- Genesis Healthcare (Camp Hill, PA)
- …to achieve patient goals and minimize rehospitalizations; 4.4. Actively participates in Utilization Management or InterdisciplinaryCare Management Meeting to ... Supervisor, Unit Manager, ADON or ADON - Unit, or Director of Nursing (Nurse Leader), the Registered Nurse (RN)...$40.00 - USD $49.50 /Hr. Bonus USD $7,000.00 Genesis HealthCare , Inc. and all affiliated entities (collectively "Genesis") has… more
- Aveanna Healthcare (Greenville, AL)
- …Position Details Position Overview: The Hopsice Registered Nurseis responsible for pain management , symptom control in the delivery of care to hospice patients, as ... the plan of care, the interdisciplinary team, attending physician and Hospice Medical Director . We are growing! Part Time hours needed to support Hospice patients in… more
- Texas Health Resources (Arlington, TX)
- …providers and other hospital personnel in understanding payor plans, resolving utilization management issues and assigning appropriate patient classification as ... 1. Maintains a current knowledge of regulatory requirements for utilization management including but not limited to...director and/or manager including but not limited to management growth. 5% What You Need: Education Associate's Degree… more
- Elevance Health (CA)
- …services in multiple states. **Preferred Skills, Capabilities, and Experiences:** + Utilization Management experience is strongly preferred. + Health insurance ... in process improvement initiatives to improve the efficiency and effectiveness of the utilization reviews within the medical management processes. + Assesses and… more
- University of Pennsylvania (Philadelphia, PA)
- …wellness programs and resources, and much more. Posted Job Title Senior Prospect Management Analyst Job Profile Title Associate Director , Prospect Research Job ... Description Summary The Senior Prospect Management Analyst reports to the Director of... of prospects at the University. The Senior Prospect Management Analyst leads the departmental prospect utilization … more
- HonorHealth (AZ)
- …coding accuracy and optimal reimbursement. Attends JOC as requested by Utilization Management or Managed Care: Works with Director , Management and staff ... a consultant or participant as needed: Care conferences Process improvement committees Utilization management LOS joint committees Resource Utilization … more
- Guthrie (Corning, NY)
- …a) Works closely with the Medical Director and other members of the healthcare team to provide appropriate medical management and resource utilization ... Bonus For Qualified RNs! Position Summary: In collaboration with the interdisciplinary healthcare team, the Case Manager will coordinate the flow of services… more
- Carnival Cruise Line (Miami, FL)
- This role reports to the Senior Manager of Case Management and oversees the daily operations of crew case management . The Manager leads a team of specialists to ... return-to-work planning. The Manager also escalates high-risk cases, conducts utilization reviews, and represents the company in arbitration when needed.… more
- Carnival Cruise Line (Miami, FL)
- This role reports to the Senior Manager of Case Management and oversees the daily operations of crew case management . The Manager leads a team of associates and ... Manager also escalates high-risk cases, conducts care coordination and utilization reviews. Operationally, the role supports shipboard medical teams, participates… more
- Elevance Health (Louisville, KY)
- **Medical Management Nurse** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... us and together we will drive the future of health care. The **Medical Management Nurse** is responsible for reviewing the most complex or challenging cases that… more