- Stanford Health Care (Palo Alto, CA)
- …to lodging resources * Supportive and adjustment counseling * Crisis intervention * Utilization management in support of our internal and external customers. ... (United States of America) The Social Work and Case Management Department responds to referrals for inpatient and clinic...lodging resources The Department of Social Work and Case Management is committed to: * Providing discharge planning *… more
- Carle Health (Urbana, IL)
- …with Health Information Systems (HIM), Patient Financial Services (PFS), Compliance, Case Management / Utilization Management , Revenue Cycle Systems & Training ... Overview The Director of Patient Access Services is responsible for the management of the system's Patient Access Services processes, policies and procedures to… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …at least 5 years in a leadership role focused on pre-certification or utilization management . + Extensive knowledge of insurance verification and healthcare ... care and streamline operational processes. **Key Responsibilities:** 1. Leadership and Management : + Lead, mentor, and develop a high-performing team of… more
- MTC (Calexico, CA)
- …+ Monitor all potential catastrophic illnesses. + Implement basic cost containment and utilization management for patient care and facility operations. + Comply ... California with an acceptable driving record required, unless waived by management . Management & Training Corporation (MTC) is an Equal Opportunity Employer. All… more
- MTC (Chaparral, NM)
- …performing the duties of the position. + Implement basic cost containment and utilization management for patient care and facility operations. + Maintain ... or Texas with an acceptable driving record required, unless waived by management . Management & Training Corporation (MTC) is an Equal Opportunity Employer. All… more
- Cedars-Sinai (Beverly Hills, CA)
- …workflows. + As liaison coordinates administrative support activities including facilities management , patient billing, utilization management , quality ... staff, insurance plans and other departments. + Actively participate in lean management processes by detailing, monitoring and updating department specific data. +… more
- NTT America, Inc. (Plano, TX)
- …and implement corrective actions + Collaborate with health plans, clinical teams, utilization management , and other departments to address complex cases and ... recommendations and interpretations of records. + Prepare reports for senior management on appeal trends and compliance status. **Requirements:** + Requires… more
- Providence (Mission Viejo, CA)
- …hospital or medical/office/clinic setting. **Preferred Qualifications:** + 3 years Experience in utilization management or case management . + Managed care ... surgery, and excellence in women's services by Healthgrades and Newsweek. Care Management is a collaborative practice model including the patients, nurses, social… more
- Catholic Health Services (Melville, NY)
- …initiated within 24 hours of admission / arrival. + Coordinate with onsite Case Management and Utilization Management to guarantee payer requirements are met ... Utilize work queues/work drivers and reports as assigned by management , to complete daily tasks. + Confirm that a...of FCC in-scope services. + Foresee and communicate to management team any significant issues/risks. + Propose innovative ideas… more
- Two95 International Inc. (Atlanta, GA)
- …plan operations including but not limited to enrollment, finance, call center, claims, Case Management and Utilization Management * 5+ years of experience in ... to manage client relationships * Coordinate design needs between teams and management to meet development benchmarks * Work with business partners to understand… more
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