- Emory Healthcare/Emory University (Atlanta, GA)
- …Analysis Service Line Manager works under the direction of the Value Analysis Director and is responsible for supporting and facilitating service line team(s) in ... and experience, while fostering standardization and reduction in cost and utilization . + Leads and manages cross functional Value Analysis teams/clinical specialty… more
- Elevance Health (Miami, FL)
- …diploma or equivalent, and a minimum of 2 years of clinical experience and/or utilization review experience. + Current active, valid and unrestricted LPN/LVN or ... Excel. + Previous clinical experience at a skilled nursing facility or utilization management experience strongly preferred. Please be advised that Elevance… more
- CVS Health (Austin, TX)
- …management team and utilization management team. The Care Management Associate will review eligibility and benefits and open pre-certification cases ... all with heart, each and every day. **Position Summary** The Care Management Associate (CMA) supports comprehensive coordination of medical services that include… more
- DePaul (Rochester, NY)
- …outcomes activities as determined appropriate. + Provide support to the Quality Management Vice-President, Quality Management Director and Quality ... Management Plan within the corporation. + Incident Management - review incident reports and provide...reporting and follow-up consultation and training. + Responsible for Utilization Record Review functions to include Individual… more
- Community Health Systems (Siloam Springs, AR)
- …**Qualifications** + 2-4 years of clinical nursing experience required + Experience in utilization review , case management , or discharge planning preferred ... **Job Summary** The Care Manager - LPN supports effective utilization management and discharge planning by coordinating patient care activities under the… more
- Community Health Systems (Bentonville, AR)
- …**Qualifications** + 2-4 years of clinical nursing experience required + Experience in utilization review , case management , or discharge planning preferred ... place to live! **Job Summary** The Care Manager - LPN supports effective utilization management and discharge planning by coordinating patient care activities… more
- Integra LifeSciences (Princeton, NJ)
- …and set new standards of care. The Manager, Contracts and Vendor Management , is responsible for overseeing the Information System's contract lifecycle and software ... asset management strategy. This role ensures compliance with best practices,...outcomes. **SUPERVISION RECEIVED** Supervision will be provided by the Director , office of CIO **SUPERVISION EXERCISED** No direct staff… more
- CareFirst (Baltimore, MD)
- …Licensure. **Experience:** 3 years Care Management , Discharge Coordination, Home Health, Utilization Review , Disease Management or other direct patient ... This role will assist leadership with the development and review of Care Management standards, program criteria,...onsite with hospital staff. + Assists the Manager and Director with the development, design, and implementation of new… more
- City and County of San Francisco (San Francisco, CA)
- …maintenance and utilization of space. 2. Manages or assists in management of the functions of an office, section, operation or pro-gram; plans, prioritizes ... County of San Francisco is looking to hire multiple management assistants to be part of the City workforce...and consultation with man-agers and administrative staff; assists in review of budget requests from departmental man-agers; assists in… more
- University of Southern California (Alhambra, CA)
- …Degree Nursing + Req 5 years Clinical experience + Req 2 years Ambulatory case management or utilization review experience within the last three years + ... populations. The role integrates the functions of complex case management , utilization management , quality ...as requested by department director or Medical Director . + Outcomes Management 1. Participates in… more