- Alameda Health System (Oakland, CA)
- …plans Role Overview: Alameda Health System is hiring! The Director of Utilization Management holds a critical role encompassing operational oversight, strategic ... hoc duties as needed. In essence, they orchestrate efficient utilization management to deliver high-quality patient care....in the classification. Lead and manage a team of utilization review professionals providing guidance, training, and… more
- Christus Health (San Antonio, TX)
- …Medicare GMLOS by managing per Milliman/Interqual Care Guidelines. Resource/ Utilization Management /appropriateness: Assess assigned patient population for ... This position provides expertise and leadership to insure effective resource management for patient care delivery (Conditions of Participation COP 482.30). Case… more
- Yale New Haven Health (Danbury, CT)
- …individuals and professionals, every day. Works Under The Supervision Of The Nurse Manager/Clinical Coordinator. The Registered Nurse (Rn) Assesses, Plans, ... Functions As A Preceptor To New Staff. Functions As A Charge Nurse . Meets Performance Expectations For Customer Service, Teamwork, Resource Utilization ,… more
- Yale New Haven Health (West Haven, CT)
- …individuals and professionals, every day. Works Under The Supervision Of The Nurse Manager/Clinical Coordinator. The Registered Nurse (Rn) Assesses, Plans, ... Functions As A Preceptor To New Staff. Functions As A Charge Nurse . Meets Performance Expectations For Customer Service, Teamwork, Resource Utilization ,… more
- Lourdes Health (Pasco, WA)
- …and fosters an environment that encourages professional growth. Initiates weekend case management , Utilization review screening, assists with D/C planning ... Registered Nurse (RN), House Supervisor Job Type: Full-time Varied...an employee, but as a person. As a registered nurse (RN) joining our team, you're embracing a vital… more
- Lourdes Health (Pasco, WA)
- …and fosters an environment that encourages professional growth. Initiates weekend case management , Utilization review screening, assists with D/C planning ... Registered Nurse (RN), House Supervisor Job Type: Full Time...an employee, but as a person. As a registered nurse (RN) joining our team, you're embracing a vital… more
- Fresenius Medical Care (Fayetteville, NC)
- …and acts as the liaison for patient care as per the disease management agreement, including initial and ongoing validation of member eligibility. Facilitate timely ... workup of patients for access management , dialysis services, patient education, hospitalizations, and kidney transplantation as appropriate, and ensures coordination… more
- Fresenius Medical Care (Ponca City, OK)
- …auditing activities. Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding. Manages clinic financials ... including efficient utilization of supplies or equipment and regular profits and loss review . Responsible for all required network reporting and on-site state or… more
- Novo Nordisk Inc. (Minneapolis, MN)
- …include key opinion leaders (KOL's), academic institutions, physicians, nurse practitioners, diabetes educators, pharmacists, blood bank staff, organized ... policies, legal, regulatory, and compliance requirements Ensures effective administrative management of regional business as well as operational budgets Maintains… more
- University of New Mexico - Hospitals (Corrales, NM)
- …patient responses to interventions in collaboration with quality assurance and utilization review , maintaining interdependent follow-up as necessary * TREATMENT ... case management interventions by utilizing established procedures including census review , risk screens, and referral * GOALS - Assist the patient, family,… more
