- Insight Global (Lafayette, LA)
- …Skills and Requirements Current RN License Cost Containment Background - utilization review or managed care Prior Experience with Worker's Compensation Prior ... Experience with Case Management more
- Elara Caring (San Antonio, TX)
- …Identifies and reports potential payment/coverage problems. + Supervises and coordinates utilization review activities. + Participates in strategic development ... Key Accounts, including participation in weekly, monthly, and quarterly review meetings, as needed. + Ensures accuracy of all...What is Required? + 5+ years Hospice experience + RN license in state of operations that is current… more
- Commonwealth Care Alliance (Boston, MA)
- …related to prior authorizations. **Process Improvement** + Partners with Clinical Operations management to develop and review workflows, to streamline processes ... and presents results. + Develops and analyzes quantitative reports to assess utilization , productivity and adherence to policies and procedures related to various… more
- HCA Healthcare (Tallahassee, FL)
- …and personal growth, we encourage you to apply for our Operating Room Nurse PRN-Surgery Center opening. We review all applications. Qualified candidates will ... have the PRN career opportunities as an Operating Room Nurse PRN-Surgery Center you want with your current employer?...the instrument and equipment set-up for your OR, including utilization of preference cards and ability to anticipate your… more
- Elevance Health (Roanoke, VA)
- …position. Preferred qualifications, skills, and experiences: + Previous experience in case management / utilization management with a broad range of experience ... and outpatient professional treatment health benefits through telephonic or written review . **Work location - Virtual** This role enables associates to work… more
- Elevance Health (Los Angeles, CA)
- …services only, and there is licensed staff supervision. + Previous experience in case management / utilization management with a broad range of experience with ... outpatient professional treatment health benefits through telephonic or written review . **How you will make an impact:** + Uses...LPC LBA (as allowed by applicable state laws) LMFT RN or Clinical Psychologist to practice as a health… more
- Elevance Health (NC)
- …supervision. **Preferred Skills, Capabilities and Experiences:** + Previous experience in case management / utilization management with a broad range of ... and outpatient professional treatment health benefits through telephonic or written review . **How you will make an impact:** Primary duties may include… more
- Nuvance Health (Danbury, CT)
- …identified strategic growth targets. * Assumes responsibility for effective fiscal management of department/departments to ensure proper utilization of financial ... failure treatment * Healthgrades - One of America's 50 Best Hospitals * Surgical Review Corporation (SRC) - Robotic Center of Excellence * Joint Commission - Gold… more
- Trinity Health (Mishawaka, IN)
- …in resource utilization ; assures fiscally efficient operations. + Prepares concise review of service line. + Uses innovation and expert knowledge of industry ... service line. + Assures that support departments, such as finance, outcomes management , marketing, patient financial services, etc. are integrated into the planning,… more
- Veterans Affairs, Veterans Health Administration (Hyannis, MA)
- …the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Recruitment/Relocation Incentive Authorized. Salary Updated ... physical exams, order & interpret diagnostic tests, & develop patient management plans. Multi-Disciplinary Teamwork: Collaborate within a Patient Aligned Care Team… more