- HCA Healthcare (Ocala, FL)
- …RN experience required + 4 year Bachelor Degree preferred. + Certification in Case Management or Utilization Review preferred HCA Florida Ocala Hospital is ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services...supporting a balance of optimal care and appropriate resource utilization . + Provides case management services for… more
- LifeCenter Northwest (Bellevue, WA)
- …Organ Procurement, assumes responsibility for donor clinical assessment, donor management , organ allocation, and procurement. Leadership Responsibilities + Provides ... and evaluation of all aspects of donor clinical assessment, donor management , organ allocation, and organ procurement. + Supports LifeCenter Northwest's (LCNW)… more
- HCA Healthcare (El Paso, TX)
- …of case management philosophy/process/role, needs assessment, principles of utilization review /quality assurance, use of InterQual(R) or other clinical ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services...review of patient medical records for purposes of utilization review , compliance with requirements of external… more
- CenterWell (Anderson, SC)
- …proactive and sustained engagement in improving health outcomes, optimizing resource utilization , and ensuring effective panel management . + **Focus on ... Leadership. + Meets with AMD about quality of care, review of outcome data, policy, procedure and records issues....will require acute and chronic treatment plans and proactive management through prevention and education. + **Accountable for the… more
- HCA Healthcare (San Antonio, TX)
- … Management will be performed + Prefer at least one year experience in utilization review , resource management , discharge planning or case management . ... for a low copay. Plans include prescription drug and behavioral health coverage as well as telemedicine services and...responsibilities will include: + Assesses by interview and charts review discharge needs of all high-risk patients (and others… more
- HCA Healthcare (San Antonio, TX)
- … Management will be performed + Prefer at least one year experience in utilization review , resource management , discharge planning or case management . ... 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
- Common Ground (Bingham Farms, MI)
- …combination of customer service, crisis intervention, resource guidance, utilization review , mobile crisis oversite and dispatch, Behavioral Health Urgent ... to Common Ground. To learn more about this position, please review the job description: Common Ground Crisis Hub - Manager… more
- Ventura County (Ventura, CA)
- …expand, and maintain the pool of eligible service providers. + Utilization review : + Uses professional skills in quality management activities such as ... other members of the mental health team. + Case Management : + provides case management /brokerage including linkage...work at an accredited college or university in the behavioral sciences and/or arts may be substituted for the… more
- Tufts Medicine (Boston, MA)
- …the system, including F&A assessment and allocation. 14. Oversee sundry fund management and philanthropic fund compliance, ensuring optimal utilization and ... Campus, MelroseWakefield Hospital, Lawrence Memorial Hospital of Medford, Tufts Medicine Behavioral Health Hospital (opening Fall 2025), Tufts Medicine Care at Home,… 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 ... Services Authority and will be located at the Terrebonne Behavioral Health Clinic. This position may be filled as...who present with mental health and addictive disorders + Review diagnosis, evaluation and treatment plans in collaboration with… more