- 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 (IN)
- …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
- Intermountain Health (Ogden, UT)
- …ongoing communication. + Requests and retrieves medical records from Health Information Management for retrospective utilization review or quality assurance. ... **Job Description:** The Care Management Assistant - Medical Units, is a patient-focused...accordance with contractual requirements and communicates with care managers, utilization review RNs, revenue cycle, and payers… more
- University of Utah Health (Salt Lake City, UT)
- …the accurate reporting of time and attendance of direct reports. + Functions as Case Manager and/or Utilization Review Nurse as necessary. + Tracks and ... This position is responsible for the day to day management of the Case Management Department. Plans,...analyzes Case Manager quality of service and utilization statistics.… more
- Baylor Scott & White Health (Dallas, TX)
- …or related field preferred. Master's degree preferred. 2. 5+ years of experience in case management , social work, utilization review , or related field. 3. 1+ ... , social services, coordination of patient care, patient access, utilization management , and discharge planning. Directs the...larger, more complex organization or functional area than a manager . Often has one or more managers or supervisors… more