- Cleveland Clinic (Port Saint Lucie, FL)
- …year of eligibility (CTM, ACM, CCM or AHA) + Two years of recent experience in utilization review , quality or care management + Knowledge of acute care and ... accreditation requirements + Experience in discharge planning and quality improvement Our caregivers continue to create the best outcomes for our patients across each of our facilities. Click the link and see how we're dedicated to providing what matters most… more
- Carle Health (Champaign, IL)
- …for improving patient care outcomes. The incumbent will have a deep understanding of utilization review and case management principles, case management ... Department of Financial and Professional Regulation (IDFPR); Certified Case Manager within 2 years - Commission for Case ...experience 2+ years Responsibilities Maintain current knowledge of case management and utilization review trends… more
- City of Asheville (Asheville, NC)
- Capital Management Director Print (https://www.governmentjobs.com/careers/ashevillenc/jobs/newprint/5139967) Apply Capital Management Director Salary ... NC Job Type Full Time Job Number 2025-01742 Department Capital Management Division Capital Projects Administration Opening Date 11/12/2025 Closing Date 12/31/2025… more
- Molina Healthcare (NM)
- …learn new programs. Preferred Qualifications * Experience with utilization /quality program management . * Managed care experience. * Peer review experience. * ... of health care services provided to plan members. * Supports plan utilization management program and accompanying action plan(s), which includes strategies… more
- Carle Health (Normal, IL)
- …utilization issues in appropriate locations, including but not limited to: case management / utilization review software and the multidisciplinary plan of ... Case Manager (ACM) within 3 years - American Case Management Association (ACMA)American Case Management Association (ACMA), Education: Bachelor's Degree:… more
- State of Massachusetts (MA)
- …projects in a timely and confidential manner. *Position Summary* Reporting to the Manager of Contracts, the Business Management Specialist will work to ensure ... by the manager to support overall team objectives. COMMBUYS Activities/Bid Management : * Monitor and support procurement activities in COMMBUYS on behalf of… more
- Elevance Health (Tampa, FL)
- …Prepares reports and documents all actions. + Responsibilities exclude conducting any utilization management review activities which require interpretation ... area to refer or assign case ( utilization management , case management , QI, Med Review...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Elevance Health (Washington, DC)
- …Prepares reports and documents all actions. + Responsibilities exclude conducting any utilization management review activities which require interpretation ... area to refer or assign case ( utilization management , case management , QI, Med Review...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Houston Methodist (Houston, TX)
- …case management and social work department to facilitate efficient utilization of resources and discharge planning including referrals management , ... At Houston Methodist, the Case Management Representative position is responsible for providing clerical assistance and data management support to the… more
- Rush University Medical Center (Chicago, IL)
- …Division. The Care Management Navigator may contribute to transitional care planning, utilization review , and/or service line growth & outreach efforts for a ... Rush Medical Center Hospital: Rush University Medical Center Department: Ambulatory Care Management **Work Type:** Full Time (Total FTE between 0.9 and 1.0)… more