- Molina Healthcare (Chandler, AZ)
- … (CPHM), Certified Professional in Healthcare Quality (CPHQ), Commission for Case Manager Certification (CCMC), Case Management Society of America (CMSA) ... the health plan in the development and execution of care management and utilization management programs. Develops clinical practice guidelines and oversees… more
- Baylor Scott & White Health (Temple, TX)
- …responsible for assessing and coordinating patient care across the continuum to include case management , social work, utilization review and care ... **JOB SUMMARY** Manager Comphrensive Care Management RN manages...ongoing problem solving related to care coordination, discharge planning, case management and utilization review.… more
- UPMC (Pittsburgh, PA)
- …clinical and social history, current medications, geriatric syndromes, healthcare resource utilization , and case management interventions. Updates the ... staff assigned to the geographic region of the care manager . Attends and participates in face-to-face case ...1 year of experience in clinical, utilization management , home care, discharge planning, and/or case … more
- Elevance Health (Miami, FL)
- …in process improvement initiatives to improve the efficiency and effectiveness of the utilization reviews within the medical management processes. + Assesses and ... Med Management Clinician Senior- Licensed Nurse **Location:** Miami, FL...May collaborate with healthcare providers. Focuses on relatively complex case types that do not require the training or… more
- Providence (Torrance, CA)
- …may considered (in lieu of acute care). + 2 years - Experience as a case manager in an acute care setting. **Preferred Qualifications:** + Bachelor's Degree - ... Nursing or, + Master's Degree - Nursing. + Case management certification upon hire. + Experience...time **Job Shift:** Day **Career Track:** Nursing **Department:** 7000 UTILIZATION MGMT CA SOCAL **Address:** CA Torrance 21311 Madrona… more
- Global Foundries (Santa Clara, CA)
- …committed to invest in. The Silicon Photonics Business Line is looking for a Product Manager . The Product Manager will play a central role in translating the End ... - English (Written & Verbal) Preferred Qualifications: + Project management skills - ie, the ability to innovate and...information. Requests for accommodation will be considered on a case -by- case basis. Please note that only inquiries… more
- Air National Guard Units (Robins AFB, GA)
- …perform analytical and in-depth daily pay verification audits against Defense Case Management System. Notify aircrew/parachutist member in conditional incentive ... TITLE 32 EXCEPTED SERVICE POSITION. This position is for a AVIATION RESOURCE MANAGEMENT SPECIALIST, Position Description Number D2934000 at the 128th ACCS located in… more
- Sevita (Columbus, OH)
- …referral partners (MCOs, state referrals) and escalates potential issues (eg, unresponsive case manager , etc.); approves referral decisions to admit individuals ... team (ie, state-wide initiatives); coaches ADs on ongoing training efforts. **Financial Management :** 1. Management : Responsible for the financial performance of… more
- Edwards Lifesciences (Las Vegas, NV)
- …**How you will make an impact:** + Working independently in the areas of valve crimping, case management , pre- case planning, post- case management , 3 ... educational material during training sessions in order to drive utilization of the Edwards's THV product portfolio. + Utilizing...+ Working independently in the areas of valve crimping, case management , pre- case planning, post-… more
- Mount Sinai Health System (New York, NY)
- …The Department of Social Work Services takes a leadership role in MSHP Care Management (CM), in this case , supporting an integration of primary care and ... Care Management , Health Home **Responsibilities** The Social Worker/Depression Care Manager will provide behavioral health care services to adults who receive… more