- University Medical Center of El Paso (El Paso, TX)
- …services for a targeted patient population. Carries out activities related to utilization management , discharge planning, care coordination and referral to other ... computer skills. 4. Current working knowledge of discharge planning, utilization management , case management , performance...Flexible, open-minded and adaptable to change. 7. Understanding of pre- acute and post - acute venues of… more
- University Medical Center of El Paso (El Paso, TX)
- …services for a targeted patient population. Carries out activities related to utilization management , discharge planning, care coordination and referral to other ... management and computer skills. Current working knowledge of discharge planning, utilization management , case management , performance improvement and… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …appropriate intervention. Assess, coordinate and facilitate patient's discharge plan to assure post - acute needs are arranged and secured prior to discharge; ... of individual patient needs; Works collaborate with the Physicians, patient/family, nursing, utilization review and other members of the healthcare team to assure… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …changes by communicating with Physician, mid-level or nursing staff as needed.Provides utilization and resource management by placing appropriate initial patient ... for appropriate intervention.Assess, coordinate and facilitate patient's discharge plan to assure post - acute needs are arranged and secured prior to discharge… more
- RestoraCare Staffing (Houston, TX)
- …improvement, disease or population management and managed care reimbursement. Understanding of pre- acute and post - acute venues of care and post - ... Health Clinic (FQHC), skilled nursing facility, or wound clinic). Experience in utilization management , case management , discharge planning or other… more
- Elevance Health (Chicago, IL)
- …operations managers who will perform clinical reviews for a set of Post Acute Care Utilization Management solutions and complex cases such as home ... or a UM/benefits management firm - Utilization management or clinical experience with post - acute care, especially wound care -Certified Wound care… more
- Sutter Health (San Mateo, CA)
- …Overview:** This position coordinates the utilization management , resource management , discharge planning, post - acute care referrals and care ... interview patient/family and determine preferences for post - acute care services. Utilization Management . * Completes initial InterQual review screening… more
- Sutter Health (San Francisco, CA)
- …oversees the Case Management Assistants to determine preferences for post - acute care services. Utilization Management . * Reviews medical record to ... communicates to patient/family prior to transition. * Assures necessary paperwork for post - acute transfers to comply with state and federal regulatory… more
- ChenMed (Chicago, IL)
- …Coordinates as needed with the transitional care team, hospital, skilled nursing facility, post - acute , utilization management , and home-based services ... PCP requests for external cardiology referrals and participates in delegated utilization authorizations; determines level of urgency of follow-up, referral /… more
- ChenMed (Houston, TX)
- …Assists and coordinates, in conjunction with the transitional care team; hospital, SNF, post - acute , delegated utilization management and home-based ... Director/Manager, Center Managers, external sub-specialists and providers in hospitals and post - acute care facilities. **KNOWLEDGE, SKILLS AND ABILITIES:** +… more
- Kaleida Health (Buffalo, NY)
- …equity, and any applicable collective bargaining agreement.* **Grade:** 600 **Position:** VP Care Management Post - Acute Care Transition **Union Code:** 00 - ... executive leadership and guidance for critical areas of Care Management (CM), Discharge Planning and Post - Acute...related or Business field preferred. 10 years of care management / utilization management experience required in… more
- Elevance Health (Columbus, OH)
- …with Managed Care, Utilization Management , Prior Auth, and Benefits Management decision support in the Post - Acute Domain, DME, Home Health, ... as part of consideration for employment. **National Medical Director, Post Acute Solutions** + Job Family: MED...enhances relevant clinical guidelines. + Provides clinical leadership for Utilization Management , Case Management , Disease… more
- Elevance Health (Walnut Creek, CA)
- …CA, PALO ALTO **Description** **Clinical Operations Associate Medical Director** **Carelon Insights** ** Post Acute Care Utilization Review** Schedule: 11-8 ... you for payment as part of consideration for employment. **Associate Medical Director - Post Acute Care** + Job Family: MED > Licensed Physician/Doctor/Dentist +… more
- Ventura County (Ventura, CA)
- …the interdisciplinary approach to providing continuity of care, including Utilization management , Transfer coordination, Discharge planning, and obtaining ... health care facilities; responsible for complying with AB 1203, Post Stabilization notification; and complies with other duties as...No 03 Please detail your nursing experience with Case Management , Utilization Management , and discharge… more
- Providence (Seattle, WA)
- …Medicare 5-Star, NCQU and/or URAC (preferred) + Knowledge of principles and practice of acute utilization management + Knowledge of evidence-based practice + ... **Description** **THE ROLE** The Senior Director Utilization Management & Denials - Administration is 100% remote. The role requires a broad knowledge and focus… more
- LA Care Health Plan (Los Angeles, CA)
- …in the acute setting. Works with UM leadership, including the Utilization Management Medical Director, on requests where determination requires extended ... Utilization Management Admissions Liaison RN II...Provides the primary clinical point of contact for inpatient acute care hospitals requesting Inpatient care/ post -stabilization admission… more
- Corewell Health (Southfield, MI)
- …everyone. Together, we are Corewell Health. Scope of work The Clinical Utilization Management (UM) Supervisor is responsible for monitoring, supervising, and ... performing daily Utilization Management functions, which includes but is...services in 22 hospitals, 300+ outpatient locations and several post - acute facilities-and Priority Health, a provider-sponsored health… more
- Sharp HealthCare (San Diego, CA)
- …the episode of care and supports other members of the System Centralized Utilization Management team to ensure final status reconciliation. This position ensures ... ensure appropriate patient status and assists with repatriation and post -stabilization reviews for patients before the patient is bedded,...Degree in a health related field + 3 Years Utilization Management or case management … more
- UNC Health Care (Raleigh, NC)
- …stay, and discharge reviews in accordance with federal regulations & the Hospitals? Utilization Management Plan. In addition, the Utilization Manager is ... and payors), and assesses the patient care progression from acute care episode through post discharge for...management referrals. Initiates appropriate social work referrals. 3. Utilization Management Process - Performs utilization… more
- Corewell Health (Grand Rapids, MI)
- …Health. Scope of Work Manages and coordinates the clinical functions of the Utilization Management Department. Oversees the efficiency and effectiveness of the ... utilization management teams, made up of ...services in 22 hospitals, 300+ outpatient locations and several post - acute facilities-and Priority Health, a provider-sponsored health… more
