- Commonwealth Care Alliance (Boston, MA)
- … Mgmt - Directs, coordinates and evaluates efficiency and productivity of utilization management functions for physical health services and long term ... a high quality team.collaboration with the broader clinical organization. - Ensures that utilization management processes are integrated with care management … more
- Commonwealth Care Alliance (Boston, MA)
- …Management is responsible for overseeing and managing the daily operation of the Utilization Management Review Nurse and Specialist staff responsible for ... of service decisions and organizational determinations. Essential Duties & Responsibilities: The Manager, Utilization Management reports to the Director of … more
- Fresenius Medical Care (Dallas, PA)
- …Develops action plans for unexcused and missed treatments in collaboration with the Director . Plans, coordinates and acts as the liaison for patient care as per ... the disease management agreement, including initial and ongoing validation of member...with the established personnel policies, and confers with the Director and Human Resources regarding the nature of the… more
- Fresenius Medical Care (Knightdale, NC)
- …a Clinical Manager, you may advance your career into an Area Team Lead or Director of Operations role. Our culture: We believe our employees are our most important ... Classification of Disease (ICD) coding. Manages clinic financials including efficient utilization of supplies or equipment and regular profits and loss review.… more
- BroadPath Healthcare Solutions (Tucson, AZ)
- **Overview** BroadPath is seeking a highly motivated and results-oriented ** Utilization Management (UM) Nurse ** . Our ideal **UM Nurse ** will ensure ... authorization requests with supporting documentation for review with the Medical Director . + Assume responsibility for ensuring timely reviews of authorization… more
- Houston Methodist Hospital (Houston, TX)
- …with HM performance that demonstrates leadership responsibility LICENSES AND CERTIFICATIONS - REQUIRED RN - Registered Nurse - Texas State Licensure -- ... At Houston Methodist, the Director Case Management & Social Services RN position...in the areas of care coordination, evidence- based practice, utilization management , and service excellence. Disseminates information… more
- Luke Staffing (Yigo, GU)
- …co-workers, families, peers, and other health team members. + Submits all concerns through Utilization Management Director ; be able to identify, analyze, and ... experience is required. One year of previous experience in Utilization Management is required. Full time employment...and unrestricted license to practice as a Practical OR Registered Nurse in any one of the… more
- The Dominican Sisters FHS, INC (Valhalla, NY)
- …Quality Assurance and Performance Improvement activities. Qualifications: Current NYS Registered Nurse License 3 years of RN Clinical experience. Three years ... levels consistent with professional standards and Agency goals. Assists the Director Quality and Compliance in the maintenance of Agency certification, licensure… more
- Alameda Health System (Oakland, CA)
- …or related fields. Required Licenses/Certifications: Valid license to practice as a Registered Nurse in the State ofCalifornia RequiredExperience:Seven years of ... Director , Service Line Administration + Oakland, CA + Highland...MCH/OB Clinic (K6) + Full Time - Day + Management + $85.55 - $142.40/ Hour + Req #:42908-31868 +… more
- Commonwealth Care Alliance (Boston, MA)
- 021350 Clin Alli-Care Delivery Administration Position Summary: The Director , Behavioral Health Care Delivery is responsible for the strategy and leadership of CCA's ... outreach workers in all CCA Care Delivery programs with BH components.The Director will collaborate closely with the Care Delivery Leadership to oversee, develop… more
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