- University of Michigan (Ann Arbor, MI)
- …models and streamline workflows to enhance efficiency, productivity, and resource utilization . Provide guidance on staffing, throughput, and capacity planning to ... maximize program performance. + **Performance Management :** Develop and monitor key performance indicators; implement robust tracking systems and execute corrective… more
- The Hartford (Hartford, CT)
- … management and discharge planning experience preferred + Managed care/ utilization review experience preferred + Crisis intervention skills preferred + Licensed ... claimants being managed. Leverages resources such as vocational rehabilitation, risk management unit, physician reviews, home assessments, etc. Manages risk and… more
- Providence (Orange, CA)
- …hire: California Registered Nurse License. + 3 years Experience in Utilization Management . + Experience working with InterQual and MCG guidelines. ... Qualifications:** + Master's Degree Nursing. + 5 years Experience as a utilization /case manager in an acute care setting. + Experience in a multi-hospital… more
- CommonSpirit Health (Centennial, CO)
- …required Minimum Experience required: 4 years clinical experience as a Registered Nurse . 3 years with progressive experience in utilization review, preferred. ... your success. The RN Clinical Denials Appeals Specialist functions as a revenue management liaison for all care sites with external third-party payers to appeal… more
- GE Aerospace (Charlottesville, VA)
- …does not directly own infrastructure platforms. The role accelerates digital utilization by standardizing data models, establishing reusable patterns, ensuring high ... data models, semantic layers, and reusable transformation patterns. **Data Management and Governance** + Implement data governance with domain-aligned stewardship,… more
- Oracle (Harrisburg, PA)
- …the Millennium platform. Excellent communication and interpersonal skills for remote collaboration, including virtual presentations and stakeholder management . ... directly with clients at a prominent academic medical center in the Midwest. This remote role will act as the primary subject matter expert and point person for… more
- Ochsner Health (Slidell, LA)
- …in utilization review. **Certifications** **Required** - Current licensed practical nurse (LPN) license in the state of practice. **Knowledge Skills and ... Description** **Education** **Required** - Graduate of an accredited licensed practical nurse (LPN) program. **Work Experience** **Required** - 3 years of… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …Skills and Experience * 1+ years of managed care experience; eg case management /health coach, utilization management and/or auditing experience. * ... Minnesota Position Title: Case Manager - Behavioral Health Location: Remote Career Area: Health Services About Blue Cross and...Case Manager is a critical component of BCBSMN Care Management team as the primary clinician providing condition and… more
- Hartford HealthCare (Farmington, CT)
- …The department of Clinical Informatics leverages our uniquely equipped Physician and Nurse Informaticists to promote and improve the utilization of innovative ... now have our own identity with a unique payroll, benefits, performance management system, service recognition programs and other common practices across the system.… more
- Virtua Health (Mount Holly, NC)
- …and/or certification from the State of New Jersey as a MSW or Registered Nurse .Case Management Certification (requirement within one year of hire beginning April ... over 2,850 skilled and compassionate doctors, physician assistants, and nurse practitioners equipped with the latest technologies, treatments, and techniques… more