- Children's Mercy Kansas City (Kansas City, MO)
- …improve the lives of children beyond the walls of our hospital. Overview The Manager of Utilization Review will provide leadership to integrated inpatient teams ... InterQual and/or MCG screening guidelines, and oversight of clinical denials/appeals. The Manager of Utilization Review participates in department and hospital… more
- Universal Health Services (Dearborn, MI)
- Responsibilities Utilization Management Case Manager Beaumont Behavioral Health (a UHS Facility) A growing 144-bed behavioral health facility - Beaumont ... For more information, please visit our website: https://beaumontbh.com/ PositionSummary The Utilization Management Case Manager is primarily responsible for… more
- Dallas Behavioral Healthcare Hospital (Desoto, TX)
- The Utilization Review Case Manager is responsible for working with insurance companies and managed care systems for the authorization, concurrent and ... access the full range of their benefits through the utilization review process. + Conducts admission reviews. + Conducts...Experience: Two years clinical experience in a facility with medical terminology and in criteria for acute psychiatric care… more
- Gentiva (Mooresville, NC)
- …make a lasting difference in people's lives every day. **Overview** The ** Utilization Manager ** plans, coordinates, implements, and finalizes projects according ... processes, and reporting for medical supplies, durable medical equipment, and pharmacy utilization . This role...to be an EEO employer + We maintain a drug -free workplace ReqID: 2024-96774 Category: Purchasing Position Type: Full-Time… more
- Sutter Health (Salt Lake City, UT)
- …SHSO-Population Health Services-Valley **Position Overview:** This position facilitates utilization management (UM) processes to support that the right ... care delays/issues as necessary; in collaboration with the Facility Acute Care Manager (CM). This position provides third-party payers clinical information to assure… more
- CommonSpirit Health Mountain Region (West Jordan, UT)
- …discretion, and independent judgment in assessing/reassessing, facilitating care coordination, utilization management, and patient advocacy. + Assure medical ... who care about your success. As a Registered Nurse, RN Case Manager you'll advocate for patients while collaborating closely with interdisciplinary health care… more
- Corewell Health (Southfield, MI)
- …to the Clinical UM Supervisor's role is to assist the regional Clinical Utilization Management Manager with implementing operational changes and serve as the ... work remotely and report directly to the regional Clinical Utilization Management Manager . + Responsible for providing...content expert across areas including but not limited to medical necessity criteria, patient status, level of care, and… more
- University of Utah Health (Salt Lake City, UT)
- …or third-party payer. + Alerts and discusses with physician/provider and case manager /discharge planner when patient no longer meets medical necessity criteria ... organization through the provision of quality based patient care focusing on the medical necessity and efficiency of the delivery of such care; achieved via managing… more
- Universal Health Services (Sacramento, CA)
- …Compensation + Tuition Reimbursement Program and Student Loan Forgiveness Program + Excellent Medical , Dental, Vision and Prescription Drug Plan + 401(K) with ... Sierra Vista Hospital is seeking a talented and dynamic Director of Utilization Management to join our team of dedicated healthcare professionals! Located in… more
- Stanford Health Care (Onsted, MI)
- …and supportive team. You can put your RN experience in trauma, discharge planning, utilization management, and follow up with patients and families to great use in ... of the month following employment eligibility. Our core benefits include medical insurance, dental insurance, vision insurance, an employee assistance program,… more
- HCA Healthcare (Austin, TX)
- …HCA Healthcare colleagues invested over 156,000 hours impacting our communities. As a(an) Medical Surgical Nurse Manager with St. David's South Austin Medical ... cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free...vary by location._** Come join our team as a(an) Medical Surgical Nurse Manager . We care for… more
- Fresenius Medical Center (Nashville, TN)
- …the patient. Performs chart audits on a regular basis. + Along with Facility Manager , coordinates the annual medical testing and competency testing for all ... in CPR certification **EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity** **Fresenius Medical Care North America maintains a drug -free… more
- Stanford Health Care (Palo Alto, CA)
- …at Stanford Medicine | Stanford Health Care (SHC)? Are you a seasoned RN Case Manager ? Here is your opportunity to work with a unique and supportive team. You can ... of the month following employment eligibility. Our core benefits include medical insurance, dental insurance, vision insurance, an employee assistance program,… more
- Fresenius Medical Center (Marquette, MI)
- …preferred. **EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity** **Fresenius Medical Care North America maintains a drug ... Hospital Dialysis Unit Program Manager Position requires a licensed RN with some...methods, and staffing. Monitor costs/spending in all areas including medical supply inventory, personnel and accounts payable. Determine innovative… more
- HCA Healthcare (San Antonio, TX)
- …and integrity. We care like family! Jump-start your career as a(an) Nurse Manager of Medical Surgical today with Methodist Hospital Metropolitan. **Benefits** ... cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free...by location._** Come join our team as a(an) Nurse Manager of Medical Surgical. We care for… more
- HCA Healthcare (Myrtle Beach, SC)
- **Description** **Introduction** We are seeking a(an) Manager Medical Transport with Grand Strand Medical Center to promote growth and unlock possibilities. ... cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free...benefits may vary by location._** We are seeking a(an) Manager Medical Transport for our team to… more
- Veterans Affairs, Veterans Health Administration (Los Angeles, CA)
- …is located within the Pathology and Laboratory Medicine Service. The Laboratory Manager shares, with the Director/ Medical Director of Laboratory Service, full ... and respectful manner. Functions or Scope of Assigned Duties: The Laboratory Manager /Chief Technologist serves at the medical center with comprehensive and… more
- GetWellNetwork, Inc. (Sacramento, CA)
- …designated Veterans Administration Medical Facilities. Get Well's Client Success Manager is responsible for effective product utilization and successful ... Title: Client Success Manager , Government - Sacramento, CA Reporting to: Senior...next level by driving nurse engagement, focusing on increased utilization , and leading projects of functionality to drive outcomes.… more
- RWJBarnabas Health (Hamilton, NJ)
- …employees physical, emotional, social, and financial health. + Paid Time Off (PTO) + Medical and Prescription Drug Insurance + Dental and Vision Insurance + ... Case Manager - Hamilton, NJReq #:0000137934 Category:Nurse Case Manager...Overview: Promotes high quality patient care and cost effective utilization of hospital resources through concurrent and retrospective evaluation… more
- Sutter Health (Berkeley, CA)
- **Organization:** ABSMC-Alta Bates Herrick Campus **Position Overview:** The Psychiatric Case Manager coordinates the care of patients through the provision of ... planning, working knowledge of current reimbursement requirements (including Medicare, MediCal , private contracting), excellent communication skills, both written and… more