- AdventHealth (Orlando, FL)
- …to the transfer and placement of all patients. Proactively initiates steps, including utilization of the hospital and physician chain of command, to prevent ... provides information to the Utilization Review Specialist, Utilization Review Case Manager and the Clinical Support Specialist to ensure clear communication,… more
- Elevance Health (Grand Prairie, TX)
- …outside of the client health plan network. + Notifies ordering physician or rendering service provider office of the preauthorization determination decision. ... ambulatory or hospital setting or minimum of 1 year of prior utilization management, medical management and/or quality management, and/or call center experience; or… more
- Danaher Corporation (Houston, TX)
- …clinical testing, and are used in hospitals, reference and research laboratories, and physician offices around the world. Every hour around the world, more than one ... is required. This position reports to the Sr. National Clinical Sales Manager and is part of Beckman Coulter Diagnostics commercial organization working remotely… more
- ChenMed (Clearwater, FL)
- …COE and HCT leaders to support improved medical costs and specialty care utilization . This individual will work closely with and consider feedback from those leaders ... COE and HCT leaders to support improved medical costs and specialty care utilization . This individual will work closely with and consider feedback from those leaders… more
- ChenMed (St. Petersburg, FL)
- …wellness tools and resources for the care team's awareness and utilization with patients in need. **Communication:** + Maintains communication with interdisciplinary ... or patient's home. + Performs other duties as assigned and modified at manager 's discretion. **KNOWLEDGE, SKILLS AND ABILITIES:** + Keen business acuity and acumen +… more
- Fresenius Medical Center (Anderson, IN)
- …of time, and for specific additional duties, as assigned by the Program Manager . The Inpatient Services Charge Nurse ensures appropriate provision of Acute Dialysis ... Care staff and by performing Acute treatments as needed or directed by Program manager . Assumes the provision of quality patient care to all hospitalized patients in… more
- AdventHealth (Tavares, FL)
- **Home Health Physical Therapy Care Manager AdventHealth Home Health** **All the benefits and perks you need for you and your family:** + Up to $10,000 Sign On Bonus ... area. **The role you'll contribute:** The Home Health Physical Therapist (PT) Care manager is a professional therapist who coordinates and directs the home care… more
- CenterWell (Boston, MA)
- …the courage to innovate. **Additional Information** Will report to the Director of Physician Strategy at Utilization Management. The Medical Director conducts ... their scope. The Medical Director may speak with contracted external physicians, physician groups, facilities, or community groups to support regional market care… more
- St. Luke's University Health Network (Bethlehem, PA)
- …to assure delivery of high quality nursing service in accordance with the physician 's orders and with the agency's programs and policies. Services are provided in ... to agency standards for the provision of quality care, appropriate service utilization , and compliance with third party payor requirements for reimbursement. +… more
- Children's Home Healthcare (Albuquerque, NM)
- …RN LICENSE* Children's Home Healthcare is now hiring for a RN Clinical Supervisor/Case Manager ! Children's HH is the premier leader in Pediatric Home Health Care in ... is consistent with federal and state guidelines and in compliance with physician 's orders. 3. Oversight of plans of treatments, telephone orders, and discharge… more