- Molina Healthcare (Layton, UT)
- …NCQA accreditation surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Manager , Health Plan Quality Interventions is ... responsible for developing, implementing, and monitoring the success of quality improvement interventions . The Manager works to coordinate resources and… more
- Medtronic (St. George, UT)
- …compassionate world. **A Day in the Life** At Medtronic, the Sales Representative II, Pain Interventions is a Senior level role that is considered a clinical and ... alliances. This role reports directly to a District Sales Manager , partners with other Sales Representative peers as well...other Sales Representative peers as well as with a Clinical Specialist team. This is a **field based** position.… more
- Sharecare (Salt Lake City, UT)
- …support in an appropriate, efficient and cost-effective manner while ensuring high quality care. The Clinical Registered Nurse coordinates with the Primary ... total healthcare management and ensure cost effective, appropriate resource utilization and quality outcomes. The Clinical Registered Nurse is also responsible… more
- Highmark Health (Salt Lake City, UT)
- …referral to a Health Coach/case management, and identification and resolution of quality issues. Monitors and analyzes the delivery of health care services; educates ... and member satisfaction. Responds to customer inquiries and offers interventions and/or alternatives. **ESSENTIAL RESPONSIBILITIES** + Implement care management… more
- Public Consulting Group (Salt Lake City, UT)
- …* Document all care activity via case management software system * Promotes quality and cost-effective interventions and outcomes * Assesses and addresses ... a qualified Registered Nurse to perform as a Case Manager . The Case Manager will be responsible...accurately all necessary forms and produce statistical reports Promotes quality and cost-effective interventions and outcomes +… more
- Highmark Health (Salt Lake City, UT)
- …to appropriate multi-disciplinary resources. In addition to identifying the appropriate clinical interventions and referrals, the incumbent will manage an ... performing ongoing assessment of members' health management needs, identifying the right clinical interventions to address member needs and/or triaging members… more
- Sharecare (Salt Lake City, UT)
- …2025** **Salary:** **$85,000 annually, plus comprehensive benefits package** The Care Manager supports the implementation of the Value Based Care Management program ... in an appropriate and efficient manner by providing high- quality telephonic Case or Care Management with CareFirst members. The Care Manager partners with… more
- Molina Healthcare (UT)
- …HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of ... illness and the site of service. **KNOWLEDGE/SKILLS/ABILITIES** + Completes clinical assessments of members per regulated timelines and determines who may qualify… more
- Healthfirst (UT)
- …and medical necessity of treatments and service utilizations based on clinical documentation, regulatory, and InterQual/MCG criteria + Assessment - identifying ... and recovery + Documenting - documenting all determinations, notifications, interventions , and telephone encounters in accordance with established documentation… more
- Healthfirst (UT)
- …ensure the best individualized care decisions, adherence to timely assessments and interventions for each members changing condition(s) + Build a high performing ... team where clinical , technical and leadership skills are developed and assessed...in the members electronic record. + Participate in the Quality Management Program, identifying performance/process improvement opportunities and recommend… more
- Molina Healthcare (UT)
- …HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of ... timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or psychosocial wellness, and triggers identified… more
- Molina Healthcare (UT)
- …HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of ... ongoing monitoring of the care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly. + Promotes integration… more
- Molina Healthcare (Midvale, UT)
- …HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of ... timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or psychosocial wellness, and triggers identified… more
- Molina Healthcare (UT)
- …HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of ... ongoing monitoring of the care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly. + Promotes integration… more
- Public Consulting Group (Salt Lake City, UT)
- …complete accurately all necessary forms and produce statistical reports Promotes quality and cost-effective interventions and outcomes + Assesses and ... informed decisions by acting as their advocate regarding their clinical status and treatment options + Develops effective working...management, including as a nurse, medical, mental health care manager or a related job + Excellent knowledge of… more
- University of Utah (Salt Lake City, UT)
- …strong organizational and leadership skills to assess patient status; implements clinical nursing interventions to modify symptoms; develops, implements, and ... appropriate interventions in crisis situations. 16. Participates in total quality management to positively affect patient and system outcomes to improve care.… more
- Fresenius Medical Center (South Ogden, UT)
- …patient education programs, established social work theory and methods, social work focused interventions , and quality of life measurement instruments as part of ... care team to promote positive adjustment, rehabilitation, and improved quality of life for our patients. As well as...well as a leadership path from Social Worker to Manager , Senior Manager and Senior Director. **Our… more
- University of Utah Health (Salt Lake City, UT)
- …to the values of compassion, collaboration, innovation, responsibility, diversity, integrity, quality and trust that are integral to our mission. EO/AA_ This ... Center and is nationally ranked and recognized for our academic research, quality standards and overall patient experience. Our five hospitals and eleven clinics… more
- Highmark Health (Salt Lake City, UT)
- …performing ongoing assessment of members' health management needs, identifying the right clinical interventions to address member needs and/or triaging members ... panel of members that range in health status/severity and clinical needs; and assesses health management needs of the...personal health goals. Will work with providers to insure quality and appropriate care is being delivered in a… more
- Intermountain Health (Spanish Fork, UT)
- …services, addresses barriers, and promotes optimal allocation of resources while balancing clinical quality and cost management **To show our commitment to ... **Job Description:** The Social Work Care Manager works collaboratively with physicians and other members...patient/member per CMS Condition of Participation (COP) or National Clinical Quality Association (NCQA) standards. Ensures a… more