- Cedars-Sinai (Beverly Hills, CA)
- …review process. The coordinator works collaboratively with all team members of Utilization Management , Patient and Provider Services, Claims Department and other ... IPA's to ensure the delivery of high quality, cost-effective healthcare and aligned with all state and federal regulations...resources and social supports required. One (1) year of utilization management or managed care experience preferred.… more
- HCA Healthcare (Nashville, TN)
- …+ Nursing management /supervisory experience preferred. + Quality, Risk, Case Management , Utilization Management , hospital, rehab, skilled, consulting ... Compliance Manager RN? At HCA, you come first. HCA Healthcare has committed up to $300 million in programs...Audit Department provides an independent appraisal function to validate management control systems and to support corporate management… more
- Guthrie (Sayre, PA)
- …a) Works closely with the Medical Director and other members of the healthcare team to provide appropriate medical management and resource utilization ... recommendations for alternate levels of care. The Acute Case Manager also performs Utilization Management throughout the continuum of care in collaboration with… more
- HCA Healthcare (Thousand Oaks, CA)
- …is hired below midpoint of the range. **Introduction** Managers thrive with us! HCA Healthcare is one of the nation's leading providers of healthcare services, ... + Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family...a registered nurse who reports directly to the unit Director or Chief Nursing Officer. The Nursing Manager is… more
- Children's Home Healthcare (Albuquerque, NM)
- …have excellent communication skills and willing to travel to patient homes + Utilization Management Experience + Reliable transportation for patient visits + ... DO NOT HAVE A VALID RN LICENSE* Children's Home Healthcare is now hiring for a RN Clinical Supervisor/Case...Home Health services from insurance company. 7. Attend quarterly Utilization Review meetings as designated by the Director… more
- Genesis Healthcare (Norfolk, VA)
- …Responsibilities The Vent Program Manager is responsible for the efficient management of respiratory therapy services in their assigned account. Responsibilities ... include, but are not limited to, the areas of clinical services, personnel management , account management , financial management and business process … more
- HCA Healthcare (St. Louis, MO)
- …or related, required. + 3+ years experience strategic sourcing or contract management , required. + Relevant experience in the healthcare setting, preferred. ... ? At HealthTrust Performance Group, you come first. HCA Healthcare has committed up to $300 million in programs...focused to departmental goals. This role will assist the Director of Strategic Sourcing to actively create and maintain… more
- Molina Healthcare (GA)
- …education, outreach and resolving provider inquiries. + In conjunction with the Director , Provider Network Management & Operations, develops health plan-specific ... _** **JOB DESCRIPTION** **Job Summary** Molina Health Plan Provider Network Management and Operations jobs are responsible for network development, network adequacy… more
- HCA Healthcare (Denver, CO)
- …on years of service) + Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family building benefits with Progyny ... location._** Are you a continuous learner? With more than 94,000 nurses throughout HCA Healthcare , we are one of the largest employers of nurses in the United… more
- HCA Healthcare (Portsmouth, NH)
- …on years of service) + Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family building benefits with Progyny ... continuous learner? With more than 94,000 nurses throughout HCA Healthcare , we are one of the largest employers of...to achieve the goals of case review, data abstraction, management and reporting. The Sr. Specialist will actively provide… more