- Molina Healthcare (WI)
- …(CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM), Certified Professional ... chief medical officer on denial decisions. * Resolves escalated complaints regarding utilization management and long-term services and supports (LTSS) issues. *… more
- Covenant Health Inc. (Knoxville, TN)
- …care givers and chart findings to ensure patient is meeting daily objectives + The care manager modifies the case management plan to meet the changing needs ... on the nursing unit and reports directly to the Manager /Coordinator of Quality and Care Management at...Spoon || ###@covhlth.com Responsibilities Assessment: + The RN care manager utilizes case finding criteria to screen… more
- Danaher Corporation (Houston, TX)
- …that includes some of the following: infection detection/control, sepsis care, decision support, utilization management , case management , ED patient ... leaders from nursing, emergency medicine, pharmacy, quality, patient safety, risk management , IT, infection control, laboratory, and administration is required. This… more
- Texas Health Resources (Arlington, TX)
- …Master's Degree Preferred Experience 5 Years Directly related experience in hospital case management , demonstrating progressive developmental and management ... Cardiopulmonary Resuscitation Upon Hire Required And ACM - Accredited Case Manager Upon Hire Preferred Or CCM... Upon Hire Preferred Or CPUM - Certified Professional Utilization Manager Upon Hire Preferred Or Other… more
- Ventura County (Ventura, CA)
- …Inpatient Psychiatric unit of the Ventura County Medical Center including utilization management , transfer coordination, discharge planning, and securing ... Post Stabilization notifications; + Acts as a liaison and case manager between the inpatient facility and...and review; + Performs daily clinical reviews to support utilization and quality management , ensuring compliance with… more
- Genesis Healthcare (York, PA)
- …of the respiratory department, including oversight related to case management , quality improvement, care planning, clinical utilization , and patient ... responsible for assisting the Vent Manager / District Manager in the efficient management of respiratory...of the highest standard of respiratory services through appropriate utilization of resources, the promotion of clinical programs, and… more
- University of Southern California (Arcadia, CA)
- ESSENTIAL JOB FUNCTIONS AND CORE RESPONSIBILITIES * Accountable to the unit Manager and/or the Director of the department.* Adherence to identified nursing standards ... all professional and patient care interactions.* Performs other duties as assigned by Manager / Director / Clinical Lead RN.* Prioritizes cases to provide service to… more
- ZOLL Medical Corporation (Boston, MA)
- …patients suffering from serious cardiopulmonary and respiratory conditions.ZOLL Cardiac Management Solutions offers a unique portfolio of novel technologies designed ... patients at risk of sudden cardiac death. + HFMS (https://cardiacdiagnostics.zoll.com/products/heart-failure-arrhythmia- management -system/) (Heart Failure Management system) is a… more
- Actalent (Sacramento, CA)
- …experience (eg, med-surg, telemetry, ICU) . At least 1 year of experience in utilization review, case management , or hospital discharge planning . ... Hybrid LVN-Inpatient Job Duties: . Perform timely utilization reviews for Medicare inpatient admissions, continued stays,...of EZ-CAP, EZ-Net, InterQual, and MCG preferred. . Certified Case Manager (CCM), CPUR, or CPHM credential… more
- Actalent (Sacramento, CA)
- …experience (eg, med-surg, telemetry, ICU) + At least 1 year of experience in utilization review, case management , or hospital discharge planning + ... of the Sacramento area Job Duties + Perform timely utilization reviews for Medicare inpatient admissions, continued stays, and...of EZ-CAP, EZ-Net, InterQual, and MCG preferred. + Certified Case Manager (CCM), CPUR, or CPHM credential… more