- Penn Medicine (Princeton, NJ)
- …of pre-certifications as well as coordination of utilization reviews with utilization management reviewer . Timely and accurate completion of UM ... plan development and coordination, referent relations, discharge planning, and case management with social service support systems, schools and other relevant… more
- RiseBoro Homecare Inc. (Brooklyn, NY)
- …cost-control goals. Technology, Training, and Reporting . Oversee implementation and utilization of facilities management technology systems, including Yardi, ... ESSENTIAL DUTIES AND RESPONSIBILITIES The Director of Facilities Management provides strategic leadership and oversight of the operations, maintenance, and capital… more
- Stanford Health Care (Palo Alto, CA)
- …initiatives and guidance for product evaluation teams. + Train Value Based Management committee members to analyze and review data effectively during ... trends within health care and academic medical centers that may impact product/service utilization or Value Based Management processes. + Collaborate with key… more
- BD (Becton, Dickinson and Company) (Franklin Lakes, NJ)
- …planning, charter development, project timelines, budgets, resource allocation, risk management , and conducting Industrialization Gate Review System reviews. ... and Metrics:** Define and track benchmarks for program delivery, resource utilization , and risk management ; provide executive-level reporting and insights… more
- Ascension Health (Pensacola, FL)
- …two (2) years of proven leadership or management experience, preferably overseeing Case Management or Utilization Review teams in an Acute Care setting. ... **Details** + **Department:** Case Management + **Schedule:** Full time Day Shift +...an annual bonus incentive As the Director of Case Management for our Acute Care Services, you will lead… more
- Molina Healthcare (Sparks, NV)
- …with multidisciplinary teams to promote the Molina care model. * Adheres to utilization management (UM) policies and procedures. Required Qualifications * At ... attitude for success **Preferred License, Certification, Association** Active, unrestricted Utilization Management Certification (CPHM). RN licensure preferred… more
- University of Rochester (Rochester, NY)
- …of Medicare and other payer regulations for the coordination of benefits. + Notify Utilization Management of clinical requests by third party payers. + Maintain ... Counseling, Medicaid Enrollment & Outreach, Financial Assistance, Registration and Insurance Management , Utilization Management , Social Work, Patient… more
- Crouse Hospital (Syracuse, NY)
- …day management of the RN Care Managers in the department, including Utilization Management , Discharge Planning and Denials and Appeals functions. + Assessing ... Manager who is responsible for providing day to day management of the RN Care Managers in the department....acute care discharge planning + Preferred - Acute care utilization review experience Benefits Overview: + Medical,… more
- BronxCare Health System (Bronx, NY)
- …assist the department's leadership develop strategies for denial prevention, improved utilization management , documentation of medical necessity and identify ... of stay, avoidable day and barriers to discharge processes pertaining to utilization management . - Liaisons and coordinates with other hospital departments… more
- University of Rochester (Rochester, NY)
- …to discharge. Identifies problems, including but not limited to, pre-certifications, Utilization Management , Medicaid Pending, third party payer issues, and ... Communicates and follows-up with assigned area, Financial Assistance, Social Work, Utilization Management , Financial Case Management , patients, families,… more
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