- HCA Healthcare (Tallahassee, FL)
- …in your career path, we encourage you to apply for our Manager Case Management opening. We review all applications. Qualified candidates will be contacted by ... you have the career opportunities as a(an) Manager Case Management you want in your current role? We invest...for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services… more
- HCA Healthcare (Nashville, TN)
- …within the group(s), including staffing, maintenance, repairs, parts, operations, fleet management and vendor/contractor utilization . + Responsible for the ... invests in you as an Assistant Vice President Facility Management ? At HealthTrust, you come first. HCA Healthcare has...for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services… more
- Tenet Healthcare (Detroit, MI)
- …at hospital and department orientation is required. Department orientation includes review and instruction regarding Tenet Case Management and Compliance ... Clinical Social Worker Case Management Full Time Days - 2506003347 Description :...patients achieve optimal health, access to care and appropriate utilization of resources, balanced with the patient's resources and… more
- Tenet Healthcare (Detroit, MI)
- …at hospital and department orientation is required. Department orientation includes review and instruction regarding Tenet Case Management and Compliance ... Clinical Social Worker Case Management Full Time Days - 2406004684 Description :...patients achieve optimal health, access to care and appropriate utilization of resources, balanced with the patient's resources and… more
- HCA Healthcare (Loxahatchee, FL)
- …issues. Offers clinical support for appeals and denials process, discharge planning, case management , and utilization review / management . + Consults with ... of quality and cost improvement and develops systems to review utilization of resources and objectively measure...facility-level staff regarding delegated utilization management and disease management operations under managed… more
- Georgetown Behavioral Health Institute (Georgetown, TX)
- …system and treatment methods, with specific knowledge and skills in areas of risk management , infection control, and utilization review ; strong oral and ... The Director of PI & Risk Management is responsible for the development, planning, coordination...responsible for developing, implementing and monitoring of a quality review program. The essential duties of the Director of… more
- HCA Healthcare (Tallahassee, FL)
- …is acceptable for position if current and compliant** + **Certification in Case Management , Nursing, or Utilization Review , preferred** + **Three years ... and assess observation patients for appropriateness in observation status + Performs utilization management reviews and communicates information to third party… more
- HCA Healthcare (Tallahassee, FL)
- …is acceptable for position if current and compliant** + **Certification in Case Management , Nursing, or Utilization Review , preferred** + **Three years ... and assess observation patients for appropriateness in observation status + Performs utilization management reviews and communicates information to third party… more
- UPMC (Pittsburgh, PA)
- …by the interdisciplinary team summarizing clinical and social history, healthcare resource utilization , case management interventions. Update the plan of care ... Are you an experienced Pediatric nurse with care management experience? We have a unique opportunity that...behavioral , pharmacy, and social needs of the member. Review UPMC Health Plan data for services the member… more
- US Tech Solutions (Columbia, SC)
- …Will last up to six weeks but could be extended. + Skill sets/qualities: Utilization management experience and /or Appeals experience /strong clinical skills ... experience and /or UR experience/Process Appeals requests/can have experience in either Utilization management or Appeals. + Ability to process authorization… more