- Penn Medicine (Lancaster, PA)
- …license and daily access to an insured vehicle. Preferred Qualifications + Knowledge of Utilization review or managed care + Experience with home visits + ... management platform/analytics. + Analyzes data to identify under/over utilization ; improve resource consumption; promotes potential reduction in cost and… more
- Community Health Systems (Tucson, AZ)
- …and administration of the activities of clinical review , discharge planning, resource utilization and utilization review . Acts as a liaison between ... advancement is possible. **Candidates need 2 years acute hospital experience, prior case management experience preferred.** **Job Summary** The Care Manager - RN… more
- HCA Healthcare (Salt Lake City, UT)
- …to Patient in Bed by facility by floor to identify opportunities + Assesses utilization of Bed Management technology for optimal use + Analyzes all aspects ... to join an organization that invests in you as a Performance Improvement Manager ER and Throughput? At MountainStar Healthcare, you come first. HCA Healthcare has… more
- Sharp HealthCare (La Mesa, CA)
- …position requires the ability to combine clinical/quality considerations with regulatory/financial/ utilization review demands to assure patients are receiving ... competency and individual development planning process.Maintain current knowledge of case management , utilization management , and discharge planning, as… more
- Parsons Corporation (San Antonio, TX)
- …on workflow efficiency, and maintaining research documents. Additionally, the Program Manager II will assist with space utilization , financial tracking, ... talent and redefine what's possible. **Job Description:** Parsons is seeking a **Program Manager II** to support Naval Medical Research Unit - San Antonio (NAMRU-SA)… more
- ChenMed (Philadelphia, PA)
- …years' clinical work experience required + A minimum of one (1) year of utilization review and/or case management , home health, hospital discharge planning ... working remote for the remaining hours. The Acute Care Manager , Complex Care (RN) is responsible for achieving positive...patients' progress and adjust and plan accordingly + Understanding utilization review and how to leverage with… more
- Charter Care Health Partners (North Providence, RI)
- …progress of a specific patient population. Performs functions related to Patient Advocacy; Utilization Review ; Resource Management ; Continuum of Care ... experience with case management , patient navigation, case management , utilization review or discharge...Management (CCM) (R) board certification or Accredited Case Manager (ACM (TM) ) is highly desirable. Interrelationships: Patient… more
- Charter Care Health Partners (North Providence, RI)
- …progress of a specific patient population. Performs functions related to Patient Advocacy; Utilization Review ; Resource Management ; Continuum of Care ... experience with case management , patient navigation, case management , utilization review or discharge...Center Case Management (CCM) (R) board certification or Accredited Case Manager (ACM (TM) ) is highly… more
- UPMC (Pittsburgh, PA)
- …fit for you! UPMC Health Plan is hiring a full-time Pediatric Telephonic Care Manager to support the Medical Management Medicaid team. This position will be ... by the interdisciplinary team summarizing clinical and social history, healthcare resource utilization , case management interventions. Update the plan of care… more
- Elevance Health (Washington, DC)
- …and experience, which would provide an equivalent background. **Preferred Qualifications** + Utilization review / utilization management experience is a ... Medical Management team by managing and overseeing non-clinical medical management specialists to ensure utilization regulatory compliance and member service… more