- Independent Health (Buffalo, NY)
- …in the day-to-day management of the RN staff of their assigned area ( Case Management , Utilization Review and Population Health). This will include ... of implementation of staff orientation and training. + Obtain case manager input on support staff training...implement product and/or program strategies that integrate wellness with utilization , case , and disease management .… more
- PathStone Corporation (Middletown, NY)
- …of potential problems with both employers and participants. Coordinate and/or conducts case management , staff meetings and PAAC meetings. Ask questions and ... Completion of program goals in collaboration with office staff and program management teams. Develops, analyzes, distributes & ensures achievement of office goals &… 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
- Nestle (Little Chute, WI)
- …all actions to prevent recurrence are effectively implemented. Ensures effective injury case management process is fully implemented, well understood and ... create and ensure implementation of necessary systems, processes, and procedures, including management of change. + SH&E Strategies, Programs and Plans - Develops… 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
- 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
- Elevance Health (Durham, NC)
- …clinical information regarding case and determines appropriate area to refer or assign case ( utilization management , case management , QI, Med ... reports and documents all actions. + Responsibilities exclude conducting any utilization management review activities which require interpretation of clinical… more
- Elevance Health (Columbus, GA)
- …critical thinking skills and nursing judgment and experience. + Collaborates with case management nurses on discharge planning, ensuring patient has appropriate ... + Educates members about plan benefits and physicians and may assist with case management . + Collaborates with leadership in enhancing training and orientation… more
- Molina Healthcare (Las Vegas, NV)
- …(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
- Molina Healthcare (Savannah, GA)
- …active and unrestricted in state of practice. + Certified Case Manager (CCM), Certified Professional in Health Care Management certification (CPHM), ... professionals in some or all of the following functions: care management , utilization management , behavioral health, care transitions, long-term services and… more