- Amherst College (Amherst, MA)
- Office Manager for Care and Accountability Amherst Campus Full Time JR6460 Amherst has taken a leadership role among highly selective liberal arts colleges and ... and staff. Job Description: Amherst College invites applications for the Office Manager for Care and Accountability position. The Office Manager… more
- Daiichi Sankyo, Inc. (Bernards, NJ)
- …creation and supply of innovative pharmaceutical therapies to improve standards of care and address diversified, unmet medical needs of people globally by leveraging ... involves working with suppliers and internal stakeholders to define scope and review of work orders and agreements, Mitigates supplier issues, develops action plans… more
- HealthCare Support (Houston, TX)
- Utilization Review RN HealthCare Support is actively seeking a Utilization Review RN to fill an opening with a Prestigious HealthCare Company in Remote ... Houston TX . Daily Responsibilities for Utilization Review RN: WIll need to use...clinical information to authorize medically necessary inpatient and outpatient care , utilizing nationally recognized evidenced based clinical criteria or… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …the marketplace, with targeted payer accounts that influence patient access and care . Targets include a range of influential stakeholders and decision makers, ... a self-starter who is self led and keeps their manager up to date on progress and ensures no...placement in the treatment continuum as well as appropriate utilization and treatment guidelines Proactively leverages detailed knowledge of… more
- Commonwealth Care Alliance (Boston, MA)
- …Knowledge, Skills & Abilities (must have): - Expertise in managing utilization review processes including prior authorization, concurrent and retrospective ... 013650 CCA-Auth & Utilization Mgmt Position Summary: Commonwealth Care ...facilities under the provisions of CCA's benefits plan. The Manager , Utilization Management is responsible for overseeing… more
- Commonwealth Care Alliance (Boston, MA)
- 013650 CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management, the Nurse Utilization Management (UM) Reviewer ... review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has a key role in ensuring...**Required Experience (must have):** + 2 to 3 years Utilization Management experience in a managed care … more
- Metrowest Medical Center (Natick, MA)
- …patients. Identifies aftercare options for individual patients in conjunction with utilization review . Initiates appropriate contacts and follows up with ... MetroWest Medical Center is the largest community health care system between Worcester and Boston. MetroWest Medical...supervision of the Market Director of Behavioral Medicine, the Manager , Social Work and Clinical Services oversees all day… more
- Providence Little Company of Mary Medical Center San Pedro-… (San Pedro, CA)
- …BLS - AHA Must-Have: Strong assessment, discharge planning, and utilization review skills Description: The RN Case Manager coordinates patient care ... Center San Pedro- Case Management Job Type Travel Offering Nursing Profession RN Specialty Case Manager Job ID 33531148 Job Title RN - Case Manager Weekly Pay… more
- Stanford Health Care (Palo Alto, CA)
- …complex needs in collaboration with other interdisciplinary team members; arranges follow up care as appropriate. + Utilization Review -- Reviews ... include coordinating all facets of a patient's admission/discharge; performing utilization review activities, including review ...Manager differs from other roles in professional nursing/health care practice in that it is not intended to… more
- Providence Little Company of Mary Medical Center - San Pedro (San Pedro, CA)
- …to perform discharge planning and utilize interqual criteria - Experience in utilization review and concurrent reviews Description: This position requires ... Medical Center - San Pedro Job Type Travel Offering Nursing Profession RN Specialty Case Manager Job ID 33531206 Job Title Registered Nurse - Case Manager @… more
- Plante Moran (Southfield, MI)
- Count on us. Our "we- care " culture is more than just a motto; it's a promise. From day one, we prioritize your growth, well-being, and success. You can count on us ... / waste reduction Throughput improvement Make vs. Buy analysis Equipment utilization Manufacturing footprint analysis Plant floor layout Automation and Industry 4.0… more
- Commonwealth Care Alliance (Boston, MA)
- …Long-Term Services Coordinators (LTSC) agencies, ensuring alignment with CCA's model of care and strategic objectives. The Manager fosters effective clinical and ... are met in a manner that supports quality, independence, and cost-effective community-based care . The Manager also ensures providers are educated on CCA… more
- Commonwealth Care Alliance (Boston, MA)
- …supporting high-quality, coordinated care for members. In this role, the Program Manager acts as an account manager , relationship manager , and ... teams to ensure a seamless provider experience and consistent delivery of quality care . The BH Provider Engagement Program Manager reports to the Director… more
- Stony Brook University (Stony Brook, NY)
- …Department may include the following but are not limited to:** + Completes Utilization review screen for inpatient and observation cases. Activity includes UR ... RN Case Manager **Position Summary** At Stony Brook Medicine, a...our patient population. Qualified candidates will demonstrate superior patient care and possess outstanding communication skills while adhering to… more
- Conifer Revenue Cycle Solutions (Frisco, TX)
- …Clinical Documentation Management Program. Educates members of the patient care team regarding documentation guidelines, including attending physicians, nursing, and ... with Medicare Part B Knowledge of disease pathophysiology and drug utilization Knowledge of MS-DRG classification and reimbursement structures PC/Systems literate… more
- Stanford Health Care (Palo Alto, CA)
- …Enterprise. The Category Manager will lead teams that include the Patient Care VAT. This role will work in conjunction with the Assistant Director - Category ... our exciting growth story! **This is a Stanford Health Care job.** **A Brief Overview** This position's scope of...UHA, SBC and new activations as appropriate). The Category Manager is responsible for driving category specific contract coverage… more
- Laurel Pointe Senor Living (Reading, PA)
- …office staff, hospital staff including social workers, discharge planners, utilization review , volunteer coordinators, rehabilitation director, chaplain service, ... pastors, senior services including senior centers, board and care homes, adult day care centers, home health and other community-based referral sources which… more
- ERP International (Luke AFB, AZ)
- …and 5:00pm, including a one hour lunch **Core Duties:** - Participate in Utilization Management/Case Management meetings to review and identify opportunities to ... ERP International is seeking a **Licensed Clinical Social Worker/Case Manager ** for a Full-Time position in support of the...**Be the Best!** Join our team of exceptional health care professionals across the nation. Come discover the immense… more
- Commonwealth Care Alliance (Boston, MA)
- …administrative support of Care Delivery. programs. Under the supervision of the Manager of Patient Access Operations and in direct partnership with Care ... patients enrolled in Care Delivery Programs The role reports to the Manager , Care Delivery Patient Access Operations Supervision Exercised: - Yes, which… more
- Warren Equipment Company (Oklahoma City, OK)
- **Description** **TEAM UP WITH US!** The Rental Branch Manager is responsible for leading all aspects of Rental Operations for their assigned location, including ... the inventory demands of the rental fleet. The Branch Manager will collaborate with the sales and regional operations...POs to ensure timely payment to suppliers. + Develop, review , and maintain immediate and long-term plans for proper… more
