- Sutter Health (Sacramento, CA)
- … care delays/issues as necessary; in collaboration with the Facility Acute Care Manager (CM). This position provides third-party payers clinical information ... SHSO-Sutter Health System Office-Valley **Position Overview:** This position facilitates utilization management (UM) processes to support that the right … more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: ... support the safety net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II facilitates, coordinates, and approves… more
- Elevance Health (Arlington, VA)
- ** Utilization Management Representative II ** **Location:** Within 50 miles of a Pulse Point location in Virginia or North Carolina. **Hours:** Monday - Friday, ... from 9:30 am - 6:00 pm EST. The ** Utilization Management Representative II ** is responsible for...to a nurse reviewer; and handles referrals for specialty care . + Processes incoming requests, collection of information needed… more
- Elevance Health (San Antonio, TX)
- …and personalized support throughout the consumer's treatment journey. **Title:** Utilization Management Representative II - Prior Authorization **Location:** ... immediate support. **Build the Possibilities. Make an extraordinary impact.** The ** Utilization Management Representative II - Prior Authorization** is… more
- AmeriHealth Caritas (Asheville, NC)
- …require regional travel up to 75%. ;RN or LCSW required. ; **Responsibilities:** The LTSS Care Manager II is responsible for managing and coordinating ... care and barriers to care . The Care Manager II develops a...care management platforms where applicable. + Monitor appropriate utilization and coordinate services with other payer sources, make… more
- BayCare Health System (Palm Harbor, FL)
- …Yes **Shift Hours:** 8:00 AM - 5:00 PM Equal Opportunity Employer Veterans/Disabled **Position** Manager Site II - Primary Care **Location** Palm Harbor | ... network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands...BayCare is currently in search of our newest **Site Manager II ** who is passionate about providing… more
- AmeriHealth Caritas (Fayetteville, NC)
- …50% travel within the Fayetteville, North Carolina region. RN required. **Responsibilities:** The Care Manager II is responsible for managing and ... care and barriers to care . The Care Manager II develops a...care management platforms where applicable. + Monitor appropriate utilization and coordinate services with other payer sources, make… more
- Elevance Health (Grand Prairie, TX)
- …and insightful analytics to improve the delivery of care ._ **Behavioral Health Care Manager II ** **Virtual:** This role enables associates to work ... and ensures essential face-to-face onboarding and skill development. The **Behavioral Health Care Manager II ** is responsible for managing psychiatric… more
- Elevance Health (Los Angeles, CA)
- …programs for autism and depression, and insightful analytics to improve the delivery of care . The ** Manager II Behavioral Health Services** will be ... ** Manager II Behavioral Health Services** **Location:**...staff responsible to ensure medical necessity and appropriateness of care for inpatient/outpatient BH services; ensures appropriate utilization… more
- Parsons Corporation (San Antonio, TX)
- …efficiency, and maintaining research documents. Additionally, the Program Manager II will assist with space utilization , financial tracking, and business ... We've got what you're looking for. **Job Description:** Parsons is seeking a **Program Manager II ** to support Naval Medical Research Unit - San Antonio… more
- The County of Los Angeles (Los Angeles, CA)
- MENTAL HEALTH PROGRAM MANAGER II / EMERGENCY APPOINTMENTS HOMELESSNESS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4659662) Apply ... MENTAL HEALTH PROGRAM MANAGER II / EMERGENCY APPOINTMENTS HOMELESSNESS Salary...and implements reporting procedures to ensure that program services utilization and revenue data are reported accurately and in… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- …of clinical/financial resources as a facilitator and consultant to the multidisciplinary patient care team. The Care Manager predicts, facilitates, and ... Summary As part of the Care Management team, the Registered Nurse combines clinical...plans, implement and evaluates strategies that ensure the appropriate utilization of clinical resources and management of length of… more
- Ryder System (Lebanon, TN)
- …**Lebanon, Tennessee** **Monday-Friday** **Salary plus Yearly Incentive opportunities** **Summary** The Operations Manager II (SM II ) manages the operations ... to support the needs of assigned location. The Operations Manager II must be able to accomplish...to develop the service requirement section of the Customer Care Plan to ensure effective delivery of service.Conduct customer… more
- Covenant Health Inc. (Sevierville, TN)
- …401(k); and + a generous Combined Time Off (CTO) program. Position Summary: The RN Care Manager II is responsible for integrating evidenced based clinical ... to the health care team. The RN Care Manager II is responsible...to identify the necessary resources and ensures the appropriate utilization of same. + Communicates effectively with physician offices,… more
- Covenant Health Inc. (Knoxville, TN)
- …are considered for the Masters level Social Worker position. Position Summary: The RN Care Manager II is responsible for integrating evidenced based clinical ... to the health care team. The RN Care Manager II is responsible...to identify the necessary resources and ensures the appropriate utilization of same. + Communicates effectively with physician offices,… more
- Covenant Health Inc. (Harriman, TN)
- …will find a culture and team environment that is unmatched! Position Summary: The RN Care Manager II is responsible for integrating evidenced based clinical ... to the health care team. The RN Care Manager II is responsible...to identify the necessary resources and ensures the appropriate utilization of same. + Communicates effectively with physician offices,… more
- Covenant Health Inc. (Knoxville, TN)
- …of care for the designated patient population. The RN Care Coordinator II reports directly to the Manager of Quality Management at the corporate level. ... rheumatology, sleep medicine and urology. Position Summary: The RN Care Coordinator II is responsible for integrating...disciplines are available. + Collaborates directly with the Quality Manager to ensure the staff adheres to sound clinical… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Oracle Cloud Product Manager II - Digital and Technology Partners - Remote** The Oracle Cloud Product Manager II - Application ... ongoing improvement, and roadmap for the Oracle Cloud applications. The Product Manager will oversee project management and end-user training activities to ensure… more
- Sutter Health (Los Altos, CA)
- …confirm medical necessity is met and at the appropriate level of care . Coordinates the utilization management, resource management, discharge planning, ... care facilitation. Strives to promote patient wellness, improved care outcomes, and efficient utilization of health...Support A plus to have** CCM - Certified Case Manager (certification may be required by entity and time… more
- Texas Health Resources (Dallas, TX)
- **Nurse Manager II -Surgery** _Are you looking for a rewarding career with family-friendly hours and top-notch benefits? We're looking for qualified candidates ... family._ Texas Health Presbyterian Hospital Dallas has advanced health care in North Texas for over half a century...this purpose. Provide resources and guidance to support the utilization of evidence based practice standards. Identify and utilize… more