- Sharp HealthCare (La Mesa, CA)
- …competency and individual development planning process.Maintain current knowledge of case management , utilization management , and discharge planning, as ... as Allscripts.Identify opportunities for cost reduction and participate in appropriate utilization management venues.Escalate and refers cases for consultation… more
- Nuvance Health (Danbury, CT)
- …patient-centric vision and strategy for system-wide care coordination, encompassing utilization review (UR), denials management , discharge planning, social ... need for services, and facilitating timely discharge planning. * * Post - Acute Care Coordination:* Collaborate with post...of 5 years of progressive leadership experience in case management or utilization review * Proven leadership… more
- Carle Health (Normal, IL)
- …readmission and navigate strategies with patient and family to reduce risk through post acute planning. Arrange DME, Home Care, outpatient infusion and ... and management of the functional and financial outcomes during acute illness requiring hospitalization for patients of Carle Health. Ensures patients receive… more
- CenterWell (Dallas, TX)
- …opportunities for managing populations and coordinating care to reduce acute and post - acute care utilization . The Manager role is hybrid with travel ... data analytics, and create action plans that will reduce acute and post - acute care utilization . + Solicits/shares feedback with market leaders on… more
- Corewell Health (Royal Oak, MI)
- …of care and cost effectiveness through the integration and functions of utilization management , and/or care coordination, discharge planning, and appropriate ... Responsible for managing a case load of patients that includes facilitating utilization management , and/or care coordination during the patient's stay, planning… more
- Corewell Health (Dearborn, MI)
- …of care and cost effectiveness through the integration and functions of utilization management , and/or care coordination, discharge planning, and appropriate ... Responsible for managing a case load of patients that includes facilitating utilization management , and/or care coordination during the patient's stay, planning… more
- Alameda Health System (San Leandro, CA)
- …background. Within the last 3 years, experience in Case Management in an acute setting or utilization review at a medical group or health plan. Required ... Management provides Care Coordination, Compliance, Transition Coordination, and Utilization Management . **DUTIES & ESSENTIAL JOB FUNCTIONS** NOTE:The… more
- Intermountain Health (Provo, UT)
- …The Manager of Care Management II leads and collaborates with care management operations across utilization review, acute and emergency department care, ... mentor staff in service excellence. + System-Wide Collaboration: Represents care management with healthcare executives, post - acute providers,… more
- Bon Secours Mercy Health (Portsmouth, VA)
- …transitions of care. + Partners with physician leader to optimize the Utilization Management Committee, providing actionable data related to utilization ... management scope of service: Education, Care Coordination, Compliance, Transition Management and Resource Utilization . + Utilizes systems within the Care… more
- Sharp HealthCare (San Diego, CA)
- …guidelines developed by the OON Department to insure that clinical and utilization management information is clearly and concisely communicated within the ... competency and individual development planning process.Maintains current knowledge of case management , utilization management , and discharge planning, as… more