- HCA Healthcare (Margate, FL)
- …opportunities, strategic planning, revenue and reimbursement enhancement, cost and utilization management , and improved operational department performance. ... encourage you to apply for our Assistant Controller opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews.… more
- UnityPoint Health (Waterloo, IA)
- …patient population, ensuring that adequate discharge plans are in place and completing utilization management and quality review activities. Care is provided ... + Sign On Bonus: $7,500 + FTE/Hours per pay period: .8 + Department: Case Management + Shift: Days M-F 0800-1630, 5-6 weekends per year and one holiday/year + Job… more
- Highland Hospital (Rochester, NY)
- …benefits, identifies and resolves coordination of benefits discrepancies, and notifies Utilization Management of additional clinical requests **Salary Range:** ... information is on file and accurately documented. These activities include review diagnosis and history for correct insurance coverage, insurance eligibility and… more
- Louisiana Department of State Civil Service (Houma, LA)
- …issues impacting care in a succinct and timely manner. + Consistently meets Utilization Management and billable services expectations + Maintain knowledge of ... for clients who present with mental health and addictive disorders + Review diagnosis, evaluation and treatment plans in collaboration with clients and/or… more
- Intermountain Health (Cedar City, UT)
- …+ Care Management Certification + Demonstrated experience in case management , utilization review , or discharge planning. **Physical Requirements:** ... The RN Ambulatory Care Manager I delivers comprehensive ambulatory care management services to identified patients. Leveraging clinical expertise, this role involves… more
- Intermountain Health (Butte, MT)
- …+ Case Management Certification + Demonstrated experience in case management , utilization review , value-based care, and/or discharge planning. ... + Case Management Certification + Demonstrated experience in case management , utilization review , value-based care, and/or discharge planning.… more
- New York State Civil Service (Albany, NY)
- …assistance. Gather and analyze information related to program operations, service utilization and management , fiscal and human resources, and/or clinical ... in the licensing process for new programs, serving as a reviewer of applications.Facilitate and attend stakeholder workgroups or committees representing accurate… more
- HCA Healthcare (Gainesville, FL)
- …monitor and improve the patient flow program effectiveness as it relates to utilization review , resource management , and discharge planning and care ... hospitalists & PCP's to address and resolve issues related to facility utilization and patient flow process and facilitate strong working relationship between… more
- Owens & Minor (Indianapolis, IN)
- …where applicable. + Monitors and controls costs and headcounts, optimizing resource utilization . **Team Management ** + Supervise and support all operational ... productivity, employee retention, and financial metrics. + Lead Lean Daily Management and multi-tier cross-function huddles. + Enforces ADC adherence to… more
- Humana (Concord, NH)
- …degree in a related field + Health Plan experience + Previous experience in utilization management , discharge planning and/or home health or rehab + Bilingual is ... actual and proposed medical care and services against established CMS Coverage Guidelines review criteria. You will follow our tiniest members from the beginning of… more