- HealthTrust Workforce Solutions (Nashville, TN)
- …budget and resource management , cost control, contract compliance, quality improvement, utilization management , denials management and management of ... than 200,000 jobs nationwide. **_JOB SUMMARY_** The Interim Leader of Case Management Services is a Registered Nurse who participates as an active administrative… more
- UNC Health Care (Chapel Hill, NC)
- …**Professional Experience Requirements:** * Five (5) years of experience in care management , utilization management , discharge planning, care coordination, ... operations for designated Clinical Care Management Department team(s). Provides management direction to Case Managers, Utilization Managers, Clinical Social… more
- Children's Mercy Kansas City (Kansas City, MO)
- …patient progression activities during the patient's hospital course, supporting utilization management functions, and administrative functions for the ... patient progression activities during the hospital stay. + Supports Utilization Management functions for Care Management Department + Administrative… more
- Kaleida Health (Buffalo, NY)
- …Business field preferred. RN licensure required.** **Experience** **10 years of care management / utilization management experience required in hospital and/or ... **VP Care Management Post-Acute Care Transition** **Location:** **Buffalo General Medical...daily oversight of operations, the VP will partner with Utilization Review, Revenue Cycle, and Clinical leadership to create… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …Skills and Experience * 2+ years of managed care experience; eg case management /health coach, utilization management and/or auditing experience (may be ... Cross and Blue Shield of Minnesota Position Title: RN Specialist Complex Case Management - Transplant Location: Remote Career Area: Health Services About Blue Cross… more
- University of Southern California (Los Angeles, CA)
- …patient populations. The RN case manager role integrates the functions of utilization management , quality management , discharge planning assessment, and ... Qualifications: + Pref Bachelor's degree + Pref 1 year Case management or utilization review experience within the last three years preferred. Required… more
- Baylor Scott & White Health (Dallas, TX)
- …case management , social services, coordination of patient care, patient access, utilization management , and discharge planning. Directs the management ... Master's degree preferred. 2. 5+ years of experience in case management , social work, utilization review, or related field. 3. 1+ years of experience in… more
- Children's Mercy Kansas City (Kansas City, MO)
- …of, and training oversight of programs and services. Responsible for effective utilization review and proper resource management of patients, including patient ... To provide leadership to integrated inpatient teams; assists Director in the management of department; including personnel and fiscal management and development… more
- Northwell Health (New York, NY)
- …or throughout the entire continuum of health care delivery. Performs resource management , utilization management , discharge planning, care facilitation, ... duties with a defined patient population, and as it relates to care management and the delivery of patient care services. Communicates with payers addresses and… more
- Baylor Scott & White Health (Dallas, TX)
- …and evaluation of innovative, multidisciplinary clinical programs driving improvement in quality, utilization management , systems management and outcomes ... (eg, provider performance) by analyzing and interpreting quality and utilization management issues, reviewing clinical documentation, identifying trends,… more