- MTC (Anson, TX)
- …+ Monitor all potential catastrophic illnesses. + Implement basic cost containment and utilization management for patient care and facility operations. + Comply ... + **Paid Time Off (PTO)** + **Paid Holidays** **Looking to impact lives? At Management & Training Corporation (MTC) Medical, our purpose is to help those in need.… more
- MTC (Raymondville, TX)
- …Monitor all potential catastrophic illnesses. 9. Implement basic cost containment and utilization management for patient care and facility operations. 10. Comply ... (EAP)** + **Paid Time Off (PTO)** + **Paid Holidays** **Impact lives with Management & Training Corporation (MTC) at the El Valle Detention Facility in Raymondville,… more
- Henry Ford Health System (Detroit, MI)
- … skills. Knowledge of computers, Electronic Health Records, data base systems and utilization review /case management documentation systems. Desire to work ... bonus available for qualified experienced candidates with current 2 years MSW Case Management in a large acute care hospital setting. GENERAL SUMMARY: The Case… more
- Providence (Torrance, CA)
- …care environment. Accountabilities include assessment and planning, coordination of care, resource utilization management and/ or review , discharge planning, ... a Medical Surgical or Inpatient setting. + 1 year - Experience in care management or utilization review in any setting or, + Upon hire successful completion… more
- Elevance Health (Washington, DC)
- …Prepares reports and documents all actions. + Responsibilities exclude conducting any utilization management review activities which require interpretation ... determines appropriate area to refer or assign case ( utilization management , case management , QI, Med Review ). + Provides information regarding network… more
- Providence (Everett, 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 or… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …Skills and Experience * 2+ years of managed care experience; eg case management /health coach, utilization management and/or auditing experience (may be ... difference, join us. The Impact You Will Have Utilizing key principles of case management , the RN Specialist will research and analyze the member's health needs and… more
- Arnot Health (Elmira, NY)
- …related to the management of patient care . The Case Manager will review all patients for utilization management and appropriate discharge planning. The ... the guidelines. . Identifies the appropriate patients for Case Management services. . Maintains a working knowledge of the...The Case Manager tracks and trends LOS , resource utilization , outliers, readmissions , denials , delay days… more
- ChenMed (Chicago, IL)
- …explain primary care provider role. + Facilitates patient/family conferences to review treatment goals, optimize resource utilization , provide family education ... re: goals of care, palliative care and hospice. + Utilization /Financial Management -managing resource utilization and...quality of health care. + Applies skills in peer review to promote a culture of excellence. + Anticipates… more
- Centene Corporation (Bedford, NH)
- …abuse across the continuum of care required + Experience with managed care, case management , utilization management , or quality improvement required + For ... groups and providers regarding clinical information from the Operations and Medical Management teams. Assesses and performs review of member clinical records… more