- Behavioral Center of Michigan (Warren, MI)
- …to help educate the staff and physicians regarding charting. REPORTS TO: Utilization Review Lead/ Manager QUALIFICATIONS: + High School Diploma or equivalent. ... Under general supervision, the Utilization Review Coordinator provides professional assessment, planning, coordination,...those duties include all tasks requested by the UR Manager , CEO or Medical Director to meet the needs… more
- John Muir Health (Walnut Creek, CA)
- …the inpatient case manager is one of patient advocate of appropriate utilization of resources. The inpatient case manager applies the process of assessment, ... and does this in coordination with the interdisciplinary health team. The RN Case Manager is expected to function within the full scope of the nursing practice with… more
- Prime Healthcare (Sherman Oaks, CA)
- …With Us! (https://careers-primehealthcare.icims.com/jobs/239073/case- manager - utilization -management/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) ... FacilitySherman Oaks Hospital LocationUS-CA-Sherman Oaks ID2025-239073 CategoryClinical Professional Position TypeFull Time ShiftDays Job TypeNon-Exempt more
- Highmark Health (Harrisburg, PA)
- …Inc. **Job Description :** **JOB SUMMARY** This job implements effective utilization management strategies including: review of appropriateness of health care ... services, application of criteria to ensure appropriate resource utilization , identification of opportunities for referral to a Health Coach/case management, and… more
- Ochsner Health (Jefferson, LA)
- …relationships, contract management, standardization and consolidation processes and utilization analysis. Reviews, analyzes, negotiates, and develops contractual ... cost reduction initiatives throughout the organization by serving as a project manager and consultant to the clinical and non-clinical areas; tracks the system… more
- Veterans Affairs, Veterans Health Administration (Tomah, WI)
- Summary The Formulary and Drug Utilization Manager position guides the appropriate medication use strategy for optimal patient safety, cost effectiveness, and ... and ensure cost-efficiency measures are met. Responsibilities The Formulary and Drug Utilization Manager position is responsible for managing medication … more
- UNC Health Care (Smithfield, NC)
- …date (EDD). Complete follow-up from CAPP as appropriate. As necessary meet with the Utilization Manager (UM) and SW after the meeting to discuss updates and ... issues with complex patients and identify trends. Formulate potential solutions with Utilization Manager and Social Worker and continuously monitor cases/follow… more
- Sutter Health (Roseville, CA)
- …acute care patient experience. This position works in collaboration with the Physician, Utilization Manager , Medical Social Worker and bedside RN to assure the ... the achievement of optimal health, access to care, and appropriate utilization of resources balanced with the patients' self -determination while coordinating… more
- Sutter Health (San Francisco, CA)
- …acute care patient experience. This position works in collaboration with the Physician, Utilization Manager , Medical Social Worker and bedside RN to assure the ... the achievement of optimal health, access to care, and appropriate utilization of resources balanced with the patients' self -determination while coordinating… more
- Logan Health (Kalispell, MT)
- …Excellence. Logan Health is looking for an RN to lead the way as our Manager of Clinical Documentation Integrity (CDI) & Utilization Review! This role is ideal ... complex workflows with clarity. What You'll Be Doing: As the Manager of CDI & Utilization Review, you will be responsible for the overall direction, performance,… more