- Trinity Health (Boise, ID)
- …Shift **Description:** **GENERAL SUMMARY AND PURPOSE:** Provides hospital case management / utilization review and discharge planning collaboratively determining ... care as appropriate. Coordinates the hospital activities concerned with case management / utilization review and discharge planning. Adheres to departmental goals,… more
- Dignity Health (Bakersfield, CA)
- …will be on care coordination communication and collaboration with utilization management nursing physicians ancillary departments insurers and post acute ... experience. **Job Requirements** + Minimum two (2) years of acute hospital clinical experience or a Masters degree in...multiple stakeholders + Professional communication skills. + Understand how utilization management and case management … more
- Dignity Health (Los Angeles, CA)
- …be on care coordination, communication and collaboration with utilization management , nursing, physicians, ancillary departments, insurers and post acute ... experience. **Job Requirements** + Minimum two (2) years of acute hospital clinical experience or a Masters degree in...multiple stakeholders + Professional communication skills. + Understand how utilization management and case management … more
- Dignity Health (Glendale, CA)
- …be on care coordination, communication and collaboration with utilization management , nursing, physicians, ancillary departments, insurers and post acute ... experience. **Job Requirements** + Minimum two (2) years of acute hospital clinical experience or a Masters degree in...multiple stakeholders + Professional communication skills. + Understand how utilization management and case management … more
- HCA Healthcare (Tallahassee, FL)
- **Description** **Introduction** Do you have the career opportunities as a(an) Manager Case Management you want in your current role? We invest in what matters most ... meet these needs. + Develops, initiates, and coordinates individual patient case management plans to ensure appropriate level of care across the continuum. Ensures… more
- Beth Israel Lahey Health (Beverly, MA)
- …within an acute care hospital environment including Care Coordination and Utilization Management . - Demonstrated strength in management development, team ... provides administrative direction and leadership for: Transitions of Care/Case Management , Utilization Review / Denials management...related to transitions of care connecting the pre and post - acute care from the short term … more
- Providence (Apple Valley, CA)
- …access to services, advocacy, appropriate utilization of resources and collaboration with post - acute care providers to ensure patient's needs are met in the ... + 2 years of experience in Healthcare related field ( Acute , Ambulatory, Post - Acute , etc.). +..., etc.). + 2 years of experience in Case Management (Care Coordination or Utilization Management… more
- Ventura County (Ventura, CA)
- …Inpatient Psychiatric unit of the Ventura County Medical Center including utilization management , transfer coordination, discharge planning, and securing ... planning, evaluation, and review; + Performs daily clinical reviews to support utilization and quality management , ensuring compliance with guidelines and… more
- AdventHealth (Winter Park, FL)
- …documents avoidable days, and facilitates progression of care. Collaborates with Utilization Management staff for collaboration on patient status changes ... Winter Park residents and community leaders to a 307-bed acute care facility that is a model of community...+ Health-related masters degree or MSN + Prior Care Management / Utilization Management experience +… more
- CVS Health (Springfield, IL)
- …role that primarily supports the Aetna Better Health Plan of Illinois. This UM ( Utilization Management ) Medical Director will be a "Work from Home" position ... and appeal request. This position is primarily responsible for Utilization Management , including prior authorization as well...review. Cases could focus on inpatient or outpatient services, acute and post acute services,… more