- Sharp HealthCare (San Diego, CA)
- …Psychiatric Technicians -REQUIRED **Preferred Qualifications** + Experience as a case manager or discharge planner interacting with managed care payers. **Essential ... under assigned workload one business day and assigns an LOS based on MCG, prior level of function, comorbidities, and discharge goals. Rounds and /or reviews with… more
- Marshfield Clinic (Marshfield, WI)
- …the most exciting missions in the world!** **Job Title:** SHP Clinical Pharmacy Specialist (Remote or Hybrid Option) **Cost Center:** 682891381 SHP- Pharmacy ... pm (United States of America) **Job Description:** **JOB SUMMARY** The Clinical Pharmacy Specialist works with physicians, staff, and committees to optimize the care… more
- The Cigna Group (St. Louis, MO)
- …experience? If so, prepare to innovate, create, and inspire. The Technology Product Senior Manager (Agile Product Management Senior Manager ) will own one or more ... portfolio management for UM Core and Channel Services. You will be managing...of quality + Develop team(s) of Scrum Master, Project Manager , Technolgy Product Owner, and Business/Systems Analyst capacities +… more
- EM Key Solutions, Inc. (Eglin AFB, FL)
- Eglin AFB, FL, USA | Full Time Registered Nurse - Utilization Manager Onsite Position EM Key Solutions is seeking Registered Nurse (RN) for a full-time Utilization ... covered benefits, and authorized surgery/medical procedures, laboratory, radiology and pharmacy . + Performs medical necessity review for planned inpatient and… more
- Humana (Richmond, VA)
- …and assists with the management of psychopharmacology pharmacy benefits manager (PBM) activities, including the establishment of prior authorization, ... physical health services, including Care Management (CM), Utilization Management ( UM ), Quality Improvement, and value‐based payment programs. The Behavioral Health… more
- One Health (Sheridan, WY)
- …+ P erforms other duties as assigned or required with or without prior notification. MINIM UM JOB QUALIFICATIONS: E du c ation/Certificates/Licenses: Required ... clinic sites across Montana and Wyoming, One Health provides medical, dental, pharmacy , behavioral health, and community and public health services to rural… more
- University of Michigan (Ann Arbor, MI)
- …staff, clinical schedules, and research subjects. + Communicate with IDS (Research Pharmacy ) to order investigational drugs and make sure all protocol supplies are ... amendments, adverse event reporting (events that either occurs in UM research subjects or subjects from other centers in...meetings, monitor visits, and audits + Working with Research Pharmacy , study medication and chain of custody + Attend… more
- ERP International (Tinker AFB, OK)
- …and databases for community resources. * Integrate CM and utilization management ( UM ) and integrating nursing case management with social work case management. * ... covered benefits, and authorized surgery/medical procedures, laboratory, radiology and pharmacy . * Reviews previous and present medical care practices for… more