- Teleflex (Phoenix, AZ)
- …to drive the clinical aspects of product evaluations, implementations, and post -implementation training needs in order to advance and/or maintain stages within ... The CSS is actively involved with the pre- and post -sale activities to foster customer relationships, outline parameters for...products - ? Central Access ? Sheath Introducers ? Acute Hemodialysis ? Arterial Access ? Peripheral Access -… more
- ERP International (Luke AFB, AZ)
- …and 5:00pm, including a one hour lunch **Core Duties:** - Participate in Utilization Management /Case Management meetings to review and identify opportunities ... their Families and Retired Military Veterans! **ERP International has been named a Washington Post 2025 Top Workplace! We are thrilled to be included on the list for… more
- ERP International (Tinker AFB, OK)
- …algorithms, CM software, and databases for community resources. - Integrate CM and utilization management (UM) and integrating nursing case management with ... their Families and Retired Military Veterans! **ERP International has been named a Washington Post 2025 Top Workplace! We are thrilled to be included on the list for… more
- Commonwealth Care Alliance (Boston, MA)
- …- As a member of the management team, shared accountability for reductions in acute care utilization - Attend team meetings and huddles to provide input on ... Manager will collaborate closely with other members of the management team. This role is full-time on site in...meet patient and clinic needs - Oversee clinical supply management inventory and control costs without compromising quality of… more
- 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
- 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
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- *_SUMMARY:_* We are currently seeking a*Case Management Assistant* to join our Utilization Management team. This position works on campus, part-time, .6 (48 ... Clinical Coordinator or Social Worker] * Makes referrals for post - acute services under the direction of the...and regulations * Epic * MS Office **Title:** *Case Management Assistant- Utilization Management * **Location:**… 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
- 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
- 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
- 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
- UNC Health Care (Smithfield, NC)
- …stay, and discharge reviews in accordance with federal regulations & the Hospitals? Utilization Management Plan. In addition, the Utilization Manager is ... and payors), and assesses the patient care progression from acute care episode through post discharge for...management referrals. Initiates appropriate social work referrals. 3. Utilization Management Process - Performs utilization… more
- Intermountain Health (Las Vegas, NV)
- …The Manager of Care Management I leads and collaborates with care management operations across utilization review, acute and emergency department care, ... mentors staff in service excellence. + System-Wide Collaboration: Represents care management with healthcare executives, post - acute providers,… 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
- 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
- UNC Health Care (Raleigh, NC)
- …stay, and discharge reviews in accordance with federal regulations & the Hospitals? Utilization Management Plan. In addition, the Utilization Manager is ... and payors), and assesses the patient care progression from acute care episode through post discharge for...management referrals. Initiates appropriate social work referrals. 3. Utilization Management Process - Performs utilization… 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
- ChenMed (Newport News, VA)
- …+ Coordinates the integration of social services/case management functions in the pre- acute , ER, acute and post - acute setting. Coordinates the ... This care planning and coordination may follow the patient from our centers into acute and post - acute facilities, as well as, their home environments.… more
- CVS Health (Columbus, OH)
- …internal and external constituents in the coordination and administration of the utilization /benefit management function. + UMNC meets set productivity and ... 1+ years of Managed Care Experience; and, + 1+ years of clinical experience in acute or post - acute setting. **Education:** + Diploma RN acceptable; Associate… more
