- 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
- 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
- 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
- Covenant Health Inc. (Knoxville, TN)
- …outpatient areas.The department hires RNs with a minimum of 3 years of experience. Case Management certification is preferred, but not required. There is a ... on the nursing unit and reports directly to the Manager /Coordinator of Quality and Care Management at...ensure patient is meeting daily objectives. + Modifies the case management plan to meet the changing… more
- HCA Healthcare (El Paso, TX)
- …with physicians, physicians' office staffs, OR staff, ancillary departments, and management regarding case scheduling, special orders, equipment, and ... direct supervision of the circulator nurse assigned to a case . The EMI Coordinator under the direction of the...EMI Coordinator under the direction of the Control Desk Manager /OR Director assists with the orientation and education of… more
- Dignity Health (Long Beach, CA)
- …effectively with multiple stakeholders + Professional communication skills. + Understand how utilization management and case management programs ... emphasis will be on care coordination, communication and collaboration with utilization management , nursing, physicians, ancillary departments, insurers and post… more