- ChenMed (Houston, TX)
- …Assists and coordinates, in conjunction with the transitional care team; hospital, SNF, post - acute , delegated utilization management and home-based ... Director/Manager, Center Managers, external sub-specialists and providers in hospitals and post - acute care facilities. **KNOWLEDGE, SKILLS AND ABILITIES:** +… more
- Kaleida Health (Buffalo, NY)
- **VP Care Management Post - Acute Care Transition** **Location:** **Buffalo General Medical Center** **Location of Job** **: US:NY:Buffalo** **Work Type** **: ... and inclusion where diversity is valued and celebrated!_ **Position** VP Care Management Post - Acute Care Transition **Location** US:NY:Buffalo | Executive… more
- ConvaTec (NJ)
- …with key personnel in assigned accounts along with internal partners. + Work collaboratively with Post Acute Sales Director, Post Acute Distribution CAM ... more please visit http://www.convatecgroup.com The **Corporate Account Manager (CAM)** for Post - Acute is responsible for delivering and managing the… more
- The Cigna Group (Bloomfield, CT)
- …+ Knowledge of applicable state and federal laws, URAC and NCQA standards, and utilization management + Ability to commit to a set, weekly work schedule ... necessity requests for clinical services that do not meet utilization review criteria and renders a clinical opinion about...of medical necessity requests for clinical services related to post - acute care and render a clinical opinion… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …inpatient case management team, and interdisciplinary care team members during post - acute admission for appropriate utilization of services, length of ... for clinical and operational excellence. **Primary Function/General Purpose of Position** The Post Acute Care Manager provides care to patients who are… more
- Ventura County (Ventura, CA)
- Senior Registered Nurse - Hospital Management Utilization Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5061650) Apply Senior Registered ... Nurse - Hospital Management Utilization Salary $118,668.43 - $141,888.74 Annually...will also be responsible for complying with AB 1203, Post Stabilization notification. AGENCY/DEPARTMENT: Health Care Agency - Ventura… more
- Ventura County (Ventura, CA)
- Per Diem Registered Nurse II/III - Utilization Management VCMC Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5009956) Apply Per Diem ... Registered Nurse II/III - Utilization Management VCMC Salary $109,727.64 - $184,627.89...evaluation of patient care data in order to coordinate post -discharge needs of patients. The Per Diem Nurse is… more
- Community Hospital Corporation (Paducah, KY)
- …Baptist Health Paducah in Paducah, KY. ContinueCARE Hospital is a 37-bed Long Term Acute Care Hospital (LTACH) located on the fifth floor of our host hospital, ... quality results. Inspires individual and organizational excellence. + Operations Management : Defines and implements operational standards, policies and procedures… more
- LA Care Health Plan (Los Angeles, CA)
- …in the acute setting. Works with UM leadership, including the Utilization Management Medical Director, on requests where determination requires extended ... Utilization Management Admissions Liaison RN II...Provides the primary clinical point of contact for inpatient acute care hospitals requesting Inpatient care/ post -stabilization admission… more
- Alameda Health System (Oakland, CA)
- …Experience: Three years of utilization review experience. Health insurance company and/or acute care hospital, post - acute and psych; three years of ... Director, Utilization Management + Oakland, CA + Highland General Hospital + SYS Utilization Management + Full Time - Day + Nursing + Req #:40826-30155 +… more
- Sutter Health (Sacramento, CA)
- …Advisor will work closely with the medical staff, including house staff, and all utilization management (UM) personnel, Care Management (CM) personnel to ... organization's goals and objectives for ensuring the effective, efficient utilization of health care services. The PA will develop...Medicare and Medicaid Services (GR) Grouper (CMS) preferred. + Post - acute levels of care such as Home… more
- Humana (Lincoln, NE)
- …or discharge planner in an acute care setting + Previous experience in utilization management / utilization review for a health plan or acute ... caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing...us** About OneHome: OneHome coordinates a full range of post - acute care ranging from home health, infusion… more
- Genesis Healthcare (NM)
- …a strong business presence with target audiences, including but not limited to: acute care providers, physicians, and others. In an assigned geographic area, you ... recent clinical experience. 3. Valid driver's license. 4. Preferred case management experience. 5. Experience in business/development preferred. 6. Prior experience… more
- Actalent (Sunrise, FL)
- Job Title: Behavioral Health Utilization Review NurseJob Description The Utilization Management Nurse (UMN) plays a crucial role in reviewing requests for ... reports on department activities as assigned. Essential Skills + Experience in utilization management , behavioral health, and mental health. + Proficiency in… more
- Humana (Little Rock, AR)
- …community and help us put health first** Full-Time, Remote Telephonic opportunity The Utilization Management Nurse 2 utilizes clinical nursing skills to support ... and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and… more
- Prime Healthcare (Inglewood, CA)
- …Workers, and Clinical Coordinators. This leader will oversee all facets of utilization management , discharge planning, and care coordination to ensure patients ... leadership and supervision to case managers, social workers and case management coordinators/discharge planners, utilization review coordinators and … more
- Trinity Health (Maywood, IL)
- …timely discharge notification, monitoring status of procedural cases and submitting/monitoring post acute authorization status. Admission and Concurrent Case ... in collaboration with attending physicians. + Actively participates in the Utilization Management committee. + Additional responsibilities as needed. **We… more
- Geisinger (Lewistown, PA)
- …and handling of equipment. + Participates in unit-based decision-making regarding the utilization of evidence- based practice. + Actively participates as a team ... vision, dental and domestic partners. Perhaps just as important, from senior management on down, we encourage an atmosphere of collaboration, cooperation and… more
- BrightSpring Health Services (Louisville, KY)
- Our Company PharMerica Overview The Clinical Utilization Management Pharmacistis responsible for providing data driven consultative services to clients that ... for senior living communities, skilled nursing facilities, public health organizations, and post - acute care organizations. PharMerica is one of the nation's… more
- Prime Healthcare (Chino, CA)
- …Us! (https://careers-primehealthcare.icims.com/jobs/226811/case-manager-%28rn%29 utilization - management /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) ... community focused. Responsibilities Responsible for the quality and resource management of all patients that are admitted to the...Starting April 1 2015. Minimum 5 years work experience post -graduation of an accredited school of nursing and a… more