- Dignity Health (Santa Maria, CA)
- …RN is responsible for providing telephonic clinical assessment, health education and utilization management services to a variety of patients. **Job ... + Registered Nursing / BSN + Familiarity with an electronic practice management system is preferred **Where You'll Work** Dignity Health's Pacific Central Coast… more
- Penn Medicine (Mercerville, NJ)
- …EPIC work queues-escalate as needed. + Coordinate with central admission, transportation, Utilization Management departments as needed. + Maintains up to date ... areas identified in patient satisfaction surveys. Provides comments and feedback to management team to maintain and improve quality of services. + Participates in… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …with CDPAS documentation and authorizations. PRIMARY RESPONSIBILITIES: + Point person for Utilization Management , Case Management and G&A regarding ... resolution to members request for a change in provider + Communicate with current provider regarding stabilizing services + Communicate with providers regarding staffing new cases + Assist delegating CDPAS documentation to appropriate departments + Correspond… more
- Trinity Health (Grove City, OH)
- …affordability. -Serve as a subject matter expert in your area, guiding drug utilization management and educational efforts. -Advocate for patients and pharmacy ... scheduling & assignment; + Participates in & contributes to the performance management /review process + Manages or contributes to the daily performance, daily… more
- Trinity Health (Mishawaka, IN)
- …a compassionate and detail-oriented **RN** **Case Manager** to coordinate patient care, utilization management , and discharge planning. This role ensures quality ... of clinical nursing experience; critical care experience preferred + Case management certification preferred + Strong communication, critical thinking, and computer… more
- Veterans Affairs, Veterans Health Administration (Battle Creek, MI)
- …and Pension Mental Health evaluations. Provide Mental Health oversight to National Utilization Management Integration (NUMI) to complete appropriate and timely ... representative of Mental Health Service and/or Psychiatry Service as requested. Management and Supervision of staff within Psychiatry Service. Provide clinical… more
- Veterans Affairs, Veterans Health Administration (Battle Creek, MI)
- …and Pension Mental Health evaluations. Provide Mental Health oversight to National Utilization Management Integration (NUMI) to complete appropriate and timely ... representative of Mental Health Service and/or Psychiatry Service as requested. Management and Supervision of staff within Psychiatry Service. Provide clinical… more
- Bowery Residents Committee (Manhattan, NY)
- …plans, and crisis intervention. Gather and review documentation as requested for utilization management reviews of clients on caseload including completion of ... MSW or CASAC-T License required. LMHC or LMSW preferred. Excellent time management skills. Bachelors strongly preferred. Knowledge of OASAS rules and regulations and… more
- The Cigna Group (St. Louis, MO)
- …Project **Rotational Opportunities:** + Clinical Product + Specialty Pharmacy + Advanced Utilization Management + Pharma Trade Relations + Patent, Pipeline and ... Emerging Therapeutics + Client Account Management + Areas of Personal Interest within Evernorth **Minimum Requirements:** + 4th year (Graduation year) or PharmD.… more
- East Boston Neighborhood Health Center (East Boston, MA)
- …policies and procedures along with the Administrative Director + Oversees Clinical Quality Management and Utilization Management of the department along with ... the Administrative Director + Assists the department in annual performance improvement projects + Collaborate with the IT department for data reporting and validating IT reports + Works closely with coding and billing departments to assure proper coding and… more
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