- The County of Los Angeles (Los Angeles, CA)
- …predictive and prescriptive analytics, to support data-driven program design and management ; and produces dashboards, reports, and other advanced data visualization ... under the immediate supervision of a Data Scientist Supervisor, or supervisor or manager responsible for the data analytics, research, or statistical function of a… more
- Cedars-Sinai (Beverly Hills, CA)
- …for medical necessity, appropriateness of care and level of care. Use evidence based review guidelines to conduct utilization review as is appropriate to ... More About What You Will be Doing** The Case Manager is responsible for the case management ...Skilled Nursing Facilities, refers to nurse practitioner and case manager assigned to the SNF's for continued review… more
- Maersk (Norfolk, VA)
- …and certifications * Performs other position related duties as specified by management Specific Responsibilities: Ship Manager Maintenance: Ship Manager ... timing for predictive maintenance programs; and work orders. * Overall supervise the utilization of Ship Manager processes and functionalities. * As applicable,… more
- Cleveland Clinic (Cleveland, OH)
- …CCM or AHA Certification by an approved entity + Two years of recent experience in utilization review , quality or care management + Knowledge of acute care ... one of the most respected healthcare organizations in the world. As an RN Case Manager , you will float between all bedside units at Main Campus and collaborate with… more
- Baylor Scott & White Health (Temple, TX)
- …for assessing and coordinating patient care across the continuum to include case management , social work, utilization review and care coordination to ... **JOB SUMMARY** Manager Comphrensive Care Management RN manages...problem solving related to care coordination, discharge planning, case management and utilization review . Monitors… more
- Molina Healthcare (Sterling Heights, MI)
- …learn new programs. Preferred Qualifications * Experience with utilization /quality program management . * Managed care experience. * Peer review experience. * ... and clinical leadership for health plan and/or market specific utilization management and care management ...Professional in Health Care Quality (CPHQ), Commission for Case Manager Certification (CCMC), Case Management Society of… more
- RxBenefits (Charlotte, NC)
- …channel management , B/G classifications, specialty designations, rebate eligibility, utilization trend, Utilization Management (UM) implications, ... Job Responsibilities Include: + Operate as the central project manager for the business on new opportunity prospects, playing...prospect member size, marketing agreements, broker commissions, and drug utilization . + Be the SME on dozens of medical… more
- Northern Light Health (Bangor, ME)
- …and supplies, staffing and training of employees, and budgeting o Resource Management + Executes successfully the established plans and the services through ... monitoring, analysis, reporting, and adjusting the direction, allocation and utilization of available resources. + Collaborates with Physician Dyad Leadership… more
- Colliers Engineering & Design (Columbia, MD)
- …performance evaluations, provide input for all raise and bonus discussions. + Review staff utilization monthly and address employees not meeting hours/billable ... Columbia, MD. The GDL is responsible for the professional, technical, management , marketing, administrative and financial aspects of their department and represents… more
- Rochester Regional Health (Rochester, NY)
- …in the Care Management Data base to support the clinical review process. + Concurrently monitors resources utilization , performing continued stay reviews ... efficient utilization of resources. Carries out activities related to utilization management , discharge planning, care coordination and referral to other… more