- LA Care Health Plan (Los Angeles, CA)
- …At least 8 years of clinical appeals and grievances experience in a managed care, utilization management and/or case management setting, At least 2 years in ... training, and feedback on performance to department management . Work closely with management to review performance and quality standards on an ongoing basis.… more
- STG International (Yellowstone National Park, WY)
- …in quality improvement, care management , risk management , peer review , utilization review , clinical outcomes, and health enhancement activates. ... after hire. Participate in the orientation of physician assistants and nurse practitioners. * Provide leadership to Yellowstone's Mammoth Clinic providers and… more
- HCA Healthcare (Dallas, TX)
- …clinical screenings and assessments in collaboration with both hospital Case Management and the Rehab Medical Director. The Clinical Rehabilitation Specialist works ... closely with hospital case management to ensure a responsive and smooth flowing referral...prior to returning home. The Clinical Rehabilitation Specialist will review these patients daily until they have strong clinical… more
- MD Anderson Cancer Center (Houston, TX)
- …and 2% Education. The faculty member is responsible for clinical expertise in the management of the critically ill cancer patient in the ICU and in providing ... policy. Will require dictating in a clear and concise manner, and visual review of documents. Correspond as appropriate, in writing or by telephone, to conversations… more
- KidsPeace Childrens Hospital (Schnecksville, PA)
- …and/or services based on the needs of the organization; + Participating in utilization review activities including but not limited to development of standards, ... history and physical examination, either written or dictated. This includes a review of the immunization status, allergies, past history, family history and… more
- MTC (Littlefield, TX)
- …clean; utilize appropriate sanitation methods. 17. Practice basic cost containment and utilization management for patient care and facility operations. 18. ... who values helping people turn their lives around.** At Management & Training Corporation, our foundation is based upon...on an individual or group basis, as required. 12. Review and process all reports and documents in a… more
- HCA Healthcare (Portsmouth, NH)
- …throughput while supporting a balance of optimal care and appropriate resource utilization . Provides case management services for both inpatient and observation ... **Job Summary and Qualifications** **Job Summary and Qualifications** The Registered Nurse (RN) CM is responsible for promoting patient-centered care by coordinating… more
- HCA Healthcare (Portsmouth, NH)
- …throughput while supporting a balance of optimal care and appropriate resource utilization . Provides case management services for both inpatient and observation ... opening and continue to learn! **Job Summary and Qualifications** The Registered Nurse (RN) CM is responsible for promoting patient-centered care by coordinating the… more
- ChenMed (Berwyn, IL)
- …explain nurse practitioner role. + Facilitates patient/family conferences to review treatment goals, optimize resource utilization , provide family education ... ensure compliance with guidelines along with participating in risk and quality management programs, clinical meetings and other meetings as required that promote… more
- PruittHealth (Atlanta, GA)
- …Minimum three years industry experience in a managed care setting focused on experience in utilization review /case management and at least two years case ... **JOB PURPOSE:** Responsible for the oversight of clinical care management of community based long-term care population for PruittHealth Premier Dual Eligible… more
Recent Jobs
-
Chief Information Officer
- Oglethorpe Power (Tucker, GA)
-
RN Case Manager - Clinical Supervisor (Part Time) - Hybrid
- Aveanna Healthcare (Vancouver, WA)
-
Respiratory Therapist (Full Time, Part Time, Per Diem) -Opportunities at Multiple Campuses
- St. Luke's University Health Network (Allentown, PA)