- AdventHealth (Maitland, FL)
- …for managing the CQI. An interdisciplinary team, the CQI consists of a Pharmacy Manager , a Senior Health Plan Nurse , a Performance Improvement Specialist and a ... **Senior Manager Quality AdventHealth PHSO Resources** **All the benefits...health status of a client's population and reduction of utilization and costs. Additionally, it will focus on improving… more
- Trinity Health (Livonia, MI)
- …experience in nursing and recent (within 2 year) experience in utilization review/ management /discharge planning or case management . Current knowledge of ... **Description:** **An Opportunity to Join our Remarkable Care Team as a** **Case Manager ** **in the Case Management Department awaits YOU ** **_Trinity Health… more
- Sutter Health (Burlingame, CA)
- …leading innovative case management programs. + 8 years experience in utilization management and discharge planning. + 8 years leadership experience in ... state regulations and guidelines. Has frequent contact with the Administrative Team, Nurse Executives and Directors, Risk Management & Ethics staff, Ancillary… more
- UNC Health Care (Chapel Hill, NC)
- …7. Payer Communication: a. Collaborate with payers, insurance companies, and utilization management teams to optimize reimbursement and facilitate timely ... supporting cost-effective discharge planning. + Serve as a key resource in case management , utilization review, and discharge planning. + Stay compliant with all… more
- The County of Los Angeles (Los Angeles, CA)
- MENTAL HEALTH PROGRAM MANAGER II / EMERGENCY APPOINTMENTS HOMELESSNESS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4659662) Apply MENTAL ... HEALTH PROGRAM MANAGER II / EMERGENCY APPOINTMENTS HOMELESSNESS Salary $132,439.68 -...of practice. Participates in the development, negotiation, implementation, and management of the budget for the Countywide program support… more
- HCA Healthcare (Kissimmee, FL)
- …you will need:** + (RN) Registered Nurse + Associate Degree + Bachelor's in Nursing + 1+ year of prior case management experience + Registered Nurse ... and admission status issues through established chain of command. + Performs utilization management reviews and communicates to third party payors. +… more
- Trinity Health (Columbus, OH)
- …demeanor in difficult situations. . Knowledge of the functional operations of utilization management , discharge planning, care coordination and transitions of ... This is done with the intentions of cost effective utilization of hospital resources, minimizing out of pocket expenses...other weekend rotation. **Minimum Requirements:** . Education: RN Case Manager : Graduate from a school of nursing .… more
- McLaren Health Care (Pontiac, MI)
- …by seeking new learning experiences and maintains knowledge of current trends of nursing care practices & management methods. 16. Participates in departmental ... care nursing within the past year and previous charge nurse experience/Clinically appropriate experience * BLS certification from American Heart Association… more
- Penn Medicine (Lancaster, PA)
- … management platform/analytics. + Analyzes data to identify under/over utilization ; improve resource consumption; promotes potential reduction in cost and ... Monday-Friday (8am-4:30pm). No weekends or holidays. The Ambulatory Care Management team is actively seeking a new Ambulatory Care...of the following: RN: Current licensure as a Registered Nurse , issued by the Pennsylvania Board of Nursing… more
- Johns Hopkins University (Baltimore, MD)
- …Assistants and provide education and training as needed. + Partner with the Nurse Manager to ensure appropriate documentation is completed for services provided ... programs ensuring timely completion, quality and safety, and fiscal management . + Work with the Clinical Directors, Nurse...infusion services while maintaining profitability in conjunction with the Nurse Manager and GI Finance Manager… more