- Commonwealth Care Alliance (Boston, MA)
- …influence the clinical outcomes of assigned patients by impacting acute care utilization , ensuring optimal treatment for chronic disease management , and closing ... Community Intensive Care (CIC) program is responsible for providing care delivery and care management to a specific panel of high risk and complex people. This panel… more
- Stanford Health Care (Palo Alto, CA)
- …(NLS) reduction framework to facilitate the achievements of the objectives of Category Management with the goal of attaining supplies and services that offer an ... sources), standardizing, improving, documenting, and supporting the SHC's Category Management processes throughout the lifecycle of initiatives. Will coordinate… more
- Sutter Health (Berkeley, CA)
- …care + Performs one or more of the following: + Second-level controlled substance management functions, analysis of use + Medication utilization data capture + ... collaborative practice agreement or an approved protocol. + Completes medication regimen review from a clinical, safety and cost perspective to identify duplicate… more
- AdventHealth (New Smyrna Beach, FL)
- …case management , appropriate levels of care for patients, efficient utilization of resources (including appropriate length of stay, consult usage and turn-around ... publicly reported outcomes. Overall responsibility for performance improvement, risk management , safety and clinical quality, continuing medical education, the… more
- Amcor (Manchester, MI)
- …controlling and reporting functions and ensure timely and accurate financial and management reporting in compliance with USGAAP and Amcor policies. In addition, will ... objectives and delivery of information and analysis to support proactive management decision making. Support special project activities including M&A activities,… more
- University of Utah Health (Salt Lake City, UT)
- …+ Negotiates with third party payers relative to benefit levels, eligibility, utilization review , and reimbursement. + Identifies actual and potential delays ... integral to our mission. EO/AA_ + This position provides clinical case management services aimed at enhancing patient-centered care and maximizing outcomes across… more
- Burns & McDonnell (Newton, MA)
- …and guidelines to meet department, global practice, regional and company objectives. + Regularly review team utilization of staff to make sure employees have a ... of responsibility include the following, with other duties as assigned by senior management . Fostering Culture + Drive a culture focused on safety and compliance… more
- Baystate Health (Springfield, MA)
- …care management application is required and is vital. Care management program metrics including, emergency room utilization , and hospital ... **ACO Nurse Care Manager i** s responsible for the management of care for a defined group of patients...room, or from a skilled nursing facility. Responsible to review the discharge summaries, follow up on testing that… more
- Florida Atlantic University (Boca Raton, FL)
- …and Asset Management + Collaborate with Design & Construction, Space Utilization and Analysis, and Budget and Planning teams to ensure building, grounds and ... Raton, FL. Reporting directly to the Assistant Vice President for Facilities Management , the Senior Director of Facilities Operations and Infrastructure is a senior… more
- HCA Healthcare (Gainesville, FL)
- …Social Work required. + Healthcare experience in an acute care hospital. Utilization Review , appeals, denials, managed care contracting, experienced preferred. + ... account in accordance with policies and procedures. Escalate medical review request and /or denial activities to management... review request and /or denial activities to management as needed. **What you will do in this… more