- Sharp HealthCare (La Mesa, CA)
- …**Shift** Day **FTE** 0 **Shift Start Time** **Shift End Time** Certified Case Manager (CCM) - Commission for Case Manager Certification; California Registered ... a comprehensive plan of care for each patient/family in collaboration with the physician , social worker and all members of the interdisciplinary team in the… more
- Beth Israel Lahey Health (Plymouth, MA)
- …Hospital-Plymouth** is expanding its **Care Transitions Department** and seeking an experienced ** Manager of Utilization Review & Denials Management** and ** ... required + CCM, ACM, or other case management certification preferred or in progress ** Manager - Utilization Review & Denials Management** This role is ideal for… more
- ChenMed (Louisville, KY)
- …and in collaboration with other health care professionals. Consults with the manager , physician , and medical director to ensure compliance with guidelines. ... and in collaboration with other health care professionals. Consults with the manager , physician , and medical director to ensure compliance with guidelines.… more
- Billings Clinic (Billings, MT)
- …and equipment and maximizing the flow of patients to maximize effective utilization of the physician 's/non- physician provider's time *On-Call Responsibility ... CDC modules, injection class, and department skills competency. Along with department manager and physician approval. *Required to obtain certification or… more
- Dignity Health (Bakersfield, CA)
- …contracted physician networks, impacting key performance indicators related to utilization and cost, quality, and both member and provider experience. This role ... Utilization Management (UM) and the Medical Director of Physician Engagement and Quality, as well as providing clinical...of five years (5) of direct management / people manager experience in health care. + Medical degree or… more
- CenterWell (Phoenix, AZ)
- …manage and supervise the roles of the Center Medical Directors. + Identify physician recruitment needs and collaborate in the hiring and contracting of providers. + ... space and equipment and center needs. + Oversee daily operations of physician services. + Build strong relationship with specialist, hospitalist, SNF and other… more
- Alameda Health System (Oakland, CA)
- …Utilizes McKesson Interqual(R) clinical guidelines; refers questionable cases to the CM Manager or physician advisor for determination. + Takes appropriate ... Care Management provides Care Coordination, Compliance, Transition Coordination, and Utilization Management. **DUTIES & ESSENTIAL JOB FUNCTIONS** NOTE:The following… more
- Covenant Health Inc. (Knoxville, TN)
- …ICD 10 coding. + Responsible for concurrent review process for ICD-10 coding utilization . + Responsible for specific physician training develop by physician ... education and training for all Covenant coders, CDI, and/or physician office staff. Serves as a resource to coders,...initiative and independent judgment. Reports to the Corporate Coding Manager or CFO of CMG as appropriate. Recruiter: Brittany… more
- WellSpan Health (Waynesboro, PA)
- …of the department **General Summary** Performs a variety of duties and applies utilization and care management techniques to determine the most efficient use of ... type assignment or Care Coordination Team (CCT) Model (Care Manager and Social Worker teams are assigned to patients...and Social Worker teams are assigned to patients by physician practice) to address patient care transition needs. Provides… more
- Covenant Health Inc. (Harriman, TN)
- … physician to identify the necessary resources and ensures the appropriate utilization of same. + Communicates effectively with physician offices, home health ... Overview RN Care Manager , Continuum of Care PRN/OCC, Variable Hours &...screen patients and gather information from the medical record, physician documentation and communication, patient/family as well as other… more