- Banner Health (Phoenix, AZ)
- …networks, and regulatory agencies. MINIMUM QUALIFICATIONS Must possess knowledge of case management or utilization review as normally obtained through ... , acute care and/or home care environments, community resources and resource/ utilization management . Must demonstrate critical thinking skills, problem-solving… more
- Commonwealth Care Alliance (Boston, MA)
- …member experience. * Address provider inquiries related to care coordination, utilization management , and program participation, collaborating with internal ... does not have direct reports. Essential Duties & Responsibilities: Provider Relationship Management * Serve as the primary relationship manager and point… more
- WellSpan Health (Lewisburg, PA)
- …safety and efficient care. Assists the Director of Clinical Operations in management of staff to deliver high quality, patient-centered care. Assists with directing ... practice and across transitions of care. + Responsible for hiring, performance review of Clinical Supervisors. + Collaborates with Practice Managers to provide… more
- Washington Metropolitan Area Transit Authority (New Carrollton, MD)
- …as required. + Provides expert advice, guidance, and consultation to WMATA's senior management on space utilization & allocation. + Develops and manages updates ... Manager , Interior Design & Space Planning Job ID:...of experience in interior architectural design, administrative office facilities management , and at least 5 years of experience in… more
- HCA Healthcare (Tallahassee, FL)
- …is acceptable for position if current and compliant** + **Certification in Case Management , Nursing, or Utilization Review , preferred** + **Three years ... to make a real impact. As a(an) RN Case Manager you can be a part of change. **Benefits**...observation patients for appropriateness in observation status + Performs utilization management reviews and communicates information to… more
- HCA Healthcare (Tallahassee, FL)
- …license is acceptable for position if current and compliant + Certification in Case Management , Nursing, or Utilization Review , preferred + Three years of ... organization that invests in you as an RN Case Manager ? At HCA Florida Capital Hospital, you come first....observation patients for appropriateness in observation status + Performs utilization management reviews and communicates information to… more
- Highmark Health (Jefferson Hills, PA)
- …including but not limited to: appropriateness of care, documentation requirements, utilization review principles and criteria, insurance benefits and ... utilization . Serves as key team members in the management of readmissions, length of stay, ED utilization...**Required** + None **Preferred** + ACM Certification (Accredited Case Manager ) - American Case Management Association -… more
- The Cigna Group (Bloomfield, CT)
- …, and Health / Wellness programs (eg, utilization management , case management , demand management , medical review , care plans, health care coaching, ... and navigating enterprise portfolio funding process + Data Governance, Data Management , Data Quality, or Process Improvement practices + Healthcare payer data… more
- Huntington National Bank (Columbus, OH)
- Description Summary: The Space Management & Planning Project Manager Sr provides leadership to support the development and implementation of strategic space ... leaders to gather space programming requirements and facilitate the presentation, review and approval of strategic space plan recommendations; + Responsible for… more
- Cabinet Peaks Medical Center (Libby, MT)
- …Services, Imaging Services, Laboratory Services, Nutrition and Diabetes Education, Quality Risk Management , Utilization Review and Risk Management , ... utilization of personnel. Experience 5+ years' experience in management and supervisory nursing role required. Experience in Obstetrics, Emergency, Acute… more