- CareFirst (Baltimore, MD)
- …related experience working in Care Management , Discharge Coordination, Home Health, Utilization Review , Disease Management or other direct patient care ... supervision, the Care Manager researches and analyzes a member's medical and behavioral health needs and healthcare cost drivers. The Care Manager works closely… more
- Banner Health (Mesa, AZ)
- …the operations of the unit to ensure smooth and efficient patient care management and resource utilization . 2. Leads change by developing, implementing and ... that includes the da Vinci Surgical System. Becker's Hospital Review named Banner Desert Medical Center as one of...patients and staff. Uses depth and breadth of clinical management knowledge to ensure the provision of high quality,… more
- HCA Healthcare (Overland Park, KS)
- …to Patient in Bed by facility by floor to identify opportunities + Assesses utilization of Bed Management technology for optimal use + Analyzes all aspects ... at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical… more
- CenterWell (Savannah, GA)
- …opportunities for education/coaching + Identifying trends and areas of opportunity in pharmacy utilization (pharmacy management ) to impact Part D per Member per ... is responsible for executing the clinical strategy through the management of their own patient panel as well as...clinicians with schedule templates, coverage, daily issues + Managing behavioral concerns of supervised staff + Assisting with PTO… more
- Beth Israel Lahey Health (Peabody, MA)
- …plans since last appointment were followed and results are available for physician review Confirms that lab and other ancillary tests are performed and results ... registry health data for identified patient populations Monitors patient progress by utilization of disease specific registries to proactively reach out to patients… more
- Sharp HealthCare (San Diego, CA)
- …and manages admission and intake process.Complies with payor guidelines on utilization review process to promote optimal reimbursement.Collaborates with ... BBS Licensed Marriage and Family Therapist (LMFT) - CA Board of Behavioral Sciences; California Licensed Clinical Psychologist (LCP) - CA Board of Psychology;… more
- HCA Healthcare (Sanford, FL)
- …in Case Management is preferred + BSN is preferred + Certification in Case Management , Nursing or Utilization Review is preferred HCA Florida Lake Monroe ... with physicians, patients, families, hospital staff, and outside agencies + Performs utilization management reviews and communicates information to third party… more
- HCA Healthcare (Kissimmee, FL)
- …and admission status issues through established chain of command. + Performs utilization management reviews and communicates to third party payors. + ... at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical… more
- State of Connecticut, Department of Administrative Services (Bridgeport, CT)
- …Connecticut. Admissions to the psychiatric units are coordinated through a statewide Utilization Management process coordinated by the Office of the ... you passionate about supporting individuals on their journey to recovery from behavioral health or substance use challenges? Have you gained expertise in engaging… more
- HCA Healthcare (Manchester, NH)
- …Focused or ongoing professional practice evaluations (FPPE/OPPE), performance improvement, utilization patterns, peer review , or other performance information. ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services...appropriate handling of Patient Safety Work Product (PSWP). **Risk Management ** Coordinate with the risk manager to review… more