- 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
- 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
- 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
- UPMC (Pittsburgh, PA)
- …the CMA's collaborations, practical comprehension and hands-on experience in clinical care/ utilization management will result by collecting and assisting with ... + Assist clinical team with scheduling transportation, scheduling appointments, and tracking utilization . + Refer members to appropriate case management , health … more
- Cedars-Sinai (Los Angeles, CA)
- …and financial management skills, including effective expense reduction, utilization management , budget control and revenue generation. Compensation Range ... and promote patient safety, continuous performance and quality improvement, risk management , and efficient resource utilization , all linked to evidence-based… more
- Actalent (St. Louis, MO)
- …and organizational standards. + Maintain up‑to‑date knowledge of clinical guidelines, utilization management policies, and industry best practices. + Support ... Remote Clinical Review Nurse - Prior Authorization Location: Must be...distraction‑free workspace. + Comfortable navigating electronic medical records and utilization management systems. What We Offer +… more
- Humana (Carson City, NV)
- …. + Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial ... their daily work. The Medical Director's work includes computer-based review of moderately complex to complex clinical scenarios, ...with prior experience participating in teams focusing on quality management , utilization management , case … more
Recent Jobs
-
Behavioral Health Program Manager II - Recovery and Wellness - FT (M-F, 8:00 - 4:30pm)
- Truman Medical Centers (Kansas City, MO)
-
Nurse Practitioner or Physician Assistant - Hematology/Oncology
- UCHealth (Colorado Springs, CO)
-
Storeroom Attendant (Full Time And Part Time)
- Compass Group, North America (Malibu, CA)
-
Operations Supervisor Multishift
- Lowe's (Greer, SC)