- Henry Ford Health System (Detroit, MI)
- …candidate will work with these patients to monitor the progression of their disease , also disease management (medications, lifestyle changes, ordering and ... of adult Americans have some degree of fatty liver disease . Of that group, 25% will develop NASH (N...and liver failure. NASH, in addition to alcohol liver disease , are the most common diagnoses that lead to… more
- CVS Health (Baton Rouge, LA)
- …division within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers ... to coordinate, document and communicate all aspects of the utilization/benefit management program. Utilizes clinical experience and skills in a collaborative process… more
- AdventHealth (Orlando, FL)
- …activities to reflect the philosophy of the evidence-based medicine/ disease management /clinical programs initiatives. Assumes implementation responsibilities ... supervision and reporting to the Chief Nursing Officer the Director Care Management Women and Childrens develops and coordinates implementation of complex hospital… more
- Molina Healthcare (OH)
- …case management experience. **Required Experience** 3 or more years in case management , disease management , managed care or medical or behavioral health ... and the site of service. **KNOWLEDGE/SKILLS/ABILITIES** Oversees an integrated Care Management team responsible for case management , community connectors, health… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …Providers, and internal staff. + Cross Collaboration with leadership in Case Management / Disease Management to ensure healthcare initiatives are successful, ... About The Role The Director, Utilization Management (UM) will manage the Utilization Management team consisting of Clinicians and Non-Clinical support staff from… more
- CVS Health (Frankfort, KY)
- …Stay) to clinical staff. + Identifies triggers for referral into Aetna's Case Management , Disease Management , Mixed Services, and other Specialty Programs. ... all with heart, each and every day. **Position Summary** The Care Management Associate supports comprehensive coordination of medical services including Care Team… more
- Corning Incorporated (Corning, NY)
- …leave, family building support, fitness, company-paid life insurance, disability, and disease management programs. + Company-wide bonuses and long-term ... Knowledge Management Analyst **Date:** Aug 1, 2025 **Location:** Corning,...engaging individual to join our team in the Knowledge Management Analyst role as we work to add a… more
- CVS Health (Hartford, CT)
- …division within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers ... to coordinate, document and communicate all aspects of the utilization/benefit management program. Utilizes clinical experience and skills in a collaborative process… more
- McLaren Health Care (Indianapolis, IN)
- …as the member advocate with emphasis on education regarding managed care, disease management and PCP treatment plans. Monitors member's utilization patterns ... We are looking for a Utilization Management RN, to join us in leading our.... **Position** **Summary:** This position is responsible for utilization management functions. This includes but is not limited to… more
- Ascension Health (Indianapolis, IN)
- …, as well as tracking of the post-acute period and provision of disease management , and contracting with internal and external resources. + Communicate ... **Details** + **Department:** Inpatient Case Management + **Schedule:** Monday-Friday, 8:00AM-4:30PM, with some off shift work + **Hospital:** Ascension St. Vincent… more