- Pfizer (Tallahassee, FL)
- …level working across One Pfizer to pull through tactics and drive appropriate utilization + Share and help scale proven practices across the region and nation ... of strong leadership, cross functional leadership, collaboration and effective utilization of available resources to drive performance + Demonstrated experience… more
- Hartford HealthCare (Hartford, CT)
- …the system.*__* *_Position Summary:_* The Contract Administrator partners with our physician , clinical and business stakeholders, using a data driven approach to ... efforts of the organization including but not limited to standardization, utilization , capitation, benchmarking and product conversion initiatives in order to… more
- Fresenius Medical Center (El Centro, CA)
- …each hospital/facility and the Director of Operations. + Manages skill mix utilization by overseeing the management of staff and hospital scheduling while adhering ... the facility agreement. + Coordinating all aspects of Acute patient care from physician notification through discharge of the patient from the hospital. + Developing… more
- Cleveland Clinic (Stuart, FL)
- …of illness and intensity of service. + Be utilized as a sought-out expert with physician relations and communications. + Support and act as a role model for the ... one year of eligibility + Six years of experience in Care Management, Utilization Review or Discharge Planning in a Healthcare setting + Excellent interpersonal… more
- Elevance Health (Evansville, IN)
- …illnesses, co-morbidities, and/or disabilities, to insure cost effective and efficient utilization of health benefits. + Obtains a thorough and accurate member ... the implementation of member care plans by facilitating authorizations/referrals for utilization of services, as appropriate, within benefits structure or through… more
- Reno Orthopedic Center (Reno, NV)
- …belonging at ROC. What sets us apart? Reno Orthopedic Center (ROC) is physician -owned, meaning decisions are made by those who understand patient care firsthand - ... employee health plan, with the goal of improving employee utilization of quality, low-cost care. Your ability to analyze...on employee education efforts to increase plan knowledge and utilization . HRIS Analysis + Drive optimal use of HRIS… more
- Guthrie (Sayre, PA)
- …judgment. Ensures compliance with entity/department goals and clinical resource utilization . Promotes change and teamwork. Performs clinical duties of the ... experience or charge nurse experience desired Essential Functions: + RESOURCE UTILIZATION ; Considers factors related to safety, effectiveness, cost, and impact on… more
- Covenant Health (Lubbock, TX)
- …Accountabilities include assessment and planning, coordination of care, resource utilization management and/ or review, discharge planning, documentation of ... Bachelor's Degree in Nursing. + 1 year of experience in care management or utilization review in any setting or successful completion of TIPS program or Case… more
- Guthrie (Towanda, PA)
- …Assists with business plans, fiscal accountability, and clinical and resource utilization . Fosters change, and teamwork. Performs clinical duties of the patient ... experience or charge nurse experience desired Essential Functions: 1.RESOURCE UTILIZATION : + Considers factors related to safety, effectiveness, cost, and… more
- State of Indiana (Indianapolis, IN)
- …is to provide leadership to clinical staff supporting clinical policy, utilization management, care management, and quality improvement within Medicaid programs. ... Long-term care experience strongly preferred. Managed care, care management, and utilization management experience preferred. Regular travel is required with some… more