- Catholic Health Initiatives (Houston, TX)
- **Responsibilities** The Utilization Management (UM) Manager is responsible for managing day-to-day UM operations within the markets, focusing on effective team ... necessity determinations; processes appeals and reconsiderations. Act as a working manager within Utilization Management, performing essential duties and… more
- VNS Health (Manhattan, NY)
- …or care manager generated requests for medical services and renders clinical determinations in accordance with healthcare policies as well as applicable state ... and federal regulations. Delivers timely notification detailing clinical decisions. Coordinates with management, subject matter experts, physicians, member… more
- Stanford Health Care (Palo Alto, CA)
- …to delivering evidence-based and patient-centered care. We are seeking a results-driven manager to further develop the framework for clinical , operational, and ... - 08 Hour (United States of America) Department: Oth Ancillary Svcs - Utilization Mgmt Commitment: Full-time (1.0 FTE) 8-hr. Days Schedule: 8-hr, Day Shift Strongly… more
- Tenet Healthcare (Detroit, MI)
- Group Director Utilization Review - 2506000536 Description : The Detroit Medical Center (DMC) is a nationally recognized health care system that serves patients and ... employers in Southeast Michigan. Summary Description SUMMARY: The Group Director, Utilization Review will perform the functions necessary to support and advance… more
- Veterans Affairs, Veterans Health Administration (Little Rock, AR)
- Summary Under the supervision of the Nurse Manager , the Utilization Management Nurse will ensure that patients meet appropriate admission and continued stay ... has been determined and implemented. Responsibilities Under the supervision of the Nurse Manager , the Utilization Management Nurse will ensure that patients meet… more
- CareOregon (Portland, OR)
- …Washington, Utah, Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title Clinical Operations Manager Department Clinical Operations Exemption Status ... # 24958 Direct Reports Team Supervisors and Support Staff Manager Title Director, Clinical Operations Pay &...fulfilling established goals and objectives. + Develop and implement utilization programs and services to ensure the use of… more
- VNS Health (Bronx, NY)
- …OASIS, and Evaluation visits. Ensures clear and appropriate visit utilization using evidence-based practices to provide positive clinical outcomes and ... OverviewOversees the completion and approval of all clinical utilization documentation, including Start of Care, Re-certification, Resumption of Care, Follow up… more
- Guthrie (Corning, NY)
- …support staff, exhibiting the Core Values in all activities. Mentors under the Clinical Manager / Director and pursues management and leadership training within ... the Guthrie Robert Packer Hospital. May be assigned to special projects per Clinical Manager / Director consistent with strategic, fiscal, and operational… more
- Guthrie (Sayre, PA)
- …support staff, exhibiting the Core Values in all activities. Mentors under the Clinical Manager / Director and pursues management and leadership training within ... the Guthrie Robert Packer Hospital. May be assigned to special projects per Clinical Manager / Director consistent with strategic, fiscal, and operational… more
- CenterWell (Columbia, SC)
- …a part of our caring community and help us put health first** The Regional Clinical Manager , Home Health Nursing enables patients to stay in their homes by ... health and personal services, supporting patients and their families. The Regional Clinical Manager , Home Health Nursing works within specific guidelines and… more
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