- Elevance Health (Las Vegas, NV)
- …as part of consideration for employment. **Medical Oncology Medical Director - Utilization Review ** + Job Family: MED > Licensed Physician/Doctor/Dentist + ... to members and providers. **Job Summary:** + Perform physician-level case review , following initial nurse review...maintain knowledge of relevant policies and regulations pertaining to utilization review of oncology care. + Participate… more
- HCA Healthcare (Las Vegas, NV)
- …and patient throughput while supporting a balance of optimal care and appropriate resource utilization . The RN Case Manager will facilitate care coordination ... you passionate about delivering patient-centered care?** Submit your application for Registered Nurse Case Manager position and spend more time at the bedside… more
- HCA Healthcare (Las Vegas, NV)
- …nurses at Sunrise Hospital have the opportunity to make a real impact. As a(an) Case Manager you can be a part of change. **Benefits** Sunrise Hospital, offers ... improve positive outcomes for your patients as a (an) Case Manager . We want your knowledge and...and apply today! + You will be performing admission review to determine appropriateness and medical necessity based on… more
- LifePoint Health (Bullhead City, AZ)
- …disease process and their comorbid diagnosis. Case Managers will complete the Utilization Review through InterQual or a similar module to assure patients ... on their professional licensure Minimum Work ExperienceMinimum of 3-5 years in Case Management/ Utilization Review X Preferred Required Licenses[Arizona,… more
- LifePoint Health (Bullhead City, AZ)
- …disease process and their comorbid diagnosis. Case Managers will complete the Utilization Review through InterQual or a similar module to assure patients ... on their professional licensure Minimum Work ExperienceMinimum of 3-5 years in Case Management/ Utilization Review X Preferred Required Licenses[Arizona,… more
- HCA Healthcare (Las Vegas, NV)
- …and personal growth, we encourage you to apply for our Case Manager PRN opening. We promptly review all applications. Highly qualified candidates will ... We care like family! Jump-start your career as a(an) Case Manager PRN today with MountainView Hospital....supporting a balance of optimal care and appropriate resource utilization . **Major Responsibilities:** * Provides case management… more
- HCA Healthcare (Las Vegas, NV)
- …provides satisfaction and personal growth, we encourage you to apply for our RN Case Manager opening. We promptly review all applications. Highly qualified ... Do you have the career opportunities as an RN Case Manager you want with your current...supporting a balance of optimal care and appropriate resource utilization . **Major Responsibilities:** * Provides case management… more
- Universal Health Services (Las Vegas, NV)
- …years experience in varied clinical settings and two years experience inUtilization Review , Utilization Management or Case Management. Previous experience ... inspecialty area and experience in the area of wound and skin care. Technical Skills: WOCN certification or eligibility to achieve certification. License/Certification: Current RN license in the State of Nevada. Other: Must be able to demonstrate the knowledge… more
- LifePoint Health (Bullhead City, AZ)
- …disease process and their comorbid diagnosis. Case Managers will complete the Utilization Review through InterQual or a similar module to assure patients are ... and available resources to promote quality cost-effective outcomes. The case manager conducts a comprehensive assessment of...licensure *Minimum Work Experience* Minimum of 3-5 years in Case Management/ Utilization Review X Preferred… more
- Deloitte (Las Vegas, NV)
- Deloitte Technology-US (DT-US) PMO - Senior Project Manager As a Manager in the Deloitte Technology-US (DT-US) Office of the CIO (OCIO) PMO team, you will play a ... May 31, 2024. Work you'll do As a DT-US Manager , you will work directly with the DT-US PMO...processes, project plans/schedules and budgets, influencing decisions on resource utilization and allocation at key project lifecycle decision points.… more
- Elevance Health (Las Vegas, NV)
- …. Licensure is a requirement for this position. + Previous experience in case management/ utilization management with a broad range of experience with complex ... you for payment as part of consideration for employment. **Behavioral Health Care Manager II** + Job Family: MED > Licensed/Certified Behavioral Health Role + Type:… more
- Elevance Health (Las Vegas, NV)
- …and enhances relevant clinical guidelines. + Provides clinical leadership for Utilization Management, Case Management, Disease Management, and Quality Management ... Medicine, Business Strategy, Product Strategy. + Experience with Managed Care, Utilization Management, Prior Auth, and Benefits Management decision support in the… more
- Elevance Health (Las Vegas, NV)
- …and enhances relevant clinical guidelines. + Provides clinical leadership for Utilization Management, Case Management, Disease Management, and Quality Management ... Medicine, Business Strategy, Product Strategy. + Experience with Managed Care, Utilization Management, Prior Auth, and Benefits Management decision support in the… more
- Elevance Health (Las Vegas, NV)
- …for multiple managed conditions to ensure cost-effective and efficient utilization of health services. Conducts assessment, planning, implementation, coordination, ... community agencies, and appropriate providers/networks. + Refers member to catastrophic case management as appropriate. + Serves as a resource to lower-leveled… more
- Elevance Health (Las Vegas, NV)
- …team to facilitate the administrative components of clinical referrals for case management or disease management services to include home health, nutritional ... + Medical experience and Medical terminology preferred + Experience in a Utilization Management role. + Strong navigation skills + Independent thinker + Ability… more
- Elevance Health (Las Vegas, NV)
- …under the direction/supervision of an RN, with overall responsibility for the member's case , as required by applicable state law and contract, contributes to the ... health care team, to ensure cost effective and efficient utilization of health benefits. + Decision making skills will...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Elevance Health (Las Vegas, NV)
- …team to facilitate the administrative components of clinical referrals for case management or disease management services to include home health, nutritional ... + Medical experience and Medical terminology preferred + Experience in a Utilization Management role. + Strong navigation skills + Independent thinker + Ability… more