- AdventHealth (Orlando, FL)
- …for providing physician review of utilization, claims management , and quality assurance related to inpatient care, outpatient care/observation stays and ... expert, providing clinical expertise and business direction in support of medical management programs, promoting the delivery of high quality , patient focused… more
- AmeriHealth Caritas (Lafayette, LA)
- **Role Overview** Under the direction of a supervisor, the Utilization Management Reviewer evaluates medical necessity for inpatient and outpatient services, ... based on clinical criteria. Using professional judgment, the Utilization Management Reviewer assesses the appropriateness of services, identifies care coordination… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **RN/Case Manager MSH Case Management FT Days** The Case Manager (CM) will be responsible for all aspects of case management for an assigned ... on reducing the length of stay (LOS), improved efficiency, quality and resource utilization. Assignment will be by units/clinical...NYSNA at Mount Sinai Hospital , 329 - Case Management - MSH, Mount Sinai Hospital **Responsibilities** 1. Principle… more
- Carle Health (Champaign, IL)
- …(AHIMA); Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA); Certified Inpatient Coder (CIC) - American ... related to HIM coding for accuracy yearly In collaboration with manager (or director ) establishes goals for coding productivity and quality Assures HIM team… more
- Atlantic Health System (Morristown, NJ)
- …other publicly reported data, optimized transitions of care. + Work with medical director to oversee inpatient and outpatient heart failure programs + ... heart failure, mechanical circulatory support, and ventricular assist devices in both inpatient and outpatient clinical settings. Experience in or the ability to… more
- HCA Healthcare (Miami, FL)
- …Management is responsible for overseeing the daily operations of the Facility Management department. In collaboration with the Director of Facility ... by location._** We are seeking a(an) Manager of Facilities Management for our team to ensure that we continue...that we continue to provide all patients with high quality , efficient care. Did you get into our industry… more
- AmeriHealth Caritas (Washington, DC)
- **$5,000.00 SIGN ON BONUS** **Role Overview** Our Utilization Management Reviewers evaluate medical necessity for inpatient and outpatient services, ensuring ... with medical policies. When necessary, cases are escalated to the Medical Director for further review. The reviewer independently applies medical and behavioral… more
- Atlantic Health System (Morristown, NJ)
- …and collaboration among employed providers and medical staff. With oversight of inpatient quality , patient safety, medical education, and clinical research, the ... the VP, Quality and site CMO's, to deliver top decile results in quality and patient satisfaction. + Leverage inpatient care pathways to deliver superior… more
- State of Colorado (Denver, CO)
- …serving our community. The vision of CMHHFL is to provide the highest quality mental health services to persons with complex, serious, and persistent mental illness ... in achieving their recovery goals and reaching their full potential. CMHH-FL provides inpatient treatment to adult patients, generally between the ages of 18-59. The… more
- WMCHealth (Kingston, NY)
- …capacity for Inpatient Psychiatry programs, serving as backup to the Regional Director of Inpatient Psychiatry. Additionally, the PHP Manager functions as a ... in the Inpatient Psychiatry program, serving as backup to the Regional Director of Inpatient Psychiatry + Provides support and coverage for Inpatient… more