- Insmed Incorporated (NJ)
- …and business partners. Through these relationships, the DCA will lead the account management efforts and support appropriate utilization of Insmed brands so that ... other, and for the future of science, we're in. Are you?About the Role:The Director , Channel Accounts (DCA) role will be responsible for specialty pharmacy account … more
- Insmed Incorporated (NJ)
- …A successful candidate will provide knowledge, understanding, interpretation, and utilization of regulatory guidance and regulations from various health authorities, ... drug products worldwide with the flexibility for post-approval maintenance and lifecycle management of the marketed products.Develop plans for the preparation of CMC… more
- GIBSON AREA HOSPITAL (Gibson City, IL)
- …IL Position Type Full Time Salary Range $32.00 - $48.00 Hourly Description JOB TITLE: UTILIZATION REVIEW/ CASE MANAGEMENT - Nurse DEPARTMENT: CASE ... MANAGEMENT (QUALITY) GENERAL SUMMARY The Utilization Review/ Case Management Nurse is directly responsible for review of patient admissions for severity of… more
- WORKCARE INC (Boise, ID)
- …of practice, following treatment care guidelines set forth by the occupational health director . Evaluation, treatment, and case management of occupational ... The Occupational Health Nurse is responsible for providing injury and illness case management and assisting with other occupational and environmental health… more
- WORKCARE INC (Albany, OR)
- …Supports psychosocial strategies, referral to Employee Assistance Programs (EAP), and case management efforts, as deemed necessary. Helps employees prevent ... care guidelines and in collaboration with the WorkCare Consulting Medical Director (CMD) and company policies/procedures. Coordinates care with other WorkCare… more
- WORKCARE INC (Pacific, MO)
- …and client requests. Support psychosocial strategies, referral to EAP and support Case management efforts, as deemed necessary. Help employees prevent injuries ... scope of practice. Coordinate care with WorkCare's Incident Intervention(R) Injury Management Program and utilize Physician escalation services as needed. Provide… more
- Sprenger Wellspring Silver Maple (Lorain, OH)
- …of discharge. Utilizing physician's orders and professional skills, the RN functions as a case manager and develops and implements a Home Health plan of care that ... continuity of care and optimal patient/family outcomes. Demonstrates expertise in the utilization of all team members. Assists in the investigation and resolution of… more
- Prime Healthcare (Inglewood, CA)
- …status, ie full-time or part-time. Responsibilities We are seeking a strategic and compassionate Director of Case Management to lead our dynamic Case ... of staff and systems to effectively operate a comprehensive Case Management Program. The Director ...supervision to case managers, social workers and case management coordinators/discharge planners, utilization … more
- Tufts Medicine (Burlington, MA)
- …of Science in Nursing (BSN). 2.Massachusetts RN Licensure. 3. Current certification in case / utilization management (ACM, CCM, CMAC) 4. Seven (7) years ... management . The position develops and leads the Utilization Management operations, strategy and implementation of...of UM/ Case Management experience in an acute-care hospital… more
- Commonwealth Care Alliance (Boston, MA)
- …responsibility for managing the effective utilization of healthcare services, case / disease management , program development/ management /evaluation and ... Mgmt * Directs, coordinates and evaluates efficiency and productivity of utilization management functions for physical health services and long term… more
- Elevance Health (Wallingford, CT)
- ** Utilization Management Medical Director - NC...The **Medical Director ** will be responsible for utilization review case management for North ... May serve as a resource to staff including Medical Director Associates. **How you will make an impact:** +...and external physicians. + May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers… more
- Texas Health Resources (Arlington, TX)
- Director Utilization Management -Clinical Review _Are you looking for a rewarding career with family-friendly hours and top-notch benefits? We're looking for ... leader for system services for wholly owned and Partner hospitals for utilization management . Job Duties OPERATIONS: Plans, organizes and delegates activities… more
- UTMB Health (Galveston, TX)
- …and reports trends of inappropriate resource utilization to Director /Assistant Director of Utilization Management . + Maintains a documentation system ... + Educates the Medical Staff and Nursing Staff on Utilization Management and provides specific information related to case types, including financial… more
- UCLA Health (Los Angeles, CA)
- …care with efficient resource utilization under the UCLA Medical Group Utilization Management guidelines. In this role, you will work collaboratively with ... Description Under the direction of the Assistant Director , the ICM Medicare Advantage Utilization ...RN License + Minimum of 2 years' experience in utilization management , Inpatient CM or clinical Experience.… more
- Wellpath (Lemoyne, PA)
- …education, and point of care support. **How you make a difference** The Medical Director of Utilization Management leads and oversees utilization ... care and the appropriate utilization of medical services. The Medical Director of Utilization Management serves as a key liaison with external partners… more
- Molina Healthcare (GA)
- …of healthcare services professionals in some or all of the following functions: utilization management , care management , behavioral health and other ... one or more of the following key health care services functions: care management , utilization management , care transitions, long-term supports and services… more
- Stony Brook University (Stony Brook, NY)
- Assistant Director of Case Management ...regulatory standards within the scope of Case Management including, outcomes management , utilization ... **Position Summary** At Stony Brook Medicine, the Assistant Director of Case Management is...the design, development, implementation and monitoring of the organizations case management and utilization review… more
- Brockton Hospital (Brockton, MA)
- PURPOSE OF POSITION: The Director of Case Management is responsible for planning, directing, and managing of the activities of the Case Management ... solves problems, referring exceptional issues to Vice President. The Director of Case Management is...resource utilization . Provides training to staff on case management methods and techniques. Establishes monitoring… more
- Tenet Healthcare (Detroit, MI)
- Director Case Management Full...Oversees hospital utilization performance improvement and operational management of the site Case Management ... services. Integrates national standards for case management scope of services including: * Utilization ... utilization of resources * Provides education to case management staff, physicians, and the healthcare… more
- RWJBarnabas Health (Newark, NJ)
- …- $180,000.00 per year Location: 201 LYONS AVENUE, NEWARK, NJ 07112-2027 Job Title: Director Of Case Management Location: Newark Beth Israel Med Ctr ... educational background, skills and professional experience. Job Overview: The Director of Case Management oversees...have at least 3 years of recent experience in Case Management , Utilization Review, or… more
