- Bon Secours Mercy Health (Toledo, OH)
- …medical education, electronic health records, and clinical research. Support of quality management , utilization management , risk management , infection ... senior leadership team. Provides leadership and advisement in quality, case management , clinical research and clinical IT structures. Physician executive leadership… more
- Commonwealth Care Alliance (Boston, MA)
- …member experience. * Address provider inquiries related to care coordination, utilization management , and program participation, collaborating with internal ... does not have direct reports. Essential Duties & Responsibilities: Provider Relationship Management * Serve as the primary relationship manager and point of contact… more
- Providence (Spokane, WA)
- …Accountabilities include assessment and planning, coordination of care, resource utilization management and/ or review, discharge planning, documentation ... Certification in area of specialty. + 1 year experience in care management or utilization review in any setting or successful completion of TIPS program or… more
- Providence (Olympia, WA)
- …Accountabilities include assessment and planning, coordination of care, resource utilization management and/ or review, discharge planning, documentation ... in area of specialty upon hire. + 1 year experience in care management or utilization review in any setting or successful completion of TIPS program or Case… more
- Providence (Olympia, WA)
- …Accountabilities include assessment and planning, coordination of care, resource utilization management and/ or review, discharge planning, documentation ... Certification in area of specialty. + 1 year experience in care management or utilization review in any setting or successful completion of TIPS program or… more
- Lakeview NeuroRehabilitation Center (Waterford, WI)
- …plan for the patient. + Has overall accountability for care coordination, utilization management , and discharge planning for patients within the assigned ... maintain funding for services in any phase of treatment. Participates in Utilization Management meetings to promote sharing of knowledge base, resources, and to… more
- Dignity Health (Northridge, CA)
- …written, and presentation skills to effectively collaborate with diverse stakeholders. + Utilization Management & Case Management : Understanding of how ... utilization management and case management programs integrate to optimize patient care. + Teamwork...with CMS standards and requirements. + Organization & Time Management : Highly organized with excellent time management … more
- Sutter Health (Berkeley, CA)
- …planning, working with multidisciplinary treatment team. The position coordinates the utilization management , resource management , discharge planning, ... post-acute care referrals and care facilitation. This position oversees the management of acute patient populations across the care continuum with a focus to provide… more
- New York State Civil Service (Albany, NY)
- …adolescents with mental illness in a clinical capacity, as well as experience with utilization management and/or utilization review. ? The ideal candidate(s) ... will have direct care and utilization management experience, including familiarity with the review of medical evidence, psychiatric evidence, a knowledge base of… more
- Molina Healthcare (Spokane, WA)
- …retrieving specified information from data sources. + Knowledge of healthcare operations ( utilization management , disease management , HEDIS quality measures, ... and Finance team through analyzing key business issues related to cost, utilization and revenue for multiple Molina Healthcare products. Analyzes data and dashboard… more