- Sutter Health (San Francisco, CA)
- …delivery and case management within a managed care environment. + Comprehensive knowledge of Utilization Review, levels of care, and observation status. + ... acute care patient experience. This position works in collaboration with the Physician, Utilization Manager , Medical Social Worker and bedside RN to assure the… more
- Molina Healthcare (ID)
- …with Excel and SQL for retrieving specified information from data sources. + Knowledge of healthcare operations ( utilization management , disease ... **JOB DESCRIPTION** **Job Summary** The Manager , Medical Economics provides support and consultation to...management , HEDIS quality measures, claims processing, etc.) + Knowledge of healthcare financial terms (eg, PMPM, revenue) and… more
- Microsoft Corporation (Annapolis Junction, MD)
- …closure by ensuring completion of project sign off tasks. Applies advanced knowledge across project management principle areas, contributes at local team-wide ... of a project or program (eg, revenue attainment, accurate forecasting, cost management , and utilization , skills, and capacity planning). Identifies opportunities… more
- CVS Health (Hartford, CT)
- …Automation Team supports the implementation of strategic initiatives for the Utilization Management (UM) Clinical Services organization. These initiatives ... other healthcare integration standards + Healthcare industry experience, especially in Utilization Management or clinical operations. + Familiarity with clinical… more
- Charter Care Health Partners (North Providence, RI)
- …of a specific patient population. Performs functions related to Patient Advocacy; Utilization Review; Resource Management ; Continuum of Care Management ... and Clinical Documentation Management . Collects data via utilization with Care Port to enhance the quality and...their families. Familiarity with InterQual (TM) / MCG care management criteria is required. Must demonstrate knowledge … more
- Charter Care Health Partners (North Providence, RI)
- …of a specific patient population. Performs functions related to Patient Advocacy; Utilization Review; Resource Management ; Continuum of Care Management ... and Clinical Documentation Management . Collects data via utilization with Care Port to enhance the quality and...their families. Familiarity with InterQual (TM) / MCG care management criteria is required. Must demonstrate knowledge … more
- Burns & McDonnell (Wallingford, CT)
- **Description** The Structural Section Manager is responsible for the managerial direction of substation structural staff in the Northeast Region (NER) Structural ... the Transmission & Distribution (T&D) Global Practice. The Section Manager will lead their section in a dynamic manner...the following, with other duties as assigned by senior management . Fostering Culture + Advocate for and drive initiatives… more
- Amgen (New York, NY)
- …and Government agencies, as well as abilities that match needs to strategic account management in state or federal sector + Knowledge of payor systems, billing, ... transform the lives of patients while transforming your career. **Key Account Manager - Cardiovascular** **Live** **What you will do** The Cardiovascular Account … more
- Ochsner Health (New Orleans, LA)
- …Preferred - Certification in Case Management (CCM) or Accredited Case Manager (ACM). ** Knowledge Skills and Abilities (KSAs)** + Proficiency in using ... implement discharge plans based on patient's individualized needs. Registered Nurse (RN) Case Manager - Case Management OMC Jefferson Highway PRN To perform this… more
- Austin Industries (Irving, TX)
- …** for heavy civil projects in the **North** **Texas area.** The Equipment Service Manager is responsible for maximizing the utilization of Austin Bridge and ... existing equipment platform and refine and develop and implement new Infrastructure based utilization and management program + Participate in the development of… more