- Baystate Health (Springfield, MA)
- …and Competencies:** + Requires a working knowledge of community resources and Utilization /Quality Review standards and activities conducted by third party payers ... $46.22 - $53.13 - $62.85 **Per Diem Hospital Case Manager ** The **RN Hospital Case Manager ** is...for transitions + Leads the team to ensure appropriate utilization of patient resources and directs care to other… more
- Baystate Health (Springfield, MA)
- …and Competencies:** + Requires a working knowledge of community resources and Utilization /Quality Review standards and activities conducted by third party payers ... - $55.87 - $69.33 + **Per Diem Hospital Case Manager ** The **RN Hospital Case Manager ** is...for transitions + Leads the team to ensure appropriate utilization of patient resources and directs care to other… more
- Amergis (Baltimore, MD)
- …and referrals for psychosocial needs + Participates in Quality Assurance and Utilization Review activities, as directed + Empowers patients in decision-making ... The RN Case Manager is responsible for coordinating continuum of care...of care activities for assigned patients and ensuring optimum utilization of resources, service delivery, and compliance with medical… more
- EAC Network (Garden City, NY)
- …Maintain documentation of approved allocations and monitor for ongoing compliance. Contract Management + Review executed contracts and amendments to extract and ... Description Join EAC Network as a Budgets and Contracts Manager ! EAC Network, a not-for-profit social service agency that...is a critical role responsible for coordinating the financial management of over 100 programs funded by 60 different… more
- Cedars-Sinai (Beverly Hills, CA)
- …Faculty and support of Medical Center goals and philosophies. The Manager , Research Operations assumes fiscal responsibility through preparation of unit budgets, ... supports research, participates in both strategic and tactical planning. The Manager , Research Operations is accountable to the Department Chair and/or Institute… more
- Snapsheet (Chicago, IL)
- …tools. Ensure that issues are escalated appropriately to appropriate internal departments and management + Regularly review and analyze data identifying the most ... Job Title: Account Manager - Appraisals Company: Snapsheet Job Location: Remote...to our core systems and processes across cloud-based claims management , virtual vehicle appraisals, and elite loss and recovery… more
- Ventura County (Ventura, CA)
- …direction, the Senior Medical Management Nurse is responsible for performing utilization review , case management , and quality improvement functions to ... , Disease Management , Quality Assurance, HEDIS and/or Utilization Review . NECESSARY SPECIAL REQUIREMENTS + Must...Health Care Plan. + Experience working as a case manager in a health plan case managing complex cases.… more
- Actalent (Austin, TX)
- …+ Monitor project budgets and analyze profitability, revenue, margins, billing rates, and utilization . + Conduct regular team meetings to review progress and ... Job Title: Survey Project Manager - RPLSJob Description We are seeking an...Survey Service Leader and Market Leaders on staffing, workload management , and utilization planning. + Work with… more
- Bon Secours Mercy Health (Norfolk, VA)
- …clinical and operational excellence. **Primary Function/General Purpose of Position** Network Manager works with market leaders, Population Health team members, and ... support success across key performance measures (KPI). The Network Manager serves as the front-line driver of network growth,...as the front-line driver of network growth, retention, and utilization to improve the quality of care in our… more
- HCA Healthcare (Thornton, CO)
- …balances the delivery of quality patient care with the cost effective utilization of resources. Performs concurrent clinical review to determine appropriateness ... of clinical nursing experience in the acute care setting. Prior utilization /quality/discharge planning/and/or case management experience highly preferred. HCA… more