- Highmark Health (Indianapolis, IN)
- …Highmark Inc. **Job Description :** **JOB SUMMARY** This job implements effective utilization management strategies including: review of appropriateness of ... and offers interventions and/or alternatives. **ESSENTIAL RESPONSIBILITIES** + Implement care management review processes that are consistent with established… more
- International Medical Group (Indianapolis, IN)
- …efficiency of the use of health care services, procedures, and facilities for utilization review and /or /evacuation/repatriation. Work as a liaison between the ... management cases by diagnosis, dollar amount and/or high utilization of medical services and refer those identified for...PREFERRED SKILLS + BSN Preferred + Minimum two years utilization review with a managed care or… more
- Crouse Hospital (Syracuse, NY)
- …day management of the RN Care Managers in the department, including Utilization Management , Discharge Planning and Denials and Appeals functions. + Assessing ... Crouse's Care Coordination team is hiring a Care Coordination Manager who is responsible for providing day to day...acute care discharge planning + Preferred - Acute care utilization review experience Benefits Overview: + Medical,… more
- Nuvance Health (Poughkeepsie, NY)
- …Degree or BSN preferred. Must have current RN license. Preferred experience in Utilization Review / Management . Location: Vassar Brothers Medical Center Work ... case from physiological and economic perspectives. Has overall accountability for the utilization management and transition management for patients within… more
- Houston Methodist (Houston, TX)
- …state, local and federal programs + Progressive knowledge of discharge planning, utilization management , case management , performance improvement and managed ... At Houston Methodist, the Case Manager (CM) position is a registered nurse (RN)...registered nurse (RN) responsible for comprehensively planning for case management , which includes care transitions and discharge planning of… more
- Austin Industries (Irving, TX)
- …** for heavy civil projects in the **North** **Texas area.** The Equipment Service Manager is responsible for maximizing the utilization of Austin Bridge and ... existing equipment platform and refine and develop and implement new Infrastructure based utilization and management program + Participate in the development of… more
- Sutter Health (Sacramento, CA)
- …acute care patient experience. This position works in collaboration with the Physician, Utilization Manager , Medical Social Worker and bedside RN to assure the ... case management within a managed care environment. + Comprehensive knowledge of Utilization Review , levels of care, and observation status. + Awareness of… more
- Sutter Health (Modesto, CA)
- …acute care patient experience. This position works in collaboration with the Physician, Utilization Manager , Medical Social Worker and bedside RN to assure the ... case management within a managed care environment. Comprehensive knowledge of Utilization Review , levels of care, and observation status. Awareness of… more
- Sutter Health (San Francisco, CA)
- …acute care patient experience. This position works in collaboration with the Physician, Utilization Manager , Medical Social Worker and bedside RN to assure the ... case management within a managed care environment. + Comprehensive knowledge of Utilization Review , levels of care, and observation status. + Awareness of… more
- Pfizer (Frankfort, KY)
- …account management preferred or an IDP-aligned development role for account management with demonstrated leadership across peer and manager groups * ... * Develop productive relationships with State Department of Health Immunization Program Management to understand state policies and ensure the implementation of the… more