- Guthrie (Binghamton, NY)
- …of the clinical manager / director, clinical educator, and/or clinical nurse specialist , department competencies, educational programs, new employee orientation, ... hire. Experience: Two years of recent clinical supervisory experience or charge nurse experience desired Essential Functions: 1. RESOURCE UTILIZATION : Considers… more
- Commonwealth Care Alliance (Springfield, MA)
- …Intensive Care (CIC) programing is responsible for providing care delivery and care management to a specific panel of high risk and complex people. This panel ... with significant medical, behavioral, and social complexities that require intensive care management and care delivery. Within the CIC Program, The Senior Clinician,… more
- 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
- Molina Healthcare (Akron, OH)
- …at least 3 or more years in one or more of the following areas: utilization management , care management , care transitions, behavioral health, or equivalent ... work of external vendors. + Focuses on process improvement, organizational change management , program management and other processes relative to business needs.… more
- Molina Healthcare (NM)
- …at least 3 or more years in one or more of the following areas: utilization management , care management , care transitions, behavioral health, or equivalent ... work of external vendors. * Focuses on process improvement, organizational change management , program management and other processes relative to business needs.… more
- Grifols Shared Services North America, Inc (Albany, NY)
- …institutions aligned with customer segmentation and enhance formulary and dosing protocols. * Utilization of Managed Markets, Marketing, Ig Nurse Educators, MSL, ... resources to fulfill customer needs and impact pull-through (eg, MSL, IG Nurse Educator, reimbursement specialist ) *Gather and provide customer insights to… more
- Trinity Health (Pontiac, MI)
- …required. Lean Six Sigma training preferred. + Experience as a Clinical Nurse Specialist preferred. + Experience with current sepsis guidelines preferred. ... sepsis to ensure patients receive appropriate care. + Evaluates and analyzes utilization of treatment protocols for patients experiencing sepsis at SJMO to reduce… more
- UnityPoint Health (Des Moines, IA)
- …coordinated transitions of care; achievement of select quality outcome metrics; appropriate utilization of health management programs and resources, within the ... and make a difference with UnityPoint Health. Responsibilities Comprehensive Care Management : * Provide outreach activities to members to engage in comprehensive… more
- Cedars-Sinai (Beverly Hills, CA)
- …of acute nursing experience required + 3 years of previous experience in case management , discharge planning, utilization review, and HMO in the acute inpatient ... Case Manager will assist in the daily operations of the inpatient case management department. Primary responsibility is to provide oversight of the daily functions… more
- Hartford HealthCare (Farmington, CT)
- …CDI subject matter expert guidance to CDS team, coding, physician leadership, quality management , utilization management , all providers, and others as ... now have our own identity with a unique payroll, benefits, performance management system, service recognition programs and other common practices across the… more