Care (Rocky Mount, NC)
- …discharge planning priorities. 2. Assist in Facilitating Discharge Planning. 3. Assist in Utilization Management Process. 4. Complete FL2 for Long Term Care and ... Notice, assisting in facilitating discharge planning, and assisting in utilization management processes. 7. Performs other duties...Hospitals Entity: Nash UNC Health Care Organization Unit: NGH Case Management Work Type: Full Time Standard… more
- CVS Health (Springfield, IL)
- …meet the requirements of the position **Preferred Qualifications** + Certified Case Manager + 3+ years Care Management , Discharge Planning and/or Home Health ... TOC team will review prior claims to address potential impact on current case management and eligibility status. Assessments and/or questionnaires are designed… more
- Molina Healthcare (AZ)
- …(CPHM), Certified Professional in Health Care Quality (CPHQ), Commission for Case Manager Certification (CCMC), Case Management Society of America (CMSA) ... of health care services provided to plan members. * Supports plan utilization management program and accompanying action plan(s), which includes strategies… more
- Sevita (Tucson, AZ)
- …care, advocacy, stakeholder relations, regulatory compliance, staffing, training, financial management , and maintenance of the physical environment. **ESSENTIAL JOB ... be able to satisfactorily perform each essential function listed below._ **Staff Management :** 1. Recruitment & Hiring: May participate in hiring events as needed… more
- CareFirst (Baltimore, MD)
- …staffing and coverage. + Oversees and participates in care coordination activities including case management and disease management to ensure effective ... in addition to the required work experience. **Experience:** 3 years Care Management , Discharge Coordination, Home Health, Utilization Review, Disease … more