- Corewell Health (Dearborn, MI)
- …of care and cost effectiveness through the integration and functions of utilization management , and/or care coordination, discharge planning, and appropriate ... Responsible for managing a case load of patients that includes facilitating utilization management , and/or care coordination during the patient's stay, planning… more
- Corewell Health (Royal Oak, MI)
- …of care and cost effectiveness through the integration and functions of utilization management , and/or care coordination, discharge planning, and appropriate ... Responsible for managing a case load of patients that includes facilitating utilization management , and/or care coordination during the patient's stay, planning… more
- Sharp HealthCare (San Diego, CA)
- …competency and individual development planning process.Maintain current knowledge of case management , utilization management , and discharge planning, as ... and guidelines.Identify opportunities for cost reduction and participate in appropriate utilization management venues.Escalate and refers cases for consultation… more
- Catholic Health (Buffalo, NY)
- …team with one of the major consultant firms + Proficiency in utilization management /clinical documentation Integrity and regulatory requirements required + ... + Ability to lead, challenge, motivate, coordinate and facilitate teams across the utilization management continuum + Understanding of clinical quality and … more
- Texas Health Resources (Arlington, TX)
- …and quality of the services provided by the organization are enhanced. Utilization management issues are identified and addressed by the appropriate ... are reported to supervisor and Administrative leaders as appropriate. Potential utilization management issues are addressed with supervisor and administration… more
- Sharp HealthCare (San Diego, CA)
- …competency and individual development planning process.Maintain current knowledge of case management , utilization management , and discharge planning, as ... policy.Identify opportunities for cost reduction and participate in appropriate utilization management venues.Escalate and refers cases for consultation… more
- Elevance Health (Miami, FL)
- **Clinical Operations Medical Director** **Medical Oncology** **Carelon Medical Benefit Management ** **Virtual** : This role enables associates to work virtually ... proud member of the Elevance Health family of companies, Carelon Medical Benefits Management , formerly AIM Specialty Health, is a benefit- management leader in… more
- Corewell Health (Grand Rapids, MI)
- …of medical management + Provide clinical oversight to nurse case management and utilization management . + Promote and advocate for patient-centered ... education skills; evaluation of evidence-based standards of care and application of utilization management skills and strategies. Preferred + LIC-Physician (MD)… more
- Highmark Health (Monroeville, PA)
- …and third party payers. + Maintains a working knowledge of care management , care coordination changes, utilization review changes, authorization changes, ... relationships across the organization in a community setting. **GENERAL OVERVIEW:** Registered nurse who is proficient in the coordination of care and manages… more
- Clark County, NV (Las Vegas, NV)
- …improvement initiatives, and directing staff utilizing established project management methodologies. Also, this position will participate in configuration, ... New Initiatives team will specialize in supporting one module primarily: Human Capital Management (HCM) or Financials (FI). Human Capital Management (HCM) Team:… more
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