- Kaleida Health (Williamsville, NY)
- …Bachelors degree in Nursing. Current NYS Registration as a Professional Nurse. Certified Case Manager (CCM) preferred. **Experience** **At least 3 years of acute ... discharge planning, case management and home care required. Knowledge of Utilization Management. Use of computer applications related to health care industry as… more
- Carle Health (Peoria, IL)
- …responsibility for coordination of the surgical schedule to assure the most efficient utilization of the operating rooms. + Monitor case progression to identify ... + Coordinates and supervises the operation of the daily surgery schedule, case assignment, room and personnel assignments. + Assumes Responsibility for the operation… more
- Medtronic (Columbia, SC)
- …the Life** The Surgical Onsite Specialist (SOS) is responsible for providing case support and customer support, training and education, and solution implementation ... Surgical Centers of Therapy (COTs). This role ensures seamless product utilization by assisting with on-site procedures, addressing customer inquiries, performing… more
- Covenant Health Inc. (Knoxville, TN)
- …Regional Medical Center Support Departments (business office, materials management, utilization management, IT, credentialing, medical records, facilities manager ... Overview Manager of Surgery Administration & Business Operations Full...reporting and analysis + Budgeting (operating and capital) + Case scheduling at capacity + Oversight of student affiliations… more
- State of Massachusetts (Northampton, MA)
- …in order to ensure that client's needs and wishes are recognized and respected. The Case Manager carries a caseload of assigned clients and helps clients locate ... system problems via participation in the Quality Improvement and Utilization processes for case management in order to maintain professional standards of client… more
- System One (Las Vegas, NV)
- …Services. The LTSS Coordinator - Nevada monitors and promotes effective utilization of long-term services and supports through clinical review and benefits ... Functions: + Serve as point of contact with the Primary Care Manager , Medical Director, Provider, or other internal/external stakeholders. + Collaborate as part… more
- Elevance Health (New York, NY)
- …mandated policies, and CMS Coverage Determinations, as applicable. + Perform physician-level case review of utilization requests for procedures and interventions ... make an impact:** + Ensures timely completion of clinical case reviews for their board certified specialty. + Makes...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Molina Healthcare (Rio Rancho, NM)
- …Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM), ... ensure appropriate reimbursement to providers. + Resolves escalated complaints regarding utilization management and long-term services and supports (LTSS) issues. +… more
- Elevance Health (Indianapolis, IN)
- …and/or medical policies. May collaborate with healthcare providers. Focuses on relatively complex case types that do not require the training or skill of a ... improvement initiatives to improve the efficiency and effectiveness of the utilization reviews within the medical management processes. + Assesses and applies… more
- CenterWell (Columbia, SC)
- …in patient experience, quality of care, clinical outcomes, and avoidable utilization + Periodically review clinician charts to identify opportunities in care, ... precise + Identify critical issues for high-risk patients during case reviews & other forums, and model and drive...of health (SDOH) efforts, improving clinical outcomes and avoidable utilization + Monitor and manage daily patient care and… more