- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …* 1+ years of medical call center or managed care experience; eg case management , utilization management * All relevant experience including work, education, ... Have The Clinical Guide is a critical component of BCBSMs Integrated Health Management team. The position exists to provide member, provider and delegate resourcing;… more
- UPMC (Pittsburgh, PA)
- …Psychologist, LMFT or LPC + Three years of experience in behavioral, clinical, utilization management , home care, discharge planning, and/or case management ... Coordinates care and services across the continuum of care with case management , physicians, pharmacy, behavioral health, and other providers or health plan… more
- MTC (Livingston, TX)
- …the use of appropriate sanitation methods. + Practice basic cost containment and utilization management for detainee care and facility operations. + Maintain ... plan **Make a Difference Where It Matters!** Operated by Management & Training Corporation, the **IAH Detention Facility in...with an acceptable driving record required, unless waived by management . Management & Training Corporation (MTC) is… more
- Covenant Health Inc. (Knoxville, TN)
- …Works with FSRMC and Covenant Health Support Departments (business office, materials management , utilization management , IT, credentialing, medical records, ... Position Summary: This position provides business insight, operational, project management , action planning execution, and analytical, support to the C-Suite… more
- Molina Healthcare (Dallas, TX)
- …example, such meetings would occur to discuss and resolve issues related to utilization management , pharmacy, quality of care, and correct coding. * ... and contracted provider network. They are responsible for network management including provider education, communication, satisfaction, issue intake, access/availability… more
- Hartford HealthCare (Hartford, CT)
- …continuum; identify risk factors; facilitate involvement of support services; perform utilization management functions; develop and implement transition planning ... Our staff consist of Registered Nurses experienced in discharge planning and case management and embrace a universal concept of patient advocacy. They are well… more
- Cedars-Sinai (Los Angeles, CA)
- …and clinical (based on scope of practice) support activities including facilities management , patient billing, utilization management , quality management ... assist with monitoring CS-Link message pools and standard work. Collaborates with management to develop and implement new protocols or procedures that improve… more
- UPMC (Pittsburgh, PA)
- …with 6-8 year of experience. + 3 years of experience in behavioral, clinical, utilization management , home care, discharge planning, and/or case management ... Coordinates care and services across the continuum of care with case management , physicians, pharmacy, behavioral health, and other providers or health plan… more
- Dignity Health (Glendale, CA)
- …officer to forge a shared vision for safety, quality, patient experience, and utilization management . The CMO will strategically integrate physicians and APPs ... clinical outcomes. This executive demands profound expertise in healthcare management , strategic business planning, process improvement, budget administration, and… more
- Providence (Santa Monica, CA)
- …(Acute, Ambulatory, or Post-Acute). + 2 years of experience in Acute Care Management (Care Coordination or Utilization Management ) or successful completion ... care from the Centers of Medicare and Medicaid Services (CMS). Case Management is a collaborative practice including patients, caregivers, nurses, social workers,… more