- McLaren Health Care (Bay City, MI)
- …to D/C). 4. Identifies unsigned level of care (LOC) orders; communicates with utilization management nurse and obtains orders from providers. 5. Reviews current ... **Three years of acute hospital care experience** _Preferred:_ + Experience in utilization management /case management , critical care, or patient… more
- Provider Solutions & Development (Mission Hills, CA)
- …of medical group management experience required + Must have working knowledge of utilization management and review essential to operations management ... with, motivate, and assist medical staff leadership to adhere to utilization management , clinical documentation, and other legal/regulatory requirements +… more
- Bon Secours Mercy Health (Toledo, OH)
- …medical education, electronic health records, and clinical research. Support of quality management , utilization management , risk management , infection ... senior leadership team. Provides leadership and advisement in quality, case management , clinical research and clinical IT structures. Physician executive leadership… more
- Molina Healthcare (Yonkers, NY)
- …room. Preferred Experience Previous experience in managed care Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual / MCG ... with multidisciplinary teams to promote the Molina care model. * Adheres to utilization management (UM) policies and procedures. Required Qualifications * At… more
- Molina Healthcare (North Las Vegas, NV)
- …(ICU) or emergency room. Previous experience in managed care Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual / MCG ... with multidisciplinary teams to promote the Molina care model. * Adheres to utilization management (UM) policies and procedures. Required Qualifications * At… more
- Providence (Spokane, WA)
- …care environment. Accountabilities include assessment and planning, coordination of care, resource utilization management and/ or review , discharge planning, ... National Certification in area of specialty. + 1 year experience in care management or utilization review in any setting or successful completion of TIPS… more
- Providence (Olympia, WA)
- …care environment. Accountabilities include assessment and planning, coordination of care, resource utilization management and/ or review , discharge planning, ... in area of specialty upon hire. + 1 year experience in care management or utilization review in any setting or successful completion of TIPS program… more
- Providence (Olympia, WA)
- …care environment. Accountabilities include assessment and planning, coordination of care, resource utilization management and/ or review , discharge planning, ... National Certification in area of specialty. + 1 year experience in care management or utilization review in any setting or successful completion of TIPS… more
- Dignity Health (Northridge, CA)
- …written, and presentation skills to effectively collaborate with diverse stakeholders. + Utilization Management & Case Management : Understanding of how ... utilization management and case management programs integrate to optimize patient care. + Teamwork...Skills: Ability to pass annual Inter-rater reliability test for Utilization Review product(s) used. + Customer Service:… more
- Henry Ford Health System (Detroit, MI)
- …+ Proficiency with computers, electronic health records (EHR), database systems, and utilization review /case management documentation systems. + Knowledge of ... resources to optimize patient outcomes and promote efficient resource utilization . Key Responsibilities: Clinical Care Coordination: + Conduct comprehensive patient… more