- Ochsner Health (Slidell, LA)
- …of hospital-based experience. **Preferred** - Experience in utilization review . **Certifications** **Required** - Current licensed practical nurse (LPN) ... **Job Description** **Education** **Required** - Graduate of an accredited licensed practical nurse (LPN) program. **Work Experience** **Required** - 3 years… more
- HCA Healthcare (Kansas City, MO)
- …patient needs. What you will do in this role: + Responsible for utilization review , discharge planning and care coordination with the patient, patient's ... work to deliver clinical excellence behind the scenes in data science, case management or transfer centers. Unlock your potential at Research Medical Center! **Job… more
- Grifols Shared Services North America, Inc (Rockford, IL)
- …DOP, Physician, therapeutic departments, ADR/SP Partner, Infusion Suite Nurse , etc.) Demonstrate account-based selling skills (including group presentations, ... to submit and approve P&T requests to add product to formulary Utilization of Managed Markets, Marketing, IgNE, MSL, etc. Detailing customers including… more
- AdventHealth (Fletcher, NC)
- …concerns. + Performs the functions of the clinical supervisor, intake, scheduling, quality review , utilization management medical records as needed. + ... providing care to patients and that an RN (Registered Nurse ) is available after hours (24/7) to address patient...or four years of equivalent experience. + Clear/active Registered Nurse or Physical Therapy license issued by the state… more
- Insight Global (Elkton, MD)
- …IP phones. Support and provide technical guidance to the Field Staff. Support of the Nurse Call backend systems. This is an ONSITE position based in Elkton, MD. This ... request. 2. Analyzes system traffic reports as requested by management , including operator statistics, voice mail, ACD, trunk, and...which includes a monthly report on traffic and effective utilization . 9. Oversees the weekly work efforts of the… more
- UnityPoint Health (Waterloo, IA)
- + Area of Interest: Management + FTE/Hours per pay period: 1.0 + Department: Case Management + Shift: M-F, 0800-1630, may need to help cover an occasional ... the development, implementation and evaluation of the care provided for Care Management which is consistent with the established strategic plan, goals and… more
- UNC Health Care (Chapel Hill, NC)
- …cost effectiveness through the integrating and functions of point of entry case management , utilization review , and effective patient flow activities. ... needs. The overall goal of the position is to enhance the quality of inter-hospital transfer management and satisfaction and to promote continuity of care and… more
- AmeriHealth Caritas (Columbia, SC)
- …complete, and accurate documentation of Member interactions in ACFC electronic care management platforms where applicable + Monitor appropriate utilization and ... improve the Member's health status, compliance with treatment plans and promote self- management .; **Work Arrangement** + Remote within the region + Community Visits… more
- University of Utah (Salt Lake City, UT)
- …Exam review , Telehealth Visits, Supporting Care Coordination, and Medication Management . The ideal candidate will also have a working knowledge of ... Recruitment** External Posting **Pay Rate Range** $200,000-230,000 **Close Date** 02/04/2026 **Priority Review Date (Note - Posting may close at any time)** **Job… more
- University Of Vermont (Burlington, VT)
- …collaboration and value-driven health care. The Governance Board meets quarterly to review utilization data, discuss finances, and receive updates on all ... to: Provost Partners with: Deans of other UVM Colleges Provost's Operational Management Team Direct Reports: Associate Deans Assistant Deans Department Chairs UVM… more