- Wellpath (Lemoyne, PA)
- …or Care Management Certification. + RN preferred. Experience + Previous utilization review and/or case management and pre-certification experience + ... difference** The Regional Care Manager (RCM) works collaboratively with the Utilization Medical Director, Regional Medical Directors, and Site Leadership to… more
- Ascension Health (Racine, WI)
- …areas of responsibility, to include but not limited to; + Quality and Safety + Utilization Review + Peer Review and Credentialing + Growth and Strategic ... promote and oversee patient safety, continuous performance and quality improvement, risk management and efficient resource utilization . + Provides leadership to … more
- Beth Israel Lahey Health (Burlington, MA)
- …System Coordinators in par level establishment and maintenance, refill process, utilization analysis and product management . -Collaborates with Purchasing Agent ... provide a detailed monthly report on any overage. 3) Review /modify min/max inventory levels. 4) Audits inventory levels not...non-Pyxis product 12) Audits daily case equipment and supply utilization sheets to ensure accuracy of billing activity as… more
- HCA Healthcare (San Antonio, TX)
- …Minimum of 3 years clinical experience as an RN + One year experience in utilization review , resource management , discharge planning or case management . ... + Collaborating closely with the Rehab Program Director, Facility Case Management Director, and interdisciplinary team to ensure seamless, patient-centered care +… more
- HCA Healthcare (Tamarac, FL)
- … experience or 2 years of critical care experience Certification in case management or utilization review preferred + InterQual experience preferred ... + Collaborating closely with the Rehab Program Director, Facility Case Management Director, and interdisciplinary team to ensure seamless, patient-centered care +… more
- HCA Healthcare (Margate, FL)
- … + Experience or 2 years of critical care experience + Certification in case management or utilization review preferred + InterQual experience preferred + ... The CM collaborates with the Rehab Program Director and Facility Case Management Director regarding departmental functions. The CM coordinates efforts within the… more
- Brockton Hospital (Brockton, MA)
- …of five years clinical experience in an acute care facility required. Prior experience in case management , utilization review or discharge planning required. ... of our patients. Provides medical-surgical pediatric and obstetrical case management services to Brockton Hospital patients. Responsible for assuring continuity… more
- Ascension Health (Appleton, WI)
- …areas of responsibility, to include but not limited to; + Quality and Safety + Utilization Review + Peer Review and Credentialing + Growth and Strategic ... promote and oversee patient safety, continuous performance and quality improvement, risk management and efficient resource utilization . + Provides leadership to … more
- HCA Healthcare (Davie, FL)
- … experience or 2 years of critical care experience + Certification in case management or utilization review preferred + InterQual experience preferred HCA ... The CM collaborates with the Rehab Program Director and Facility Case Management Director regarding departmental functions. The CM coordinates efforts within the… more
- Doosan Bobcat (West Fargo, ND)
- …: + Develop and Implement e-Learning Marketing plan with goal of improving utilization + Marketing and management of internal instructor led training courses ... employee eligibility for Leave of Absences and provide required documentation for review + Collaborate with appropriate management personnel (ie, HR Partner,… more