- Fresenius Medical Center (Gardendale, AL)
- …and acts as the liaison for patient care as per the disease management agreement, including initial and ongoing validation of member eligibility. Facilitate timely ... workup of patients for access management , dialysis services, patient education, hospitalizations, and kidney transplantation as appropriate, and ensures coordination… more
- Fresenius Medical Center (Birmingham, AL)
- …post procedure, under the direction of the Facility Manager , Director of Nursing and/or Charge Registered Nurse , utilizing standard nursing techniques to ... on adverse events and action thresholds in collaboration with facility management . + Maintains integrity of medical records and other organization administrative… more
- Sedgwick (Montgomery, AL)
- …PURPOSE** : To ensure efficient, cost effective, and high quality delivery of case management and utilization review services to clients by managing and training ... to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Clinical Manager **This manager will have to be...client locations; to provide expertise in client specific case management and utilization review requirements; and to… more
- CenterWell (Montgomery, AL)
- …Coordinate quality improvement activities to address high risk, high-utilizers/high-cost patient management through the utilization of the 5M's framework as ... management and care coordination. * Experience with case management , social work, skilled nursing facilities, rehab...readmissions, total cost of care, and reducing acute care utilization ). * Familiarity in integrated care management … more
- NHS Management, LLC (Madison, AL)
- …cost gold medical plan! We are in search of a qualified RN Unit Manager : + Assists in maintaining resident care standards by supervising and directing activities ... of subordinate nurses engaged in quality assurance, infection control, and utilization review activities. + Receives physicians' instructions regarding resident care… more
- Wolters Kluwer (Montgomery, AL)
- The **Customer Success Manager , Lippincott Solutions** is responsible for driving the implementation of all Nursing Solutions products into existing and new ... with training and rollout, working with reps to drive utilization and customer satisfaction and ensure maximum renewal and...analysis, and creating and presenting a monthly report to management on key metrics. * Support sales growth from… more
- NHS Management, LLC (Birmingham, AL)
- …medical plan! We are in search of a qualified RN Clinical Services Manager + Assists in maintaining resident care standards by supervising and directing activities ... of subordinate nurses engaged in quality assurance, infection control, and utilization review activities. + Receives physicians' instructions regarding resident care… more
- NHS Management, LLC (Huntsville, AL)
- …difference in your life! We are in search of a qualified RN Unit Manager + Assists in maintaining resident care standards by supervising and directing activities of ... subordinate nurses engaged in quality assurance, infection control, and utilization review activities. + Receives physicians' instructions regarding resident care… more
- J&J Family of Companies (Montgomery, AL)
- …care. The CAR-T Cell Therapy Experience Lead is a member of this account management team, reporting to the Senior Manager , CAR-T Cell Therapy Experience Lead. ... raising the bar on customer experience in the pharmaceutical industry. Our account management teams support the certified sites who care for cancer patients. We are… more
- CenterWell (Montgomery, AL)
- …payer contracts + Monitor the following key functions: + Program evaluation + Risk Management + Utilization Review + Patient Care Evaluation + Policies and ... course of action. + Delegation Oversight of Home infusion Nursing Vendors and local providers + Supervise through qualified...criteria for admission to service, case assignments, and case management . + Represent the pharmacy in a professional and… more
- Sharecare, Inc. (Montgomery, AL)
- …/ new hire plan selection, claims issues, ID card issues, grievances/appeals, utilization management (UM) status, including but not limited to medical, ... + Claims adjustments + Grievances and appeals submissions + Utilization management intake or status + Complex...Patient Care Technician (PCT) + Physical Therapy Assistant + Nursing Assistant + Medical Secretary/Clinic Manager +… more
- Sharecare, Inc. (Montgomery, AL)
- …other members of the health care team to support appropriate total healthcare management and ensure cost effective, appropriate resource utilization and quality ... with the participants and their Primary Care Provider according to the disease management program intervention guidelines. An RN is supervised by an Operations … more