- Highmark Health (Columbia, SC)
- …:** **JOB SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and ... participates as the physician member of the multidisciplinary team for case and disease management . They will advise the multidisciplinary team on cases,… more
- Providence (Tarzana, CA)
- …the management of the patient along the continuum of care, utilization activities, disease management appropriateness, discharge planning, patient ... **Description** RN Manager of our Care Management team at Providence Cedars-Sinai Tarzana Medical Center in Tarzana, CA. This management position is Full-Time… more
- Mohawk Valley Health System (Utica, NY)
- …+ 8 years of clinical experience. Previous or current experience working in Quality Management / Utilization Management field. + 5 years of management ... lead, create, and sustain teams + Strong knowledge of pathophysiology, treatment of disease and patient management . + Formal training and demonstrated experience… more
- AdventHealth (Orlando, FL)
- …and serves as a resource to Medical Staff colleagues regarding best practices, Utilization Management and Care Management structures, and functions and ... facilitates productive internal/external relationships with all physicians and constituents of Utilization Management , Care Management and CDI departments.… more
- CVS Health (Columbus, OH)
- …with the benefit plan. + Identifies triggers for referral into Aetna's Case Management , Disease Management , Mixed Services, and other Specialty Programs. ... May assist in the research and resolution of claims payment issues. Supports the administration of the hospital care, case management and quality management … more
- CVS Health (Harrisburg, PA)
- …of Stay) to clinical staff Identifies triggers for referral into Aetna's Case Management , Disease Management , Mixed Services, and other Specialty Programs ... assist in the research and resolution of claims payment issues - Supports the administration of the hospital care, case management and quality management … more
- Carle Health (Hoopeston, IL)
- …Clinic Hybrid position with 1 day remote and 4 in office The OP Care Management RN provides care management and population health services to patients. The ... high vulnerability at times of transition between care settings. OP Care Management RN will coordinate care around patient's chronic diseases, coordinate and… more
- City and County of San Francisco (San Francisco, CA)
- …timely coding and compliance with regulatory requirements in coordination with Utilization Management , Patient Financial Services, and Revenue Integrity. + ... the San Francisco Health Network, Population Health, Behavioral Health Services, and Administration . The San Francisco Health Network is the City's only complete… more
- Abbott (Alameda, CA)
- …and accountability across business domains to support ethical and effective data utilization . **Demand/Intake Management ** + Build deep relationships with our ... helping people with diabetes understand how to manage their disease -state and live life to the fullest. As the...to the fullest. As the IT Director Business Relationship Management - Global Data Analytics, you will play a… more
- MyFlorida (Fort Lauderdale, FL)
- …RESPONSIBILITIES: This is an advanced professional position in a county wide disease prevention program. The position requires utilization of complex ... would include the following: + Conducting Complex Research studies for surveillance of disease and disease syndromes (of individuals and population outbreaks) to… more
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