- CommonSpirit Health (Phoenix, AZ)
- …care services. This role will be an expert on matters regarding physician practice patterns, over and under-utilization of resources, medical necessity, levels ... **Responsibilities** The System Vice President of Utilization Management is a key member of the healthcare organization's leadership team and is charged with meeting… more
- Tenet Healthcare (Commerce Township, MI)
- Clinical Social Worker Case Management Part Time Days - 2506003004 Description : DMC Huron Valley-Sinai Hospital in Oakland County is committed to outstanding ... customer service and medical care. This hospital features the Harris Birthing Center...avoidable readmissions. This position integrates national standards for case management scope of services including: Transition Management … more
- Atrius Health (Watertown, MA)
- …connected care for more than 690,000 adult and pediatric patients at 30 medical practice locations in eastern Massachusetts. Atrius Health's 645 physicians and ... and physical needs of the patients and families within the Anticoagulation Management Service. Practices within scope of practice in accordance with… more
- Veterans Affairs, Veterans Health Administration (Omaha, NE)
- …creative approaches to management of complex client care beyond the immediate practice setting. MSN and 2 years of specialized nursing experience, one of which ... Summary The Registered Nurse assigned to the Medical /Surgical Unit, is a professional nurse with a...for the coordination of care focused on patient education, self- management , and customer satisfaction throughout the continuum of care.… more
- Catholic Health Initiatives (Ringgold, GA)
- …**CHI Memorial Family Practice Associates - Ringgold** CHI Memorial Medical Group (Mountain Management Services), now part of CommonSpirit Health ... **Responsibilities** Under the direction of the health care provider, Medical Assistant is responsible for the delivery of patient care that promotes the safety and… more
- The Cigna Group (Bloomfield, CT)
- …- Participates in coverage guideline development, development, and maintenance of medical management projects, and committees. - Participates in quality ... Must be able to research clinical issues on internet resources. - Experience in medical management , utilization review and case management in a managed… more
- Centene Corporation (New York, NY)
- …everything for our 28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national organization ... Medical Director to direct and coordinate the medical management , quality improvement and credentialing functions...review studies and evaluates adverse trends in utilization of medical services, unusual provider practice patterns, and… more
- Johns Hopkins University (Baltimore, MD)
- …includes but is not limited to staff hours, clinic workflows, and inventory of medical items. 6. Oversees management of Ryan White, CDC, Maryland Department of ... patient care as well as on-site supervision of advanced practice clinicians and nurses to ensure that standards for...C treatment, PrEP, mpox testing and treatment, and buprenorphine management as appropriate. 10. Provides medical consultation… more
- Humana (Raleigh, NC)
- …other healthcare providers, clinical group practice management . + Utilization management experience in a medical management review organization, such ... Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/ Integrated Delivery Systems, health… more
- Veterans Affairs, Veterans Health Administration (North Chicago, IL)
- …of verified practice in the United States), which the local Medical Staff Executive Committee deems to have provided the applicant with appropriate professional ... Designated Education Officer (DEO) and 50% dedicated clinical time as Assistant Chief Medical Executive. Clinical time may fluctuate depending upon the needs of the… more