- St. Luke's University Health Network (Easton, PA)
- …management, including but not limited to: Social workers, assistants, coordinators, utilization management staff, and director . + Facilitates communication among ... all treatment team members. + Manages length of stay by proactively identifying and mitigating issues and barriers to care and a successful discharge plan. + Monitors risk assessment using available tools and implements discharge interventions accordingly,… more
- Covenant Health Inc. (Louisville, TN)
- Overview Director of Clinical Services - Outpatient, Administration Department Full Time, 80 hours per pay period, Day Shift Peninsula Overview: Peninsula, a ... for continuous quality improvement. Works collaboratively with other Peninsula Clinical leaders ( Director of Nursing, Director of Pharmacy, Director of… more
- CenterWell (Pink Hill, NC)
- …caring community and help us put health first** Reports To: Associate Director , Home Health Branch Administrator FLSA: Exempt **Work Schedule** : Full-time/40 Hours ... of care and outcome planning. + Works in conjunction with the Branch Director and Company Finance Department to establish location's revenue and budget goals. +… more
- Commonwealth of Pennsylvania (PA)
- …experience performing this Work Behavior as a nurse administrator, nurse director , chief nurse executive, JCAHO/Federal nurse surveyor or vice-president of nursing ... experience performing this Work Behavior as a charge nurse, head nurse, utilization review nurse, quality assurance nurse, or an industrial, employee or public… more
- UnityPoint Health (Sioux City, IA)
- …+ Job ID: 176307 Overview UnityPoint-St Luke's Full-Time Days Monday-Friday The Director of Women's & Children's Services is responsible for the development, ... which is consistent with the organization's strategic business plans. The Director is responsible for the development, communication and successful execution of… more
- Dignity Health (Northridge, CA)
- …implementing and evaluating patient care outcomes to ensure optimum utilization of Continuous Quality Improvement methodology, while maximizing utilization ... implementing and evaluating patient care outcomes to ensure optimum utilization of Continuous Quality Improvement methodology, while maximizing utilization… more
- Munson Healthcare (Traverse City, MI)
- …unit based process improvements. ORGANIZATION 1. Under the direction of the Manager/ Director of the specialty unit, provides clinical and supervisory support to ... and human resource data to support decision-making, which maximizes resource utilization . Facilitates and empowers registered nurses to assume accountability for… more
- Elevance Health (Las Vegas, NV)
- …center The **Manager Behavioral Health Services** is responsible for Behavioral Health Utilization Management (BH UM), or Behavioral Health Case Management (BH CM) ... and appropriateness of care for inpatient/outpatient BH services; ensures appropriate utilization of BH services through level of care determination, accurate… more
- Trinity Health (Mason City, IA)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** The Utilization Review Case Manager responsibilities include case screening, insurance approval, ... Works directly with members of care team to effectively ensure appropriate acute utilization management + Interacts with outside review agencies and payors to inform… more
- ChenMed (Lauderhill, FL)
- …leaders, external clients and HMO to establish, maintain and support outpatient utilization management in PMR and delegated utilization management in ChenMed ... + Provide insights to the PMR team and Network Director and work with them to take action. +...**_Other responsibilities may include:_** + Drive the current delegated/non-delegated utilization management model to a sustainable and reproducible one… more