- KPH Healthcare Services, Inc. (Hoffman Estates, IL)
- …to patients, nurses and physicians as required regarding the contents, utilization , therapeutic actions, possible adverse reactions, or interactions of drugs. + ... activities, educational programs, and departmental/branch meetings. + Drives the Primary Case Management Model (PCMM) in daily interactions through the delegation of… more
- RTX Corporation (Tucson, AZ)
- …Supply Chain, or Programs + Experience with developing a business case /ROI/financial analysis or other general financial inputs/metrics to program or factory ... executive leadership + Experience with factory layouts, capacity modeling or space utilization + Understanding of Lean Application/Six Sigma principles + Prior work… more
- City National Bank (Los Angeles, CA)
- …using defined scheduling tools; monitoring budgets; coordinating resource acquisition and utilization ; serving as a liaison with internal customers and external ... and standards. * Project selection and approvals; budgeting and business case preparation and analysis; and project initiation and planning, including work… more
- Elevance Health (Overland Park, KS)
- …clients/ members. The medical director provides clinical expertise in all aspects of utilization review and case management. Provides input on the clinical ... means that the medical director is directly involved in Utilization Management and Case Management. + Daily...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Cedars-Sinai (Beverly Hills, CA)
- …environment that fuels innovation. **A Little More About What You Will be Doing** The Case Manager is responsible for the case management of patient while ... collaboration with the Inpatient Specialty Program (ISP) hospitalists, the Case Manager will assist patients from the...the TPL carrier of all injured worker cases receiving case management services. + Ensures appropriate utilization … more
- AdventHealth (Mansfield, TX)
- …Works closely with physicians and the campus leadership team on utilization / case management issues. Actively participates in outstanding customer service ... management, involving physicians and multiple hospital departments, to assure appropriate utilization of hospital resources, appropriate level of care for patients,… more
- Molina Healthcare (Las Vegas, NV)
- …Management (CPHM), Certified Professional in Health Care Quality (CPHQ), Commission for Case Manager Certification (CCMC), Case Management Society of ... of health care services provided to plan members. * Supports plan utilization management program and accompanying action plan(s), which includes strategies to ensure… more
- Veterans Affairs, Veterans Health Administration (Leavenworth, KS)
- Summary The Revenue Utilization Review (RUR) nurse is under the supervision of the Nurse Manager and ANM. The RUR nurse is an active member of the revenue cycle ... evaluation and analytical review of clinical information. Responsibilities The Revenue Utilization Review (RUR) Registered Nurse is under the supervision of a… more
- Sharp HealthCare (San Diego, CA)
- …Bachelor's Degree Health care related field **Other Qualification Requirements** + Utilization , Case Management, or Quality Management certification preferred. ... Care Management program that includes initial and concurrent review; case management/discharge planning activities. Responsible for operational planning consistent… more
- Elevance Health (Tampa, FL)
- …Plans, Freedom Health, and Optimum Healthcare Plans and will be responsible for utilization review case management for these markets. May be responsible for ... State agency. **Preferred Qualifications:** + Bilingual- Spanish speaking preferred. + Utilization Management case review experience strongly preferred. +… more