- CVS Health (Jefferson City, MO)
- …key issues are addressed. + Thoroughly analyzes and reviews reports and utilization in order to consult with customers, implement appropriate interventions and drive ... outcomes for the customer and Aetna. + Analyzes and reviews reports/data and utilization to assist the customers in understanding key drivers of benefits cost. +… more
- Wabtec Corporation (Erie, PA)
- …in strategic planning, program and project execution, financial and asset management , M&A integration, and enterprise architecture across global Wabtec IT. How ... organizational boundaries + Must be able and willing to travel as needed (typically <10%) _We would love it...etc.) + Background in technology investment analysis and business case development + Proven experience with ServiceNow and PowerBI,… more
- East House Corporation (Rochester, NY)
- …practices and individualized goals. . Provides clinical oversight and participates in case reviews to ensure service quality and effectiveness. . Ensures staff ... performance expectations and improvement plans. . Ensures maximum occupancy, utilization , and integration of services; assesses performance using benchmark data.… more
- Children's Home Healthcare (Albuquerque, NM)
- …communication skills and willing to travel to patient homes + Utilization Management Experience + Reliable transportation for patient visits + Reside ... Home Healthcare is now hiring for a RN Clinical Supervisor/ Case Manager! Children's HH is the premier leader in...Home Health services from insurance company. 7. Attend quarterly Utilization Review meetings as designated by the Director of… more
- UnityPoint Health (Cedar Rapids, IA)
- …identified by the assessing clinician and/or physician: + Treatment and disease management + Medications purpose, use, side effects, potential adverse effects + ... of care. + Maintains accurate and timely documentation of clinical records and time/ travel entries. + Receives, relays and documents verbal orders in accordance with… more
- UnityPoint Health (Cedar Rapids, IA)
- …the outpatient setting for behavioral health home care. Responsible for case coordination of patients and insurance precertification/ utilization review. Patients ... department policy. + Maintains competence in performing procedures involved with the management of violent or potentially violent patients. + Precerts all admissions… more
- Houston Methodist (Houston, TX)
- …education and training of Operating Room staff as well as making arrangements for case observation and proctoring of physicians. Acts as a model and coaches staff in ... scheduling of robotic surgery among the OR suites in collaboration with management and Centralized Scheduling. + Develops detailed competencies that address all… more
- Immigration and Customs Enforcement (Washington, DC)
- …changes identified by unit chart reviews, nursing incident reports,Medical Quality Management Unit (MQMU) review/reports, and any corrective action plans that are ... Special projects to support the DAD of Clinical Services when not on TDY travel . ii. Developing and communicating a strategic vision of nursing care that includes… more
- Humana (Springfield, IL)
- …Care Coordinators and other identified care team members as needed along with utilization management (UM) staff, physicians and providers as necessary and ... written communication. **Preferred Qualifications** + Bachelor's degree in nursing (BSN). + Case Management Certification (CCM). + Managed Care experience. +… more
- Global Foundries (Austin, TX)
- …& growth, customer application and market strategy Product Marketing or Product Management - Attain knowledge of product marketing, Product Strategy & Roadmap. Build ... capabilities in stakeholder and project management Commercial Ops/Strategy or Commercial Business - Exposure and...+ Language Fluency - English (Written & Verbal) + Travel - Up to 10% Preferred Qualifications: + Prior… more