- CommonSpirit Health (Englewood, CO)
- …manage in a heavily matrixed environment. + Implement and refine project management methodologies and best practices to enhance efficiency and effectiveness; while ... allocation and budgeting across multiple projects and programs, ensuring optimal utilization and financial efficiency + Drive innovation, blending of agile product… more
- Munson Healthcare (Traverse City, MI)
- …customer service/interpersonal skills at all times. + Maintains working knowledge/experience in utilization management , managed care, and payer issues that may ... any other departmental research or studies as requested by the department manager . + Assertively manage resource utilization while appropriately navigating the… more
- American Express (Sunrise, FL)
- …+ Leads Program Increment (PI) planning meetings with senior leadership, product management , and delivery teams to ensure strategic alignment and readiness + Mentors ... of features for future PI planning sessions + Develops risk management plans, conducts regular risk assessments, and implements mitigation strategies to… more
- Hartford HealthCare (Farmington, CT)
- …service/program level management and system support functions including Finance, Utilization Management , Revenue Cycle and Compliance. Works in support of ... functional areas under Revenue Cycle including financial clearance, benefit verification, utilization management , billing/follow-up, denial management and… more
- UPMC (Pittsburgh, PA)
- …of health insurance experience required. + 1 year of experience in clinical, utilization management , home care, discharge planning, and/or case management ... by the interdisciplinary team summarizing clinical and social history, healthcare resource utilization , case management interventions. Update the plan of care… more
- University Medicine (Providence, RI)
- SUMMARY: Reporting to the Manager of Case Management , the nurse case manager is responsible for providing comprehensive screenings, assessment, care ... to the right level of care and decrease unnecessary utilization . The nurse case manager is an...identify those patients who may benefit from high-risk case management (eg rising risk, frequent ED utilization ).… more
- Arnot Health (Elmira, NY)
- …$10,000 Sign on Bonus for qualified Case Managers! MAIN FUNCTION: The Case Management (denial/prior auth) will review and appeal as appropriate for concurrent and ... other department staff 5. Relays denial information to appropriate billing clerks and management . 6. Follow up on denial claims using reports to ensure completion of… more
- Trinity Health (Boise, ID)
- …Shift **Description:** **GENERAL SUMMARY AND PURPOSE:** Provides hospital case management / utilization review and discharge planning collaboratively determining ... care as appropriate. Coordinates the hospital activities concerned with case management / utilization review and discharge planning. Adheres to departmental goals,… more
- CenterWell (Tampa, FL)
- **Become a part of our caring community and help us put health first** The Manager Care/Case Management in **Tampa area (** **_this is not a remote position_** ... for managing populations and coordinating care to reduce acute and post-acute care utilization . The Manager role is hybrid with travel requirements to preferred… more
- Carrier (NC)
- **National Fleet Manager - Rentals** **_Ideal candidate will be located in Charlotte, North Carolina_** Carrier Global Corporation, global leader in intelligent ... social media at @Carrier (https://c212.net/c/link/?t=0&l=en&o=3847430-1&h=4009942256&u=https%3A%2F%2Ftwitter.com%2Fcarrier&a=%40Carrier) . The **National Fleet Manager - Rentals** will report to General Manager… more
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