- Equiliem (Orange, CA)
- …the appropriate level of care based on medical necessity criteria. The Care Manager will review and process requests for authorization of BHT services from ... position such as those listed above may also be qualifying.Preferred Prior authorization/ utilization review experience. Managed care experience. Post degree ABA… more
- Blanchard Valley Health System (Findlay, OH)
- …Care Transitions Team, including the disciplines of Social Work, Case Management, Utilization Review , and Emergency Department Care Navigation to support ... of appropriate services during acute care stay. Duty 9: Maintains position as Utilization Review committee chair. Works in collaboration with ambulatory care… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …of individual patient needs; Works collaborate with the Physicians, patient/family, nursing, utilization review and other members of the healthcare team to ... members as needed to ensure services will be covered.Coordinate and communicate with Utilization Review Nurse on a daily, consistent basis to ensure patients… more
- The George Washington University (Washington, DC)
- …to the Assistant Director, Facilities Operations Services, the Facility Zone Manager leads facilities maintenance operations at GW's Foggy Bottom Campus.The Facility ... Zone Manager is responsible for the efficient and cost-effective operations,...in order to develop their maximum potential and effectiveness. Review and insure the maintenance of supplies and materials,… more
- On-Board Companies (Greenville, SC)
- …operations of a department including staff training, development, and performance review , utilization of equipment and facilities, safety oversight, quality ... of the timeBenefits: Paid time off, paid holidays and health benefits: Medical , Dental, Vision, aggressive 401K match and Life InsuranceCompensation: $120,000 -… more
- Pacer Staffing (Atlanta, GA)
- …and Medicare/Medicaid Key Responsibilities . Assess beneficiaries to identify medical , physical, and psychosocial needs to support the beneficiaries' overall ... or worsening chronic conditions. . Manage activities necessary to ensure appropriate utilization and access to resources while maintaining optimal standards of care.… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …at all campuses operated by NGHS. Collaborates with the physicians, patients, families, nursing, utilization review and other members of the health care team to ... continuum, including weekend rotation (as needed). The Complex Transitions of Care Team Manager will follow identified patients for a period of time post discharge… more
- Caughman Health Center (Findlay, OH)
- PURPOSE OF THIS POSITION The purpose of the BV Medical Practice Behavioral Health Therapist/Case Manager is to provide a range of psychological assessment, ... 3: Participates in various committees and meetings to contribute information regarding utilization of services and quality of healthcare for the purpose of improving… more
- American Honda Motor Co Inc (East Liberty, OH)
- …development, and progress checksSupport development of "Zero Base" budget, periodic review of actuals, strong PDCA cycling, cost reduction theme generation.Lead and ... that improve department characteristics and drive continuous improvement.Ensure maximum utilization of resources.Challenge and evaluate BP submissions to ensure… more
- ICONMA (Sitka, AK)
- …Performs patient specimen testing. Ensures sample suitability. Provide limited test utilization and interpretation information to medical staff and nursing ... of responsibility using the CLSI format, and coordinates procedure manual review , updates and distribution. Establishes a quality control program appropriate for… more
- Northeast Georgia Health System, Inc (Cleveland, GA)
- …with medical and department staff as evidenced by peer review and observation. Demonstrates flexibility by pro-actively resolving conflicts, scheduling problems, ... effective team work and interdisciplinary team building skills as evidenced by Manager observation, peer review , and other departments feedback, ie nursing.… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …to help management determine long term focus.Meets routinely with Clinical Coordinator, Nurse Manager , House Coordinators, Medical Director and Manager of ... skills Essential Tasks and ResponsibilitiesWorks with the Clinical Coordinator and Nurse Manager to develop patient schedules for inpatient, DPH and IOP levels of… more
- Arthrex (Naples, FL)
- Arthrex, Inc. is a global medical device company and a leader in new product development and medical education. We are a privately held company that strives to ... Critical Illness)Matching 401(k) Retirement PlanAnnual BonusWellness Incentive ProgramFree, Onsite Medical ClinicsFree LunchTuition Reimbursement ProgramTrip of a LifetimePaid Parental… more
- GXO (High Point, NC)
- …compensation and a generous benefits package, including full health insurance ( medical , dental and vision), 401(k), life insurance, disability and more.What you'll ... of data solutions, facilitating informed decision-making and widespread data utilization . Collaborate with cross-functional teams to integrate data architecture into… more
- zobility (Indianapolis, IN)
- …for a large-scale Army Training Devices sustainment program. This Configuration Manager applies their experience working directly with engineering, production and ... application of configuration identification at all stages of CCB review & government disposition Uniquely identify change request types...ISO, ITIL and CMMI) Expert skill level in the utilization of at least one advanced PDM tool supporting… more
- The Mount Sinai Health System (New York, NY)
- **JOB DESCRIPTION** The Utilization Review Manager for the Selikoff Centers for Occupational Health is responsible for the management of program operations ... records, and internal and external regulatory and survey requirements. + The Utilization Review Manager collaborates with multiple professionals to support… more
- Trinity Health (Silver Spring, MD)
- …the activities of RN Case Managers for in inpatient care coordination and utilization review . Oversees interactions of staff with outside activities and agencies ... Type:** Full time **Shift:** Day Shift **Description:** **Job Title:** Manager Care Mgt & Util Review **Employment...in an acute healthcare setting. + Designation Changes and Utilization Review + Knowledge of pertinent regulatory,… more
- Hartford HealthCare (Torrington, CT)
- …*your moment*. **Job:** **Professional Clinical* **Organization:** **Charlotte Hungerford Hospital* **Title:** * Utilization Review Social Work Care Manager ... Nurse Director & Social Work Supervisor, the Inpatient Psychiatric Utilization Review Social Worker will work collaboratively...activities on a 17 bed Adult unit. The Care Manager will liaison with insurance companies and other referral… more
- Hackensack Meridian Health (Hackensack, NJ)
- **Overview** The Senior Utilization Review Specialist collaborates with the healthcare team in the management and resolution of activities that assure the ... patient population and HackensackUMC. These include but are not limited to utilization review , hospital reimbursement, clinical compliance, case management, and… more
- Trinity Health (Mason City, IA)
- …**Hours:** Monday-Friday 0630-1430; no weekends or holidays **About The Job** The Utilization Review Case Manager responsibilities include case screening, ... of Iowa. + Bachelor's Degree required. BSN preferred + Utilization management focused certifications that are recognized in the...for a currently open position with MercyOne North Iowa Medical Center, please call Human Resources at ### or… more
