- Molina Healthcare (Sacramento, CA)
- …services professionals in some or all of the following functions: care management , utilization management , behavioral health, care transitions, long-term ... Essential Job Duties * Assists in implementing health management , care management , utilization management , behavioral health and other program activities… more
- Katmai (Fort Carson, CO)
- …and providers, network/outside providers and ancillary healthcare workers. + Apply principles of utilization review (UR) and utilization management (UM) in ... involve the case manager as needed to provide direction in care management . + Plan and prioritize UR activities to ensure identified patient needs are addressed… more
- Glengariff Rehabilitation and Healthcare Center (Glen Cove, NY)
- …and state regulations and company policy and procedures. Acts as in-house case manager by considering all aspects of the residents care and coordinating services ... and guidelines that govern the process + Acts as an in-house Case Manager demonstrating detailed knowledge of residents health status, critical thinking skills to… more
- CareFirst (Baltimore, MD)
- …medical-surgical or similar clinical experience OR 5 years experience in Medical Review, Utilization Management or Case Management at CareFirst BlueCross ... of regulatory and accreditation requirements, understanding of appeals process and utilization management , and systems software used in processing appeals.… more
- HCA Healthcare (Dallas, TX)
- …participates in daily multidisciplinary and bedside rounds + Completes drug utilization reviews to promote rational drug therapy and implement improvements ... services such as drug consults, nutrition support, pharmacokinetics, anticoagulant monitoring, pain management , IV to PO, renal dosing and other programs as defined… more
- Danaher Corporation (Houston, TX)
- …includes some of the following: infection detection/control, sepsis care, decision support, utilization management , case management , ED patient workflow, ... nursing , emergency medicine, pharmacy, quality, patient safety, risk management , IT, infection control, laboratory, and administration is required. This position… more
- Access Dubuque (Dubuque, IA)
- …of Dubuque TEAM LEADER - NIGHTS Progressive Processing, LLC- A Hormel Company Utilization Management Assistant Cottingham & Butler/ SISCO Food Service Team ... Member Dairy Queen Dairy Queen Afterhours Fleet Manager Tucker Freight Lines Manufacturing Associate Double L Group,...O'Connor, Brooks & Co, PC Seasonal Screen Printer 1800TShirts Utilization Management CNA Cottingham & Butler/ SISCO… more
- Community Health Systems (Carlsbad, NM)
- …environment, apply today and take advantage of our specialized emergency nursing training and professional development programs. **We offer you a generous ... hospital census, coordinates admissions, discharges, and transfers, and ensures optimal bed utilization . + Acts as the administrative point of contact for staff,… more
- Colorado State University (Fort Collins, CO)
- …schedule patients for labs + Compile monthly reports as delegated by lead or manager + Notifies call nurse in appropriate clinic of emergent situations + ... who are absent or on leave, as requested by management , not to exceed 40 hours per week. The...Access Generalist reports directly to the Access and Registration Manager and may receive training and guidance from other… more
- ChenMed (Cincinnati, OH)
- …family situations. Additional duties and responsibilities include working closely with the nurse case managers to transition patients to the appropriate level of ... records and activity reports. ESSENTIAL JOB DUTIES/RESPONSIBILITIES: + Assists with the management and plan for transitions of care, discharge and post discharge… more