- UT Health Tyler (Tyler, TX)
- …The Manager of Case Management has overall responsibility for hospital utilization management , transition management and operational management ... Join our team as a full-time Manager of Case Management in Tyler, TX. Fulfilling your purpose begins here:...the Case Management Department to promote effective utilization of hospital resources, timely and accurate revenue cycle… more
- Wilson Medical Center (Wilson, NC)
- …external delivery of healthcare services. The Case Manager integrates the roles of Utilization Management , Case Management , and Discharge Planning. The Case ... 7. The Case Manager independently performs clinical reviews based on the Utilization Review Plan with follow-up actions identified for medical necessity and level… more
- UNC Health (Chapel Hill, NC)
- …of care and cost effectiveness through the integrating and functions of case management , utilization review and discharge planning. The Care Manager must be ... discharge plan. Refer administrative tasks (eg, faxing, form processing) to Care Management Assistant. Consult Social Worker and/or Utilization Manager per… more
- The University of Vermont Health Network (Plattsburgh, NY)
- Unit Description: The Utilization Review Team monitors, collects and analyzes data and evaluates variances of resource utilization , complications and overall ... and promotes the efficient and effective use of patient services. The Utilization Review Team's role in data collection, analysis and summarization supports the… more
- Ingersoll Rand (West Chester, PA)
- …implement strategic initiatives and standardized approaches in Order Management , Demand Planning/ Management , Procurement/Sourcing, Materials/Inventory ... be leading Production Planning/Scheduling, Strategic & Tactical Purchasing, Warehouse/Materials Management and Logistics.Success for this role will be measured by… more
- Maris Grove by Erickson Senior Living (Glen Mills, PA)
- …The incumbent is responsible for the overall coordination, planning, financial management , evaluation, and monitoring of the day-to-day operations of the medical ... responsibilities are divided into three major categories: Administrative (Financial), Personnel Management , and Work Load Management . The Practice Administrator… more
- Advocate Aurora Health (Adell, WI)
- …with status report on a regular basis.Communicates problems to physicians and management and clearly states plans, actions and goals so changes are reflected ... caseload for optimal functional and financial outcomes; reviews caseload for Low Utilization Payment Adjustments (LUPA), optimal number of visits based on progress,… more
- Dana-Farber Cancer Institute (Boston, MA)
- …for the planning, implementation and evaluation of clinical operations and personnel management of the assigned patient care unit. He/she acts as a liaison ... quality patient experience while maximizing provider time and space utilization . The Nurse Director uses extensive theoretical, evidence-based, and experiential… more
- Dana-Farber Cancer Institute (South Boston, MA)
- …for the planning, implementation and evaluation of clinical operations and personnel management of the assigned patient care unit. He/she acts as a liaison ... quality patient experience while maximizing provider time and space utilization . The Nurse Director uses extensive theoretical, evidence-based, and experiential… more
- Sazerac Company (Frankfort, KY)
- …level supervision, and departmental coordinators and leads operations to maximize utilization of resources to achieve departmental efficiency, budget adherence; and ... target of zero recordable injuries.Meet and exceed customer expectations through efficient management of line efficiency targets and stretch goals for the Bottling… more
- LL Bean (Yarmouth, ME)
- …knowledge of fluid power, pneumatic, electrical, mechanical power transmission, distribution, utilization , and control of electrical energy up to 480 volts AC. ... oversight resource across the company to leaders, engineering, project managers, risk management , etc. for any concerns related to equipment operation and repair… more
- Fresenius Medical Care (Austin, TX)
- …Classification of Disease (ICD) coding. Manages clinic financials including efficient utilization of supplies or equipment and regular profits and loss review. ... Test. Preferred but not required: 3+ years supervisory or project/program management experience. Med/surg or ICU/CCU experience. PHYSICAL DEMANDS AND WORKING… more
- LL Bean (Brunswick, ME)
- …advanced knowledge of fluid power, electrical, mechanical power transmission, distribution, utilization , and control of electrical energy up to 480 volts AC. ... oversight resource across the company to leaders, engineering, project managers, risk management , etc. for any concerns related to equipment operation and repair… more
- Humana (Columbus, OH)
- …put health first** Humana Healthy Horizons in Virginia is seeking a Manager, Utilization Management (Behavioral Health) who will utilize their clinical skills to ... behavioral health services and/or benefit administration determinations. The Manager, Utilization Management (Behavioral Health) applies a Person-Centered… more
- Centene Corporation (OK)
- … review clinicians to ensure appropriate care to members. Manages BH utilization management issues related to member care, provider interactions, and ... facilitates operations within utilization management . + Manages behavioral health (BH) utilization review clinicians and ensures compliance with applicable… more
- Commonwealth Care Alliance (Boston, MA)
- **Why This Role is Important to Us:** The Director, Inpatient Utilization Management (UM), leads and manages all utilization management (UM) functions ... role works closely with Medical Directors, and the Vice President of Utilization Management to develop and advance the UM program, collaborates with the… more
- Virginia Mason Franciscan Health (Bremerton, WA)
- …annual bonus eligibility, and more! **Responsibilities** **Job Summary / Purpose** The Utilization Management (UM) Director is responsible for the market(s) ... development, implementation, evaluation and direction of the Utilization Management Program and staff in support of the CommonSpirit Health Care Coordination… more
- Sharp HealthCare (San Diego, CA)
- …the episode of care and supports other members of the System Centralized Utilization Management team to ensure final status reconciliation. This position ensures ... Qualifications** + Bachelor's Degree in a health related field + 3 Years Utilization Management or case management within a hospital or payer setting +… more
- WellSpan Health (York, PA)
- Utilization Management Nurse (RN) - Case Management - Day (Temporary) Location: WellSpan Health, York, PA Schedule: Full Time Sign-On Bonus Eligible ... effective and quality health care. Provides leadership in the integration of utilization management principles throughout the System. Responsible for screening… more
- AmeriHealth Caritas (Newark, DE)
- ** Utilization Management Plan Oversight Manager, Registered Nurse (must reside in DE)** Location: Newark, DE Primary Job Function: Medical Management ID**: ... UM DE, and serves as SME for clinical components DE Medicaid Utilization Management Program. Works in close collaboration with all departments to achieve… more
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