- 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
- UNC Health Care (Kinston, NC)
- … Manager provides efficient and effective delivery of patient care through case management process. Works toward desirable patient outcomes with MD, staff, ... family and patient involvement to enhance awareness of length of stay, resource utilization and principles of patient care. Functions on a highly interactive level,… 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
- 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
- Highmark Health (Annapolis, MD)
- …Highmark Inc. **Job Description :** **JOB SUMMARY** This job implements effective complimentary utilization and case management strategies for an assigned ... and federal law standards and are within the care manager 's professional discipline. + For assigned case ...**Required** + 7 years in any combination of clinical, case / utilization management and/or disease/condition … 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
- 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
- Elevance Health (Tampa, FL)
- …a State agency. **Preferred Qualifications:** + Bilingual- Spanish speaking preferred. + Utilization Management case review experience strongly preferred. + ... and Optimum Healthcare Plans and will be responsible for utilization review case management for...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more