- HCA Healthcare (Pulaski, VA)
- …established chain of command. .In a RN Case Manager role, you will perform utilization management reviews and communicates information to third party payers .You ... member of this team, you will develop a case management plan of care for new and reoccurring patients...patients with chronic disease states. .You will assess patients' post discharge needs and facilitates the provision of services… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …related medical field. + 5 years case management experience in an acute care setting and/or experience in insurance-based utilization review, clinical prior ... Appeals Specialist performs advanced level work related to clinical denial management . The individual is responsible for managing medical denials by conducting… more
- Houston Methodist (Houston, TX)
- …ESSENTIAL FUNCTIONS** + Participates in developing medication therapy/disease state management protocols and/or dosing guidelines within specialty area. + Provides ... counseling, transitions of care including medication acquisition process support, and management of pharmacist based dosing protocols. + Leads internal HM quality… more
- Virginia Mason Franciscan Health (Burien, WA)
- …of available standards resources and data and in the efficient utilization of staff/resources. + Work involves continuous contact with physicians patients ... patient families community agencies patient care staff and management . + An incumbent is accountable for the quality...serving as the primary Registered Nurse delivering care to post -partum women and normal newborns who are admitted to… more
- Molina Healthcare (Salt Lake City, UT)
- …for gaps in care and preventive assessments. * Addresses both chronic and acute primary care complaints, and demonstrates ability to ascertain medical urgency. * ... of care. * Schedules appointments for visits when appropriate. * Provides post -discharge coordination to reduce hospital readmission rates and emergency room … more
- Virginia Mason Franciscan Health (Bremerton, WA)
- …(EBP) through standards, resources, and data, and in the efficient utilization of staff/resources. Work involves continuous contact with physicians, patients, ... patient families, community agencies, patient care staff and management . An incumbent is accountable for the quality of...+ One year of related work experience in an acute care setting is preferred. + Possession of a… more
- Veterans Affairs, Veterans Health Administration (Chesapeake County, VA)
- …and responsibilities of the position: Independently manages a panel of patients with acute and chronic health conditions with an emphasis on health promotion and ... an individualized plan to achieve optimal population health and disease management . Demonstrates leadership and works collaboratively with Primary Care Team and… more
- Queen's Health System (Honolulu, HI)
- …to, initiation and development of the plan of care, patient/family education, utilization management and discharge planning. II. TYPICAL PHYSICAL DEMANDS ... and Family Treatment Center includes occasionally accompanying patients outdoors. Management of confused/disoriented and combative patients may involve tasks which… more
- Access Dubuque (Dubuque, IA)
- …continued health and wellness, particularly as it relates to breastfeeding management and early parenting issues.** **Helps breastfeeding women and their families ... Performance Improvement staff to trend breastfeeding activities, and supply/equipment utilization after compiling data which evaluates effectiveness of the lactation… more
- HonorHealth (AZ)
- …of concern to ensure appropriate and accurate charging for surgical services. May post and process surgical charges, including the utilization of materials, ... the greater Phoenix metropolitan area. The comprehensive network encompasses six acute -care hospitals, an extensive medical group with primary, specialty and urgent… more