- UnityPoint Health (Cedar Rapids, IA)
- …length of stay issues and level of care changes for compliance + Documents the case management plan to include: clinical needs, barriers to quality care, ... facilitate medical cost management , including best practices, effective utilization of resources , linking clinical and financial aspects of care, and access… more
- US Tech Solutions (Columbia, SC)
- … clinical criteria to service requests or provides health management program interventions. Utilizes clinical proficiency and claims knowledge/analysis ... + Reviews and evaluates medical or behavioral eligibility regarding benefits and clinical criteria by applying clinical expertise, administrative policies, and… more
- Veterans Affairs, Veterans Health Administration (Corpus Christi, TX)
- …evidence-based psychotherapies for individuals, groups, couples, and families Experience in case management in complex settings. Experience in outpatient general ... family counseling or psychotherapy and advanced level psychosocial and/or case management . (b) Ability to incorporate complex...Veterans and serves an ongoing point of contact and clinical resource for Veterans receiving mental health… more
- MyFlorida (Jacksonville, FL)
- …prevention and recommends appropriate courses of action. Carries out case management activities, including referrals to community resources and reminders for ... of control measures, specimen collection, testing and vaccination, vaccine coordination, case management , community outreach, education, linkage to care and… more
- Select Medical (Hummelstown, PA)
- …venture with Select Medical & Penn State Health** **Director of Quality Management ** **(DQM)** **$10,000 Sign-on bonus** + Bonus incentives + Extensive onboarding ... amputation, and multiple traumas **Responsibilities** Coordinates the Medical Quality Management and Performance Improvement activities to measurably enhance the… more
- Select Medical (Miami, FL)
- …Miami, FL** **$20,000 Sign-on Bonus** **Director of Quality Management ** **(DQM)** **Responsibilities** **Position Summary** Coordinates the Medical Quality ... Management and Performance Improvement activities to measurably enhance the...and compliance of quality processes/activities in the areas of clinical /medical staff PI for all applicable clinical /medical… more
- Select Medical (Tucson, AZ)
- …with Select Medical $10,000 Sign-On Bonus **Position:** Director of Quality Management **Location:** 355 North Wilmot Road, Tucson, AZ 85711 **Schedule:** Full ... patient care **Responsibilities** **Position Summary** Coordinates the Medical Quality Management and Performance Improvement activities to measurably enhance the… more
- University of Utah Health (Salt Lake City, UT)
- …member. **Qualifications** **Qualifications** **Required** + One year Utilization Review or Case Management experience. **Licenses Required** + Current license ... case that surpasses expected LOS, expected cost, or over/under-utilization of resources . + Performs verbal/fax clinical review with payer as determined by… more
- Banner Health (Peoria, AZ)
- …contact with key hospital, skilled nursing, assisted living facility, discharge planning services, case management and clinical staff to provide ongoing ... that clinical alignment is appropriate and securing appropriate post-acute resources . 5. Ensures effective communication and collaboration with program staff and… more
- Houston Methodist (Nassau Bay, TX)
- …practice and improvement opportunities, coordinating program education and serving as a clinical resource for both program and hospital staff. **PEOPLE ESSENTIAL ... patient flow for service line patients. Serves as a clinical resource for complex and/or highly specialized...**LICENSES AND CERTIFICATIONS - PREFERRED** + Magnet - ANCC Case Management Recognized Certification **OR** + ACM… more
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