- State of Indiana (Indianapolis, IN)
- …of three (3) years of staff management and evaluation experience; clinical experience in managed care and accredited utilization management experience ... Utilization Management Manager Date Posted: Aug...provides the skills needed to conduct oversight of all utilization management practices and clinical criteria evaluations.They… more
- Commonwealth Care Alliance (Boston, MA)
- … Utilization Management Reviewer reports to the Utilization Management Manager . * Conducts timely clinical decision review for services requiring prior ... Utilization Mgmt Position Summary: Commonwealth Care Alliance's (CCA) Clinical Effectiveness (Authorization) Unit is primarily responsible for the evaluation… more
- Behavioral Center of Michigan (Detroit, MI)
- …to help educate the staff and physicians regarding charting. REPORTS TO: Utilization Review Lead/ Manager QUALIFICATIONS: + High School Diploma or equivalent. ... the level of nursing care and collaborates with other departments in evaluation of projects affecting discharge plans. Supports clinical improvement activities… more
- Veterans Affairs, Veterans Health Administration (Augusta, GA)
- Summary The Nurse Utilization Management (UM) Registered Nurse (RN) is responsible for providing competent, evidence-based practices within the position. The UM RN ... observation, admission, and continued stay patients. Responsibilities The Nurse Utilization Management (UM) Registered Nurse (RN) is responsible and accountable… more
- CenterWell (Oxford, AL)
- **Become a part of our caring community and help us put health first** The Clinical Manager , Home Health Nursing enables patients to stay in their homes by ... providing health and personal services; supporting patients and their families. The Clinical Manager , Home Health Nursing works within specific guidelines and… more
- Erickson Living (Pompton Plains, NJ)
- Location: Cedar Crest Village by Erickson Senior Living Join our team as the Clinical Manager supporting our 25-bed s ub-acute rehab neighborhood. The ... Clinical Manager is an active member of... clinical leadership meetings such as Wound Rounds, Clinical Operations Meeting, Utilization Review, and Performance… more
- CenterWell (Winston Salem, NC)
- …support residents' health and well-being within these communities. **Role Highlights:** As an RN Clinical Manager , you will have the unique opportunity to lead ... and drive clinical excellence in a dynamic environment. The **RN Clinical Manager ** coordinates and oversees all direct care patient services provided… more
- CVS Health (Charleston, WV)
- …counties: Braxton, Calhoun, Clay, Fayette, Gilmer, Kanawha, Nicholas, Roane, Webster. The Clinical Care Manager BH utilizes advanced clinical judgment ... participate with their provider in healthcare decision-making. o Analyzes all utilization , self-report, and clinical data available to consolidate information… more
- HCA Healthcare (Nashville, TN)
- …HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Clinical Resource Manager with HealthTrust Supply Chain you can be a ... in our organization. We are looking for an enthusiastic Clinical Resource Manager to help us reach...of supply expense opportunities to improve product standardization and utilization . This process includes product selection, evaluation … more
- Sharp HealthCare (San Diego, CA)
- …requirements for the position, and employer business practices. **What You Will Do** The Clinical Case Manager 's (CCM) role is to be a patient advocate providing ... that there are multiple options for patients and are provided excellent care. The Clinical Case Manager will be responsible for collecting data regarding patient… more
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