- US Tech Solutions (Topeka, KS)
- …for Healthcare. Health Services strategies, policies, and programs are comprised of utilization management , quality management , network management ... tools and resources. **Responsibilities:** - Through the use of care management tools and information/data review , conducts comprehensive evaluation of referred… more
- Penn Medicine (Princeton, NJ)
- …+ Effective and timely completion of documentation as well as coordination with utilization management reviewer . + Performance Improvement + Participate in ... treatment, treatment plan implementation and coordination, discharge planning, and case management with social service support systems, schools and other relevant… more
- Prime Healthcare (North Las Vegas, NV)
- …EDUCATION, EXPERIENCE, TRAINING Required qualifications 1. Knowledge of Discharge Planning/ Utilization Management / Case Management terminology and ... Responsible for the coordination of the various activities of the Case Management Department under the direction of the assigned Case Manager/Social Worker assist… more
- Prime Healthcare (Boonton Township, NJ)
- …Plan. Qualifications Education and Work Experience + Knowledge of Discharge Planning/ Utilization Management / Case Management terminology and functions, ... Responsible for the coordination of the various activities of the Case Management Department under the direction of the assigned Case Manager/Social Worker assist… more
- Prime Healthcare (Chula Vista, CA)
- …EDUCATION, EXPERIENCE, TRAINING Required qualifications 1. Knowledge of Discharge Planning/ Utilization Management / Case Management terminology and ... Responsible for the coordination of the various activities of the Case Management Department under the direction of the assigned Case Manager/Social Worker assist… more
- Ivyhill Technologies LLC (Bethesda, MD)
- …nursing program. Must have three (3) years of clinical nursing experience. Referral Management (RM) and Utilization Management (UM) experience is preferred. ... Nurse (Non-Practicing) to support its contract with the Integrated Referral Management and Appointing Center (IRMAC), the National Capital Regions' premier… more
- Horizon Services, Inc. (Hayward, CA)
- …of front-line support and milieu staff to ensure full census and efficient utilization management at assigned program(s). Engages in marketing, client retention, ... youth prevention, youth and adult outpatient, sobering programs, withdrawal management , and co-occurring capable residential programs to support the well-being… more
- Prime Therapeutics (Trenton, NJ)
- …and timely fashion. + Demonstrates the value of pharmacy solutions (unit cost, utilization management & patient care enhancement). + Identifies opportunities for ... cost solutions that meet the desired outcomes of the customer; general management of the account, including P&L responsibility; and accountability for contract… more
- CenterWell (Carson City, NV)
- …strategic planning, determining services, providers, and expected outcomes collaboratively. *Focus on utilization management and review provider schedules to ... initiatives, including Quality, HEDIS/STARs, AHCA, optimal patient scheduling, financial management , patient engagement, recruiting/hiring, and employee and patient retention.… more
- UNC Health Care (Hendersonville, NC)
- …consultation for behavioral health services. Working closely with behavioral health clinicians, utilization review , case management , and finance teams, the ... to ensure appropriate care transition and patient placement. + Liaise with utilization review , psychiatry leadership, risk management , and/or legal… more
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