- Molina Healthcare (Long Beach, CA)
- …* Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM) or ... needs. In addition, the Delegation Oversight Nurse will assist the Delegation Oversight Manager with additional duties of the team. We are looking for LVN's with… more
- AdventHealth (New Smyrna Beach, FL)
- …Social Work Specialist, in collaboration with the patient/family, care manager nurses, nurses, physicians and the interdisciplinary team, ensures patient-centered ... is under the general supervision of the Care Management Supervisor or Manager and is responsible for patient evaluations of post-hospital needs; development of… more
- Elevance Health (Los Angeles, CA)
- …clinical operational aspects of a program. + Conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers to discuss ... Director Associates. + Works independently with oversight from immediate manager . + May be responsible for an entire clinical...state or territory of the United States when conducting utilization review or an appeals consideration and cannot be… more
- Beth Israel Lahey Health (Burlington, MA)
- …Maintains inventory spreadsheet for ordering purposes of non-Pyxis product 12) Audits daily case equipment and supply utilization sheets to ensure accuracy of ... counts and inventory. 6) Reviews inventory cost to budget and works with clinical manager on variances. 7) Acts as contact person for the Finance Department to… more
- Sevita (Jacksonville, FL)
- …snapshots and evaluations for direct reports in consultation with the PD's manager ; reviews and approves Direct Support Professional and other staff member's ... in decisions regarding discipline and termination in consultation with the PD's manager and Human Resources; manages the termination of Direct Support Professionals… more
- CommonSpirit Health (Rancho Cordova, CA)
- …responsibilities leading up to or including supervisory role + Experience in Utilization Management, Case Management or Care Coordination, Managed Care is ... completing quality assurance reviews of work performed and communicating with department manager and director the outcomes of the review and any identified issues… more
- CommonSpirit Health (Rancho Cordova, CA)
- …responsibilities leading up to or including supervisory role + Experience in Utilization Management, Case Management or Care Coordination, Managed Care is ... completing quality assurance reviews of work performed and communicating with department manager and director the outcomes of the review and any identified issues… more
- Adelante (Goodyear, AZ)
- …The therapist will work collaboratively with the behavioral health team (psychiatrist, case manager and behavioral health medical assistant) directly and with ... health issues and provider's education to assist with enhancing primary care utilization of behavioral health interventions + Promote a smooth interface between care… more
- Adelante (Phoenix, AZ)
- …The therapist will work collaboratively with the behavioral health team (psychiatrist, case manager and behavioral health medical assistant) directly and with ... health issues and providers education to assist with enhancing primary care utilization of behavioral health interventions + Promotes a smooth interface between care… more
- CDM Smith (Detroit, MI)
- …planning, and workload distribution. - Monitor and drive profitability and utilization targets. - Ensure compliance with quality assurance, health and safety, ... business development and proposal efforts in coordination with the Technical Delivery Manager (TDM). If you are driven to build a motivated and high-performing… more