- Lowe's (Mooresville, NC)
- …recommending strategies for optimal or early resolution. + Works cross-functionally to review and revise litigation management guidelines, and Request for ... + Supports Critical Claim Decision Points - Reserving, Settlement, RTW, subrogation, Nurse Case management triggers, associate experience, litigation avoidance +… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …Skills and Experience * 1+ years of managed care experience; eg case management /health coach, utilization management and/or auditing experience. * ... Case Manager is a critical component of BCBSMN Care Management team as the primary clinician providing condition and...care between settings. Required Skills and Experience * Registered Nurse licensure in the state of Minnesota with no… more
- UnityPoint Health (Iowa City, IA)
- …services. * Is knowledgeable regarding managed care implications - precertification and utilization review procedures. * Assists with crisis services placement, ... patient staffing's and special care conferences. Assist with designated management duties in a leadership role. The patients served...licensure in good standing to practice as a Registered Nurse in Iowa. . Must possess and maintain current… more
- Saint Luke's (Lees Summit, MO)
- …a week + Call Every Other Weekend + Minimum of 3 years in case management , discharge planning, or utilization review . **The Opportunity:** The Supervisor ... responsible for providing day-to-day operational oversight and leadership for Case Management and Social Work activities across inpatient units. This role supports… more
- Sutter Health (Roseville, CA)
- …assigned, to meet the needs of the patients and to contribute to Quality Management review and evaluation. + Must have the clinical knowledge and critical ... maintained at all times in alignment with mission, goals and objectives. Management and leadership skills needed include conflict management , negotiation, team… more
- Montrose Memorial Hospital (Montrose, CO)
- …preferred. + Minimum work experience: Three (3) years' experience working within case management , utilization management or denial management . Experience ... Denial Analyst is a key contributor within the interdisciplinary Denial Management Program and is responsible for completing, tracking, and reporting clinical… more
- Banner Health (Mesa, AZ)
- …the operations of the unit to ensure smooth and efficient patient care management and resource utilization . 2. Leads change by developing, implementing and ... that includes the da Vinci Surgical System. Becker's Hospital Review named Banner Desert Medical Center as one of...patients and staff. Uses depth and breadth of clinical management knowledge to ensure the provision of high quality,… more
- Hawaii Pacific Health (Lihue, HI)
- …(CDI) certification. Experience with InterQual, Milliman or other nationally recognized Utilization Management criteria. Experience with DRGs or inpatient ... Range:** 127,691.20 - 159,619.20 USD per hour **Category:** Health Information Management **Minimum qualifications:** Current Hawai'i Registered Nurse License.… more