- Johns Hopkins University (Baltimore, MD)
- …surgical patients + Support in-office procedures, including flexible laryngoscopy and post -operative drain management + Coordinate perioperative planning and ... post -surgical symptom management + Collaborate with attending surgeons on new patient...and implement plans of action for long- and short-term management of acute and chronic health care… more
- Select Medical (Pensacola, FL)
- … within the plan of care. + Demonstrates compliance with facility-wide Utilization Management policies and procedures. + Coordinates UR compliance with ... what is right. The Case Manager is responsible for utilization reviews and resource management , discharge planning,...step-down, med surg, vents)** + Adequate experience in an acute medical case management setting and confidence… more
- HonorHealth (AZ)
- …care patients, and facilitate the discharge plan for patients with medically complex post - acute care needs. Analyzes medical records to determine legitimacy of ... the greater Phoenix metropolitan area. The comprehensive network encompasses six acute -care hospitals, an extensive medical group with primary, specialty and urgent… more
- Trinity Health (Caldwell, ID)
- …across the health care continuum. Focuses on supporting patients upon discharge from an acute care and post acute care setting and providing chronic ... **CLINICAL PHARMACIST** **VALUE BASED CARE** Responsible for providing comprehensive medication management services for patients cared for by the Saint Alphonsus… more
- MaineGeneral Health (Augusta, ME)
- Job Summary:Provides clinical leadership and strategic support in utilization management (UM) and clinical documentation improvement (CDI), ensuring regulatory ... the individual will: + Provide clinical leadership and strategic support in utilization management (UM) and clinical documentation improvement (CDI), ensuring… more
- CVS Health (Austin, TX)
- …review, and appeal request. This position is primarily responsible for Utilization Management , including prior authorization and precertification as well ... Independent Review Organization a Plus **Preferred Qualifications:** -Health plan/payor Utilization Management / Review experience -Electronic medical… more
- CVS Health (Charleston, WV)
- …concurrent review, and appeal request. This position is primarily responsible for Utilization Management , including prior authorization and pre certification as ... Independent Review Organization a Plus **Preferred Qualifications:** -Health plan/payor Utilization Management / Review experience. -Electronic medical… more
- Sutter Health (Burlingame, CA)
- …22, CHA Consent Manual, CDPH and TJC. A broad knowledge base of post - acute levels of care and associated regulatory compliance requirements. General ... Responsible for Care Coordination and Care Transitions Planning throughout the acute care patient experience. This position works in collaboration with the… more
- Dignity Health (Long Beach, 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 (Long Beach, 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