- Sutter Health (Oakland, CA)
- …Advisor will work closely with the medical staff, including house staff, and all utilization management (UM) personnel, Care Management (CM) personnel to ... meeting the organization's goals and objectives for ensuring the effective, efficient utilization of health care services. The PA will develop expertise on matters… more
- LA Care Health Plan (Los Angeles, CA)
- …of HEDIS, HIE, Health Analytics required. Functional knowledge of Utilization Management , Care Management , Clinical Case Management , Disease ... Care Advance, ZeOmega, Altruista, Thrasys) required. Functional knowledge of Utilization Management , Care Management , Clinical Case Management ,… more
- Veterans Affairs, Veterans Health Administration (Corpus Christi, TX)
- …expert relative to MHIS practice issues. Assists with directing operation and management of all clinical , training, and administrative needs within MHIS ... to manage a wide range of programs which include the operation and management of key clinical , training or administrative programs. Preferred Experience:… more
- Veterans Affairs, Veterans Health Administration (Corpus Christi, TX)
- …expert relative to MHIS practice issues. Assists with directing operation and management of all clinical , training, and administrative needs within MHIS ... Guides MHIS staff in application of current psychological research to their clinical work; and, Encourages utilization of evidence-psychotherapy protocols; and,… more
- CenterWell (Phoenix, AZ)
- …medical guidance and expertise. + Develop, implement and monitor the outcomes of utilization review and disease management programs to meet the quality and ... for achieving results. + Clinical Knowledge: You understand clinical program design, implementation, management /monitoring to support choice in… more
- The Cigna Group (Bloomfield, CT)
- …and external customers. He/she will serve as a clinical educator and consultant to utilization management , case management , network, contracting, ... of position** : A Medical Principal performs medical review and case management activities. The physician provides clinical insight to the organization… more
- Immigration and Customs Enforcement (Jena, LA)
- …local facility health program manager (FHPM) and in completion of clinical performance improvement activities/risk identification and management directly related ... will report directly to the site or local Clinical Director with clinical governance by a Regional Behavioral Health Consultant . As a Supervisory Behavioral… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …a central role in this transition - leading facility design, ensuring effective utilization of clinical spaces, and executing the planned relocation initiative ... basis. This individual is a content expert and internal consultant for physician leadership and clinical faculty,...Management : + Has responsibility for both academic and clinical missions. + Working with Chair and SOM Compensation… more
- CenterWell (Seneca, SC)
- …on wellness, prevention, and early detection. The PL is responsible for executing the clinical strategy through the management of their own patient panel as well ... management + Providing direct education to clinicians around clinical protocols / disease + prevalence / appropriate levels...+ Identifying trends and areas of opportunity in pharmacy utilization (pharmacy management ) to impact Part D… more
- Trinity Health (Mishawaka, IN)
- …The inpatient **Certified Wound Ostomy Continency Consultant (CWOCN Consultant ), Registered Nurse** will provide clinical oversight and coordination ... and their family members to assist them in the management of their individual wound care needs. Ultimate responsibility...and the Nurse Manager of each unit. The CWOCN Consultant will also serve as a resource to the… more