- Cambridge Health Alliance (Somerville, MA)
- …place in the hospital setting. Summary: Under the general supervision of the Director of Care Management , the RN Case Manager provides clinically-based case ... RN Case Manager - Inpatient Case Management SH **Requisition Number:** 10379 **Pay Range:** $41.58...members of the health care team to identify appropriate utilization of resources and to ensure reimbursement. Utilize criteria… more
- CVS Health (Oklahoma City, OK)
- …and timely discharge, appropriate follow-up care, and next steps. + Coordinate with the Utilization Management team to review medical and payer records to ensure ... stay and identify any barriers to discharge. + Assist Utilization Management team with access to external...in regular meetings with CVS Health regional leaders, Program Director , Project Manager and other Transitional Care Managers on… more
- Community Health Systems (Birmingham, AL)
- …services and transitions of care best practices. + Familiarity with healthcare utilization metrics, readmission risk factors, and network management strategies. ... transitions, improving patient outcomes, and supporting appropriate in-network resource utilization across the post-acute continuum. This role collaborates with… more
- Cambridge Health Alliance (Everett, MA)
- …therapy takes place in the hospital setting. Cross Training to all areas of Care Management . Under the general supervision of the Director of Care Management ... RN Case Manager - Inpatient Case Management Everett **Requisition Number:** 10687 **Pay Range:** $41.58...members of the health care team to identify appropriate utilization of resources and to ensure reimbursement. Utilize criteria… more
- Trinity Health (Mason City, IA)
- …+ Works directly with members of care team to effectively ensure appropriate acute utilization management + Interacts with outside review agencies and payors to ... and social workers in ensuring MercyOne North Iowa is successful in resource utilization management strategies. + Possesses case management skills to… more
- Beth Israel Lahey Health (Burlington, MA)
- …of three years of medical/surgical nursing care experience. Two years of case management or utilization management experience desirable. * Demonstrated ... discharges. Under the general direction of the Manager and Director of the Case Management , and within...needed. 10) Supports all service line activities related to utilization and quality management . 11) Assists in… 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
- Gilead Sciences, Inc. (Foster City, CA)
- …leads and the Project Controls and Governance Manager to align cost management practices and PMIS workflows with Gilead's standards and governance framework. The ... cycles, monitor portfolio performance, and drive innovation in Gilead's Project Management Information System (PMIS), Trimble Unity Construct. This includes system… more
- ChenMed (Lauderhill, FL)
- …market leaders, external clients and HMO to establish, maintain and support outpatient utilization management in PMR and delegated utilization management ... + 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… more
- Bon Secours Mercy Health (Midlothian, VA)
- …**Primary Function/General Purpose of Position** This position assists the residency program director in the management of the family practice residency program, ... basis to review financial performance targets as well as other projects defined by director . + Ensure utilization and registration of program for ACGME webADS,… more