- Northwell Health (Staten Island, NY)
- …another level of care according to regulatory standards. + * Performs concurrent utilization management using Interqual criteria. + Conducts chart review for ... management and clinical pathways, variance analysis and trending, quality management / utilization review and home care/discharge planning, preferred. + Keeps… more
- UNC Health Care (Raleigh, NC)
- …processing) to Care Management Assistant. Consult Social Worker and/or Utilization Manager per established departmental protocol. Maintain knowledge of ... the integrating and functions of case management , utilization review and discharge planning. The Care Manager...from CAPP as appropriate. As necessary meet with the Utilization Manager (UM) and SW after the… more
- UNC Health Care (Raleigh, NC)
- …processing) to Care Management Assistant. Consult Social Worker and/or Utilization Manager per established departmental protocol. Maintain knowledge of ... the integrating and functions of case management , utilization review and discharge planning. The Care Manager...from CAPP as appropriate. As necessary meet with the Utilization Manager (UM) and SW after the… more
- LA Care Health Plan (Los Angeles, CA)
- …staff to render decisions, assists the Manager and Director of the Utilization Management department in meeting regulatory time lines by maintaining an ... Authorization Technician II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition… more
- Community Health Systems (Valparaiso, IN)
- …spending accounts + Life and disability insurance and more **Job Summary** The Manager , Care Management is responsible for the planning, coordination, and ... oversight of care management services, including utilization review, discharge planning,...Manager leads the daily operations of the Care Management department, supervises staff, and collaborates with physicians, nurses,… more
- CenterWell (Dallas, TX)
- …for managing populations and coordinating care to reduce acute and post-acute care utilization . The Manager role is hybrid with travel requirements to preferred ... community and help us put health first** **The Role** The Care Integration Team Manager is responsible for managing a team of nurses, community health workers, and… more
- Mayo Clinic (Jacksonville, FL)
- …by ensuring appropriate utilization management , care coordination, resource utilization , and clinical documentation. The RN Case Manager will function ... The RN Case Manager provides leadership through education on case management / utilization management concepts, committee work, research, and community… more
- HCA Healthcare (Brandon, FL)
- **Description** **Introduction** Do you have the career opportunities as a(an) Manager of Case Management you want with your current employer? We have an ... of colleagues. Do you want to work as a(an) Manager of Case Management where your passion...supporting a balance of optimal care and appropriate resource utilization . **What you will do in this role:** +… more
- Capital One (New York, NY)
- Manager , Product Management - Enterprise Platform Foundations Product Management at Capital One is a booming, vibrant craft that requires reimagining the ... upon number of hours to be regularly worked. Cambridge, MA: $158,400 - $180,800 for Manager , Product Management Chicago, IL: $144,000 - $164,400 for Manager ,… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …, and business case consultant for leadership as they relate to case/disease/ utilization management . * Coordinates the development, revision and implementation ... Blue Cross and Blue Shield of Minnesota Position Title: Manager - Care Management Location: Hybrid |...within insurance or health care setting in case/disease or utilization management * Bachelor's or Master's degree… more