- Commonwealth Care Alliance (Boston, MA)
- …support consistency and quality across BH and Health Home providers. * Participate in case review meetings and rounds as needed to enhance coordination and care ... Position Summary: The Behavioral Health (BH) Provider Engagement Program Manager is responsible for cultivating strong, collaborative relationships with behavioral… more
- Wellpath (Franklin, TN)
- …make a difference** The Regional Care Manager (RCM) is responsible for utilization review , care coordination, and daily care management across multiple sites ... of Nursing or Care Management Certification + RN preferred EXPERIENCE + Previous utilization review and/or case management and pre-certification experience +… more
- Rush University Medical Center (Chicago, IL)
- …offered for the position. Offers may vary depending on the circumstances of each case . **Summary:** The Social Work Care Mgr (CM) works with physician practices and ... inpatient teams to promote the effective utilization of services and coordination of patient centered care....adult and /or geriatric patient, and expert knowledge in case management, discharge planning, social service, and criteria application.… more
- BronxCare Health System (Bronx, NY)
- …and department staff when prevented from completing job tasks. -Assists the Administrative Manager and Director with annual review and revisions of departmental ... Overview The Appeals Manager is responsible to assist in the analysis...the department's leadership develop strategies for denial prevention, improved utilization management, documentation of medical necessity and identify patterns… more
- Highmark Health (Indianapolis, IN)
- …Inc. **Job Description :** **JOB SUMMARY** This job implements effective utilization management strategies including: review of appropriateness of health ... care services, application of criteria to ensure appropriate resource utilization , identification of opportunities for referral to a Health Coach/ case … more
- Sutter Health (Sacramento, CA)
- …acute care patient experience. This position works in collaboration with the Physician, Utilization Manager , Medical Social Worker and bedside RN to assure the ... A broad knowledge base of health care delivery and case management within a managed care environment. + Comprehensive...within a managed care environment. + Comprehensive knowledge of Utilization Review , levels of care, and observation… more
- Global Foundries (Santa Clara, CA)
- …more information, visit www.gf.com. Summary of Role: GlobalFoundries seeks an experienced Sales Account Manager for our US Region. As a part of the Sales team, you ... negotiate formal business agreements + Participate in operations, engineering, and business review meetings + Conduct weekly customer and channel partner face to… more
- Penn Medicine (Lancaster, PA)
- …license and daily access to an insured vehicle. Preferred Qualifications + Knowledge of Utilization review or managed care + Experience with home visits + ... _The Ambulatory Care Management team is actively seeking a new Ambulatory Care Manager to join their dynamic and patient-centered department. This role supports the… more
- Providence (Walla Walla, WA)
- …a Medical Surgical or Inpatient setting + 1 year Experience in care management or utilization review in any setting or upon hire successful + completion of TIPS ... Accountabilities include assessment and planning, coordination of care, resource utilization management and/ or review , discharge planning, documentation… more
- North Wind Group (Huntsville, AL)
- …time entry on a weekly basis. Track key performance elements of the Project Manager position and report to Supervisor. Review key performance elements for ... Location: Birmingham, Alabama Title: Civil Project Manager Schedule (FT/PT): Regular Full Time Travel Required: Yes (0-25%) "Large Firm Expertise, Small Firm… more