- ERP International (Luke AFB, AZ)
- **Overview** ERP International is seeking a ** Licensed Clinical Social Worker/Case Manager ** for a Full-Time position in support of the **56th Medical Group, ... opportunity. www.erpinternational.com **Be the Best!** Join our team of exceptional health care professionals across the nation. Come discover the immense pride and… more
- Commonwealth Care Alliance (Springfield, MA)
- …health coaching/education to influence the outcomes of assigned patients by impacting acute care utilization , ensuring optimal treatment and closing gaps in ... 024040 Clin Alli-HICM **Position Summary:** Commonwealth Care Alliance's (CCA) Community Intensive Care ...will play an integral role supporting patients with frequent utilization of Emergency Departments and acute admissions with the… more
- Commonwealth Care Alliance (Springfield, MA)
- …training to influence the clinical outcomes of assigned patients by impacting acute care utilization , ensuring optimal treatment for behavioral health needs, and ... + Timely Psychiatric post hospital discharge with focus on hospitalization and utilization reduction + Facilitating and/or delivering preventative care and… more
- Wipfli LLP (Milwaukee, WI)
- …Provide on-site services as requested by client - Participate in cross utilization of teams and/or lead software implementations, conversions and setups as assigned ... incentive, education & certification assistance, flexible time off, family care leave, parental leave, family formation benefits, cell phone reimbursement,… more
- Stanford Health Care (Palo Alto, CA)
- …the technical direction of the Medical Director, the Testing Lab Operations Manager is responsible for the administrative and technical management of Technical ... and support personnel as appropriate. The Testing Lab Operations Manager will be responsible for managing supervisors as well...other duties as assigned. + Manage a team of licensed Clinical Laboratory Scientists, 2 supervisors and their teams… more
- Commonwealth Care Alliance (Boston, MA)
- …recovery-informed principles, and coaching skills to improve CCA enrollee outcomes by impacting care access and utilization , closing care quality gaps, and ... 024800 Clin Alli-Community Health Services **Position Summary:** Commonwealth Care Alliance's Community Health Services (CHS) Department is responsible for… more
- Molina Healthcare (GA)
- …of healthcare services professionals in some or all of the following functions: care management, utilization management, behavioral health, care transitions, ... performance of one or more of the following activities: care review, care management, utilization ...care team (ICT) meetings. * Functions as hands-on manager responsible for supervision and coordination of daily integrated… more
- Beth Israel Lahey Health (Plymouth, MA)
- …a job, you're making a difference in people's lives.** Full Time **Job Description:** ** Utilization Review & Denials management manager - Full Time** **Who We ... and Serve Your Community!** **In your role as a Utilization Review & Denials Management Manager , you...care determination and the appeal/denial process. + Oversees utilization review workflow processes to ensure timely response to… more
- Helio Health Inc. (Syracuse, NY)
- …to track, review, and analyze data relating to continuous quality improvement. The Utilization Case Manager will work on a Full-Timebasis supporting ourSyracuse ... Assist in developing and administering policies and procedures for utilization . + Negotiating access to care for...also take into account information provided by the hiring manager and program Job LocationsUS-NY-Syracuse Category Case/ Care … more
- Children's Mercy Kansas City (Kansas City, MO)
- …nursing + required within 4 years of hire + 1-2 years experience + Experience in Utilization Review + One of the following: Licensed RN - MO, Registered Nurse ... and training oversight of programs and services. Responsible for effective utilization review and proper resource management of patients, including patient statusing… more
