- Luke Staffing (Agana Heights, GU)
- …patient situations. If weaknesses or deficiencies are identified either by peer reviews, quality control retorts (QCRs), or evaluations the HCW will be required ... professional clinical standards and clinical protocols. . Participate in Utilization Management/ Case Management meetings to review and identify . opportunities… more
- Novant Health (Wilmington, NC)
- …Supervisor is responsible for day to day supervision, operations, monitoring ongoing quality , productivity, and efficiency for Case Management activities. Is ... knowledge of available community resources/post acute care options and utilization review processes while ensuring pertinent information is communicated to staff.… more
- HealthTrust Workforce Solutions (Plano, TX)
- …development, evaluation and implementation, budget and resource management, cost control , contract compliance, quality improvement, utilization management, ... **_Interim Leader of Case Management_** At HealthTrust, we believe that healthcare...the following functions of the role are completed: Utilization Review for medical necessity of admission and concurrent stay,… more
- North Wind Group (Delta Junction, AK)
- Location: Delta Junction, Alaska Title: Quality Control Manager Schedule (FT/PT): Regular Full Time Travel Required: No Clearance: Ability to Obtain North Wind ... General Contractors has an immediate opening for an onsite Quality Control Manager (QCM) to perform on...and specifications. The QCM role includes direct oversight and review of project documentation; the physical inspection phase of… more
- Hartford HealthCare (Torrington, CT)
- …workers, physicians, healthcare team members,, caregivers and the community. The Case Management process encompasses communication and facilitates care along a ... and health plans to fulfill the treatment plan in the highest quality , cost effective manner. Responsible for ensuring customer satisfaction (patient, family,… more
- Alameda Health System (Alameda, CA)
- AHD Wound Care Center Case Manager, RN + Alameda, CA + Alameda Hospital + AHD Wound Care Center + Full Time - Day + Nursing + $58.74/hr - $97.91/hr + Req ... **SUMMARY:** Under the supervision of the Clinical Manager,the AHD Wound Care Center Case Manager (RN) is responsible for providing comprehensive case management… more
- Travelers Insurance Company (Houston, TX)
- …+ Proactively review Claim File Analysis (CFA) for adherence to quality standards and trend analysis. + Utilize diary management system to ensure that ... resolving assigned serious and complex General Liability claims. Provides quality claim handling throughout the claim life cycle (customer...of policy information to facts or allegations of each case . + Consult with Manager on use of Claim… more
- Travelers Insurance Company (Morristown, NJ)
- …+ Proactively review Claim File Analysis (CFA) for adherence to quality standards and trend analysis. + Utilize diary management system to ensure that ... and resolving assigned serious and complex Specialty claims. Provides quality claim handling throughout the claim life cycle (customer...of policy information to facts or allegations of each case . + Work with Manager on use of Claim… more
- Public Consulting Group (El Cajon, CA)
- …stringent federal, state, county, and company compliance objectives. + Assists with quality control procedures to ensure operational processes are performed. ... that measure project objectives. + Assists in the 100% case review requirements, analyze data and reports...and reports to determine error trends. + Reviews County Quality Control Audits identifying citations that are… more
- UPMC (Muncy, PA)
- …training, and promoting wellness through chronic condition management and education. The Case Manager collaborates with the Quality Improvement Team to monitor ... The Professional Staff Nurse/ Case Manager at UPMC Muncy Place is responsible...interdisciplinary teams, residents, families, and external partners to ensure high- quality outcomes and seamless transitions post-discharge. This role involves… more