- 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
- Veterans Affairs, Veterans Health Administration (Smyrna, TN)
- Summary As the regional Revenue Utilization Review (RUR) Nurse Manager the incumbent is accountable to the Consolidated Patient Account Center (CPAC) Director, ... experience. Nurse II Demonstrates leadership in delivering and improving holistic care through collaborative strategies with others. A BSN with 2 years of… 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
- Sutter Health (Modesto, CA)
- … care patient experience. This position works in collaboration with the Physician, Utilization Manager , Medical Social Worker and bedside RN to assure the ... are to include the achievement of optimal health, access to care , and appropriate utilization of resources balanced with the patients' self -determination while… 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
- Elevance Health (Indianapolis, IN)
- …integration, and ensures essential face-to-face onboarding and skill development. The **Nurse Case Manager II ** is responsible for care management within the ... **Nurse Case Manager II ** **Hours: Monday** **- Friday...claims or service issues. + Assists with development of utilization / care management policies and procedures. **Minimum Requirements:**… more
- Elevance Health (Norfolk, VA)
- …Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II ** is responsible for performing care management within the scope of ... **Telephonic Nurse Case Manager II ** **Location: This role enables...claims or service issues. + Assists with development of utilization / care management policies and procedures. **Minimum Requirements:**… 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 (Cleburne, TX)
- **Nurse Manager II -ICU** _Are you looking for a rewarding career with family-friendly hours and top-notch benefits? We're looking for qualified candidates like ... more than three decades, Texas Health Cleburne has delivered compassionate, high-quality care to the people of Cleburne and surrounding communities. As a 137-bed,… 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
- LA Care Health Plan (Los Angeles, CA)
- Clinical Pharmacist II Job Category: Clinical Department: Pharmacy & Formulary Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 12136 ... $193,243.00 (Mid.) - $240,643.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created...to achieve that purpose. Job Summary The Clinical Pharmacist II will be responsible for assisting with the research,… more