- WellSense (Manchester, NH)
- …circumstances. **Job Summary** The Clinical Care Manager provides holistic medical care management services for members throughout the continuum of care by assessing ... team to develop an Individual Care Plan (ICP) that emphasizes self- management goals, care coordination, psychosocial, socioeconomic, and community-based supports and… more
- Apex Health Solutions (Houston, TX)
- …and cooperates with internal and external stakeholders. Collaborates effectively with Utilization Management , Quality Management , Pharmacy, Provider ... Summary Responsible for providing case management services and support to improve health outcomes...Director, Health Services Location: Houston, TX area; will consider remote deployment on a case by case basis Education… more
- Amgen (San Antonio, TX)
- …formulary adoption in targeted / assigned hospital accounts to help drive appropriate utilization of approved CV products; works with other sales colleagues to lead ... Representatives, District Sales Managers, Regional Sales Directors, Reimbursement/Access Specialists, Nurse Educators, Regional Marketing Managers, and the Value Based… more
- Amgen (Boston, MA)
- …formulary adoption in targeted / assigned hospital accounts to help drive appropriate utilization of approved CV products; works with other sales colleagues to lead ... Representatives, District Sales Managers, Regional Sales Directors, Reimbursement/Access Specialists, Nurse Educators, Regional Marketing Managers, and the Value Based… more
- PruittHealth (Atlanta, GA)
- …confidentiality, safety, advocacy, and accreditation and regulatory standards in all case management activities in both office/ remote environment * Compliance to ... Ability to work independently and be self-motivated in a remote environment * Manage assigned case load as business...in a managed care setting focused on experience in utilization review/case management and at least two… more
- Access Dubuque (Dubuque, IA)
- …also available remotely within Iowa. **Key Responsibilities:** + Provide telephonic case management and utilization review for assigned consumers. + Develop, ... higher preferred. + **Experience:** Minimum 2 years of clinical practice. Case management or utilization review experience strongly preferred. + **Skills:**… more
- Genesis Healthcare (NM)
- …and development of area medical directors, the assurance of effective quality and utilization management , and the successful transition within area centers to a ... are actively engaged, effective, and successful in center-based quality and utilization management , regulatory compliance, IT/EHR implementation, and business… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …or Hispanic/ Latino. * 1+ years of managed care experience, eg case management /health coach, utilization management and/or auditing experience. Compensation ... Behavioral Health Care Advisor - Substance Use Disorders Location: Remote Career Area: Health Services The Impact You Will...role is a critical component of the BCBSMN Care Management team. Behavioral Health Care Advisors will provide clinical… more
- Children's Hospital Boston (Boston, MA)
- …ensuring notification of product recalls/withdrawals, monitoring and reporting on blood utilization and wastage trends, evaluating blood management and ... Experience: + 5 years working experience in healthcare, nursing, blood management , transfusion medicine, medical laboratory science, or PA experience required +… more
- Intermountain Health (Salem, OR)
- …in care management /navigation or closely related field including Utilization Management , discharge planning, managed care, health promotion, health ... comprehensive medical, behavioral, and social needs of members while promoting self- management , quality, and cost-effective outcomes. **Essential Functions** + The … more