- CareOregon (Portland, OR)
- …; assisting with management of specific patients in the multidisciplinary case management /medication therapy management program, P&T, developing and ... Committee. + Critically evaluate drug therapy regimens for patients enrolled in the case management program and assist with developing treatment plans. + Provide… more
- CenterWell (Louisville, KY)
- …a part of our caring community and help us put health first** The Manager Care/ Case Management is responsible for managing a team of nurses, community health ... and coordinating care to reduce acute and post-acute care utilization . The Manager role is hybrid with travel.../ license + 5 years or more prior nursing, case management , disease management and/or… more
- Highmark Health (Baton Rouge, LA)
- …Health **Job Description :** **JOB SUMMARY** This job implements effective utilization management strategies including: review of appropriateness of health ... , identification of opportunities for referral to a Health Coach/ case management , and identification and resolution of...clinical care is being provided. **Preferred** + Certification in utilization management or a related field **SKILLS**… more
- Rush University Medical Center (Chicago, IL)
- …pediatric, adolescent, adult and /or geriatric patient, and expert knowledge in case management , discharge planning, social service, and criteria application. ... physician practices and inpatient teams to promote the effective utilization of services and coordination of care for adult,...1. Functions as an expert clinical practitioner within the Case Management team and serves as a… more
- Rep-Lite (New Haven, CT)
- Medical Device Account Manager Full-Time | Field-Based | Extensive Travel Required Overview We are seeking a driven Medical Device Account Manager to join our ... patient care through innovative technology. Key Responsibilities Sales & Territory Management + Execute territory-level sales strategies to drive product adoption… more
- PPL Corporation (Lexington, KY)
- …and spare strategies including development of guidelines and procedures, including utilization of software tools, including PowerBI, to enhance and complete analysis ... are near end of life. * Supports best practices and consistent utilization of Cascade within the Transmission organization. * Leads substation asset specification,… more
- UPMC (Pittsburgh, PA)
- …or CSW. + Three years of experience in behavioral, clinical, utilization management , home care, discharge planning, and/or case management required. + ... Professional Care Manager position to support the Population Health Case Management department. This is a Monday...pm). This is a community-based position and will require travel throughout Cambria and Somerset counties. Occasional travel… more
- CVS Health (Richmond, VA)
- …Liaison** is a clinical leader in the Medicaid plan focusing on utilization management , integrating member care, clinical coordination, leading the development, ... mental health services and addiction recovery and treatment services through the utilization management process + Drives collaboration on quality of care,… more
- Humana (Oklahoma City, OK)
- …of our caring community and help us put health first** The Manager, Utilization Management Behavioral Health utilizes behavioral health knowledge and skills to ... of medical services and/or benefit administration determinations. The Manager, Utilization Management Behavioral Health works within specific guidelines… more
- Affordable Care (TX)
- …including ** case acceptance rate, treatment plan conversion, and financing utilization ** , to the Key Leadership Team. + Support alignment across clinical ... **Overview** **Traveling Operations Manager - Dental Practices (Treatment Planning & Case Acceptance Focus)** **_Must Have Current/Previous DSO Experience_** We are… more