- AmeriHealth Caritas (Detroit, MI)
- …and accurate documentation of member interactions in the electronic care management platforms. + Monitor appropriate utilization and coordinate services ... health for medically fragile members with acute, chronic, medically complex, and/or behavioral health conditions and other health needs. Serves as the primary point… more
- BrightSpring Health Services (Valdosta, GA)
- …report any discrepancies to BM. + Run monthly End of Month reports. + Run and review Utilization - Work all over utilized clients to prevent SVPs. + Time Detail ... Business Office Manager. + Web Portal Patient Monthly Liability Review monthly - send any changes to Business Office...Random "POP UP Audits" at locations for Resident Fund Management Service "Cash on Hand". + Cross Train on… more
- University of Pennsylvania (Philadelphia, PA)
- …Department of Dermatology. This role will be responsible for the preparation, review , and submission of sponsored program proposals to foundations, federal, and ... reports and transactions throughout close out. This role will prioritize the management of clinical research studies with a strong emphasis on startup activities,… more
- HCA Healthcare (Portsmouth, NH)
- …labor management , including position control, scheduling excellence, productivity management , and premium pay utilization . Maintains staffing to ensure ... 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
- HCA Healthcare (Vidalia, GA)
- …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 providers (DPS II). Provides support to hospital facilities operations management related to physicians, including primary care, specialists, and subspecialists… more
- HCA Healthcare (Kansas City, MO)
- …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 ... providers. The DPS II provides support to hospital facilities operations management related to physicians, including primary care, specialists, and subspecialists… 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
- HCA Healthcare (Fort Walton Beach, FL)
- …Case Management is preferred + BSN is preferred + Certification in Case Management , Nursing or Utilization Review is preferred HCA Florida Fort ... with physicians, patients, families, hospital staff, and outside agencies + Performs utilization management reviews and communicates information to third party… more
- BrightSpring Health Services (Elk River, MN)
- …organizing admissions and discharges + Conducting Assessments (Diagnostic, Level of Care Utilization System, Mental Health Review , Suicidal, and evaluation level ... service to clients + Individual and group counseling services + Possible Case Management + On-Call Duties + Weekly supervision with direct reports + Conduct weekly… more
- HCA Healthcare (Richmond, VA)
- …labor management , including position control, scheduling excellence, productivity management , and premium pay utilization . Maintains staffing to ensure ... 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