- Medical Solutions (Glendale, CA)
- …with tax-free stipend amount to be determined. Posted job title: Case Management ( Utilization Review)About Medical SolutionsAt Medical Solutions, we're people ... Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Glendale, California.Job Description &… more
- The University of Vermont Health Network (Plattsburgh, NY)
- …Review RN monitors, collects and analyzes data and evaluates variances of resource utilization , complications and overall quality of care based on benchmarked ... analysis and summarization supports the Medical Center's performance improvement/quality program , risk management , clinical pathway development and outcome… more
- NorthBay Health (Fairfield, CA)
- …NorthBay Health this Director provides oversight for all aspects of Care Management and Population Health which includes: Utilization Management , ... Utilization Review, Inpatient, Outpatient and Complex Case Management , Discharge Planning, Denial Management , and Social Services for the NorthBay Healthcare… more
- Southeast Georgia Health System (Brunswick, GA)
- …of outcome focused care and assures that effective quality nursing care is delivered through utilization of the nursing process. Effectively interviews ... retirement savings with company match medical/dental/vision insurance coverage Employee-assistance program Tuition reimbursement Legal services plan plus more! As a… more
- Integrated Resources, Inc (New York, NY)
- …Identify the risk factors and assign the risk category to the member. . As part of Care Management team, develops a formal care plan for all services needed ... Job Title: RN- Care Manager Location: New York, NY, 10004 -...of life for the MetroPlusHealth members. . Coordinate with Utilization Management (UM) department on concurrent and… more
- Maury Regional Health (Columbia, TN)
- …facilitate referrals to appropriate internal and community resourcesProvides chronic disease- management to reduce utilization , prevent readmissions, and improve ... Title:Ambulatory Care Coordinator - Accountable Care Services...Watson Health, most recently awarded in 2020Our RN residency program for recent nursing graduates is recognized by the… more
- 4S (Bethesda, MD)
- …clinical leadership, participate fully in established Program Evaluation and Quality Management / Utilization Management programs and initiatives for ... other team members as required.Participate fully in assigned Quality Management / Utilization Management programs...minimal supervision - you must learn quickly.Work with a care team, including service animal trainers, program … more
- Blue Shield of California (Rancho Cordova, CA)
- …contracted benefits and appropriate level of care Demonstrate leadership, project management and program evaluation skills and ability to interact with all ... Your Role The Federal Employee Program (FEP) team performs integrated case management...nursing, healthcare or related field Comprehensive knowledge of case management , discharge planning, utilization management ,… more
- HSAG (Phoenix, OR)
- …patient outcomes, safety, and satisfaction.Access to Services: Analyzing changes in utilization and access barriers.Timeliness of Care : Investigating wait times ... recognized as an industry leader in the areas of healthcare data analysis, program evaluation, measure development, and survey research. We are in search of talented… more
- Health Services Advisory Group (Atlanta, GA)
- …patient outcomes, safety, and satisfaction.Access to Services: Analyzing changes in utilization and access barriers.Timeliness of Care : Investigating wait times ... recognized as an industry leader in the areas of healthcare data analysis, program evaluation, measure development, and survey research. We are in search of talented… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …leader recognized as having excellent follow through on issues impacting care deliveryComputer literacy-advanced computer and data management skillsAbility to ... services with other departmentsSkill/competency in use of computer software program /systems impact unit performance/ management . Computer Literacy- Kronos,… more
- UNC Health (Chapel Hill, NC)
- …plan. Refer administrative tasks (eg, faxing, form processing) to Care Management Assistant. Consult Social Worker and/or Utilization Manager per established ... the integrating and functions of case management , utilization review and discharge planning. The Care ...October 1, 2015 must be enrolled in an accredited program within four years of employment, and obtain a… more
- RestoraCare Staffing (Houston, TX)
- …to efficient delivery of care in the appropriate setting. Completes Utilization Management and Quality Screening for assigned patients. Applies approved ... Health Clinic (FQHC), skilled nursing facility, or wound clinic). Experience in utilization management , case management , discharge planning or other… more
- Adventist Health (Lodi, CA)
- …in the collaboration, development, implementation, revision and reporting of the case management program . Acts as a liaison between the patient, family, ... Experience: Bachelor's Degree in Nursing (BSN): Preferred Experience in a care management role: Preferred Licenses/Certifications: Registered Nurse (RN)… more
- Blue Shield of California (Rancho Cordova, CA)
- …contracted benefits and appropriate level of care . Demonstrate leadership, project management and program evaluation skills and ability to interact with all ... . Coordinates care for Lower Level of Care such as Residential Treatment, Partial Hospitalization Program...nursing, healthcare or related field Comprehensive knowledge of case management , discharge planning, utilization management ,… more
- One Medical (Darien, CT)
- …and 24/7 virtual care services, on-site labs, and programs for preventive care , chronic care management , common illnesses and mental health concerns ... About Us One Medical is a primary care solution challenging the industry status quo by...daily huddles, as well as with virtual clinical teams Utilization of your specific clinical training and opportunities to… more
- Adventist Health (Glendale, CA)
- …by assisting in collaboration, development, implementation, revision and reporting of the case management program . Acts as a liaison between the patient, family, ... Experience: Bachelor's Degree in Nursing (BSN): Preferred Experience in a care management role: Preferred Licenses/Certifications: Registered Nurse (RN)… more
- Sutter Health (Alameda, CA)
- …have organizational and management skills to handle multiple level complex patient care issues.Requires the ability to be a and consistent mentor to staff and ... Sutter Health is seeking a Patient Care Tech Director for a job in Alameda,...all times in alignment with mission, goals and objectives. Management and leadership skills needed include conflict management… more
- Mindlance (Gallatin, TN)
- …health plan pharmacy initiatives, such as HEDIS/Star measures and Medication Therapy Management Program (MTMP). . Utilize Pharmacy Benefit Manager resources and ... clinical team, assigned prescribers, and patients. . Proactively conduct analysis of care setting drug utilization data to identify trends, develop strategies,… more
- Roseland Community Hospital (Chicago, IL)
- Under direct supervision of the Director of Health Information Management and Care Transitions and as a part of a multidisciplinary team, the Clinical Social ... hinder the patient in obtaining maximum benefits from medical care . 8. Assist the patient and family in the.... 8. Assist the patient and family in the utilization of appropriate community resources such as family and… more
