- Beth Israel Lahey Health (Burlington, MA)
- …taking a job, you're making a difference in people's lives.** Manages the Utilization Management (UM) team, maintaining effective and efficient processes for ... compliance reviews as needed. + Continuously monitors regulatory requirements for Utilization Management . + Attends Mandatory Education programs required by… more
- Trinity Health (Wilmington, DE)
- **Employment Type:** Part time **Shift:** **Description:** **RN Care Manager - Utilization Management ** **Location:** Saint Francis Hospital **Department:** ... Coverage | 8hr shift **Position Purpose:** As a Case Manager in Utilization Management , you...CCM or ACM) within one year of hire. + ** Knowledge :** + Proficiency in MCG and/or InterQual criteria. +… 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 ... and Serve Your Community!** **In your role as a Utilization Review & Denials Management Manager...in utilization management and appeal/denial management . + Holds a strong working knowledge … more
- Trinity Health (Silver Spring, MD)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** **Job Title:** RN Case Manager - Utilization Management **Employment Type:** Full Time ... : Holy Cross Hospital **Position Purpose:** As a Case Manager in Utilization Management , you...the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize… more
- CareFirst (Baltimore, MD)
- …practices and insurance benefit structures. + Proficient in utilization management processes, standards, and managed care. + Knowledge of medical-necessity ... week. **ESSENTIAL FUNCTIONS:** + Trains staff on standards of practice of Utilization Management and reimbursement methodologies and treatment coding. + Manages… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- … review functions. Oversees daily operations, which include supervising staff performing utilization management activities. The goal is to achieve clinical, ... *_SUMMARY:_* We are currently seeking a* Utilization Review Manager * to join ourTransitional...to deliver financial results for areas of accountability * Knowledge of or ability to learn financial management… 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 ... a difference in people's lives.** Joint role of Case Manager and Utilization Review Nurse **Job Description:**...to ensure a timely process. Registered Nurses (RNs) with utilization review experience, case management experience, and… more
- Children's Hospital Boston (Boston, MA)
- 80451BRJob Posting Title:Per Diem RN Case Manager , Utilization Management /ReviewDepartment:Patient Services-Patient Care ... health needs of the patient and family. + Possessing knowledge of community health services, payer systems and post-acute...a Case Manager (Discharge Planning and or Utilization Management ) preferred. Licensure/ Certifications: + Current… more
- Amazon (Herndon, VA)
- …the AWS cloud. We're seeking an experienced Technical Infrastructure Program Manager to oversee data center electrical infrastructure optimization projects. The ... Technical Infrastructure Program Manager will lead cross-functional... will lead cross-functional and technical teams identify sub-optimal utilization , determine root causes, design solutions and drive project… more
- Seattle Children's (Seattle, WA)
- …Demonstrated knowledge , skills and experience providing day to day leadership/ management to the assigned group of employees in a clinical setting **Required ... experience caring for children with medical complexity Current or previous hospital case management or utilization review experience Current or previous case … more