- Northeast Georgia Health System, Inc (Gainesville, GA)
- …other technological systems and is required to frequently apply a set of management principles to ensure smooth operations of the department. The Nurse Manager must ... and decision making in the areas of budget, personnel, patient services, physician relations and administrative or professional programs. He/she must be able to… more
- ArchWell Health (Venice, FL)
- …specialty referrals Documentation and accurate coding Quality improvement and HEDIS measures Utilization management Transitional care and case management ... hospital. Care Delivery and Center Operations: The Market Medical Director will lead market-level clinical meetings, which includes weekly physician meetings and… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …and present periodic reports on the departments including quality, costs, profitability, physician utilization , market share, as well as potential opportunities ... and visibility across all campuses. Responsibility includes the vision, direction, management and coordination of clinical invasive cardiac services, and vascular… more
- Dana-Farber Cancer Institute (Boston, MA)
- …for the planning, implementation and evaluation of clinical operations and personnel management of the assigned patient care unit. He/she acts as a liaison ... quality patient experience while maximizing provider time and space utilization . The Nurse Director uses extensive theoretical, evidence-based, and experiential… more
- Dana-Farber Cancer Institute (South Boston, MA)
- …for the planning, implementation and evaluation of clinical operations and personnel management of the assigned patient care unit. He/she acts as a liaison ... quality patient experience while maximizing provider time and space utilization . The Nurse Director uses extensive theoretical, evidence-based, and experiential… more
- Fresenius Medical Care (Austin, TX)
- …- As a Clinical Manager, you may advance your career into an Area Team Lead or Director of Operations role.Our culture: We believe our employees are our most ... Classification of Disease (ICD) coding. Manages clinic financials including efficient utilization of supplies or equipment and regular profits and loss review.… more
- Fresenius Medical Care (West Springfield, MA)
- …- As a Clinical Manager, you may advance your career into an Area Team Lead or Director of Operations role.Our culture: We believe our employees are our most ... Classification of Disease (ICD) coding. Manages clinic financials including efficient utilization of supplies or equipment and regular profits and loss review.… more
- Trinity Health (Boise, ID)
- …of two years' experience in hospital based medicine with exposure to utilization management and documentation initiatives. 3. Demonstrated teamwork, performance ... the Saint Alphonsus Chief Clinical Officer. The Medical Director of Documentation and Utilization Excellence (MDDUE) is the lead provider for coordination and… more
- Dignity Health (Rancho Cordova, CA)
- …**Preferred Qualifications:** - 7 years UM experience with Charge/ Lead /Supervisory/ Management experience in Utilization Management department preferred. ... the guidance and supervision of the department Manager/Director, the Supervisor of Utilization Management is responsible and accountable for coordination of… more
- State of Connecticut, Department of Administrative Services (Middletown, CT)
- …Hospital (CVH (https://portal.ct.gov/DMHAS/CVH/Agency-Files/CVH Home-Page) ) + UNIT: ASSD Utilization Management Unit (Administrative Support Services Division) ... Medicare & Medicaid Regulatory Requirements and private insurance as it relates to utilization review/ management and quality of care. + Experience using and… more
- Kepro (Indianapolis, IN)
- …partner for health solutions in the public sector. Acentra is currently looking for a Utilization Management Appeals Nurse - LPN/RN to join our growing team. Job ... innovate health solutions that deliver maximum value and impact. Lead the Way is our rallying cry at Acentra...Summary: Our Utilization Management Appeals Nurse - LPN/RN will… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Lead Nurse Practitioner/ Physician Assistant (NP/PA) position is responsible for functioning as a clinical leader and scholar at the ... as a preceptor by mentoring others regarding care of defined populations in resource utilization and time management . + Provides clinical guidance as a Nurse… more
- Dignity Health (Bakersfield, CA)
- …Summary:** The Utilization Review LVN uses clinical judgement in providing utilization management services. The focus is to provide high quality ... Qualifications:** - Minimum 3-5 years of healthcare experience with general knowledge of Utilization Management and Managed Care. - Graduate of accredited school… more
- Sharp HealthCare (San Diego, CA)
- …time for routine, urgent and expedited referrals as outlined in SCMG's Utilization Management Plan.Decisions will be communicated to the appropriate persons ... + Knowledge of medical terminology, healthcare finances, alternative care options, utilization management , health plan criteria, established criteria such as… more
- Stanford Health Care (Palo Alto, CA)
- …one of the Nation's most prestigious Cardiothoracic Surgery teams as an APP Leader. You will lead a team of APPs as well as have your own OR and Clinic time. We ... mission one patient at a time. **A Brief Overview** Provides supervision and management of advanced practice providers (APPs) in a distinct clinical service line.… more
- Catholic Health Services (Melville, NY)
- …and management ; contributes to completion of project status reports. Lead meetings with staff and/or leadership to assist in establishing project priorities ... a home health service, hospice and a network of physician practices across the island. At Catholic Health, our...and managing resources) and all phases of the project management life cycle for a variety of initiatives Actively… more
- Adecco US, Inc. (Dallas, TX)
- We are now in search of a dynamic Utilization Management Nurse for a Direct Hire role with our esteemed client in Dallas, Texas. Experience: + Mandatory five ... within an acute care hospital setting. + Minimum of two years' experience in Utilization Management within an acute care setting. + Proficiency with drafting and… more
- Kepro (Los Angeles, CA)
- …expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the Way is our rallying cry at Acentra Health. Think of it as an ... for health solutions in the public sector. Position Overview As a Utilization Reviewer, you involves reviewing medical records against appropriate criteria and… more
- Kepro (Los Angeles, CA)
- …expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the Way is our rallying cry at Acentra Health. Think of it as an ... for health solutions in the public sector. Position Overview As a Utilization Clinical Reviewer, you'll harness your expertise to meticulously evaluate medical… more
- Hackensack Meridian Health (Holmdel, NJ)
- …package. + Engage in the teaching, consulting and advising of the care management and utilization review departments and hospital leadership. + Collaborate with ... patients while ensuring quality care is provided. + Develop expertise on physician practice patterns, over and under- utilization of resources, medical necessity,… more
