- CareFirst (Baltimore, MD)
- …or GED. **Experience:** 5 years clinically related experience working in Care Management , Discharge Coordination, Home Health, Utilization Review, Disease ... Management or other direct patient care experience. Previous experience with Medicaid, Medicare Advantage, and/or DSNP patient populations with multiple co-morbidities, complex needs, social determinants of health and/or barriers to care. **Preferred… more
- Banner Health (Brush, CO)
- … management process. Reviews audit results and presents summary information for management utilization and review. 7. May coordinate the admission process ... including new resident evaluations. Provides verbal and written communication to residents, families and referrals sources regarding the process for admission to the center. Facilitates problem solving with residents, families, referral sources, insurance… more
- USAA (Charlotte, NC)
- …rules and regulations and use of regulatory reporting platforms ie Axiom, etc + Utilization of financial management tools ie Oracle Cloud General Ledger (GL), ... regulatory reporting requests and requirement updates + Interact regularly with management , regulatory agencies, and business partners (ie, internal and external… more
- University of Maryland, Baltimore (Baltimore, MD)
- …procedures and clinical protocols; participation in clinician recruitment; oversight of utilization and risk management activities, and participation in Peer ... our clinicians and healthcare staff. The ideal candidate will be proficient in patient care, management of care delivery by clinical staff; development of policies,… more
- Nothing Bundt Cakes (Orlando, FL)
- …special attention to detail * Genuine care of others needs * Good understanding and utilization of time management * Must know how to prioritize and delegate * ... smile. Requirements: * An outgoing and friendly personality * Experience in retail/hospitality management * Strong sales abilities * Ability to Lead and Inspire team… more
- HCA Healthcare (Fort Pierce, FL)
- …ICU, CVICU etc.) hospital nursing experience required + Certification in case management or utilization review preferred InterQual experience preferred HCA ... The CM collaborates with the Rehab Program Director and Facility Case Management Director regarding departmental functions. The CM coordinates efforts within the… more
- HCA Healthcare (Aventura, FL)
- …ICU, CVICU etc.) hospital nursing experience required + Certification in case management or utilization review preferred + InterQual experience preferred HCA ... The CM collaborates with the Rehab Program Director and Facility Case Management Director regarding departmental functions. The CM coordinates efforts within the… more
- Penn Medicine (Philadelphia, PA)
- …leading and managing their departments with a focus on driving change and utilization of change management tools. + Completes on-boarding interviews within the ... business strategies, organizational development, talent retention, employee relations, performance management and internal communications for assigned units. **Responsibilities:** +… more
- Guthrie (Binghamton, NY)
- …leadership and autonomy in nursing practice. + Preferred experience with care management / utilization review, and payer knowledge. + RN considered. Education: + ... strategies related to health promotion and illness prevention, as well as management of chronic conditions. + Educates patients and their families regarding disease… more
- Banner Health (Greeley, CO)
- … management process. Reviews audit results and presents summary information for management utilization and review. 7. May coordinate the admission process ... including new resident evaluations. Provides verbal and written communication to residents, families and referrals sources regarding the process for admission to the center. Facilitates problem solving with residents, families, referral sources, insurance… more