- Merck & Co. (North Wales, PA)
- Job DescriptionRole Summary Under the guidance of an Executive Director , has primary responsibility for developing value evidence strategies, and planning/managing ... characterize disease burden and epidemiology, treatment patterns, healthcare resource utilization and costs, physician and patient satisfaction surveys, clinical and… more
- Merck & Co. (Rahway, NJ)
- …the guidance of a senior leader, an Associate Principal Scientist/Associate Director , has primary responsibility for planning/managing real world and economic ... characterize disease burden and epidemiology, treatment patterns, healthcare resource utilization and costs, physician and patient satisfaction surveys, clinical and… more
- Merck & Co. (North Wales, PA)
- Job DescriptionRole SummaryThe Principal Scientist/ Director , Value & Implementation (V&I) Outcomes Research, position resides in the V&I organization, which includes ... characterize disease burden and epidemiology, treatment patterns, health-care resource utilization and costs, physician and patient satisfaction surveys, clinical… more
- Fort Duncan Regional Medical Center (Eagle Pass, TX)
- …certification (CCM, ACM, CCM-RN) preferred. Proven leadership experience in acute care, utilization review, case management . Strong working knowledge of ... Position Summary Lead and oversee the hospital's case management department, ensuring patients receive high-quality, efficient, and coordinated care from… more
- University of Southern California (Los Angeles, CA)
- … Review provides administrative and operational support to the Director of Case Management . The Manager of Utilization Review provides direct supervision ... to the Utilization Review Specialists, Utilization Management Specialists, Authorization Coordinators, and ancillary staff. The Manager provides staff… more
- AMN Healthcare (Johnstown, PA)
- …in Johnstown, PA! The Position An Interim Market Director of Case Management is needed to lead care coordination, utilization review, and case ... Job Details Interim Market Director of Case Management ...candidate will have extensive experience in case management leadership, care progression, and utilization … more
- Generis Tek, Inc. (Gainesville, FL)
- …Kumar at email address ###@generistek.com can be reached on # ###. We have Permanent role Director Case Management f or our client at Gainesville, FL Please ... friends would be interested in this position. Position Details: Director Case Management - Gainesville, FL...to ensure continuity of care and optimal clinical resource utilization . The Director has oversight for all… more
- Enterprise Solutions, Inc. (Riverside, CA)
- …sensitive discharge planning discussions with patients and families. Team Structure: Reports to: Director of Case Management Direct Reports: RN Case ... Case Management Leader, Care Coordination Manager, Case Management Supervisor, Discharge Planning Manager, Utilization Review Nurse, Inpatient Case… more
- Scott & Crosby Staffing, Inc. (Houston, TX)
- … (FAACM) required. Experience/ Knowledge/ Skills: Minimum five (5) years' experience in utilization management , case management , discharge planning, or ... Job Description Job Title: Administrative Director of Care Management LEVEL: Senior...outpatient, and the home health continuum, as well as utilization management and case … more
- Actalent (Fort Lauderdale, FL)
- …combination of education and experience. Valid Florida Driver's License. Knowledge of case management and utilization review concepts, including InterQual ... Actalent is hiring a Utilization Management Nurse! Job Description The...management Medicare Managed care Patient care Medical record Case management Concurrent review Discharge planning Medical… more
- Discovery Behavioral Health (Tacoma, WA)
- …The Program Director (PD) is responsible for the supervision and management of the treatment program, facility, staff and clients. Consults with the Division ... Leader, Director of Operations and the Chief Executive Officer on...are in keeping with the Discovery Mission Statement. Completes utilization reviews, oversees primary therapist process of utilization… more
- Team Select Home Care (Boston, MA)
- …evaluates individualized patient-centered care plans under the supervision of a physician Provides case management to an assigned group of patients and ancillary ... The Case Manager is a qualified registered nurse with...Act. In this role, you will report to the Director of Nursing/ Director of Patient Care Services/Clinical… more
- Arms Acres (Carmel, NY)
- …team in Carmel, NY. In this role, you will provide comprehensive clinical case management services that include: assessments, individual, group and family ... Case Manager (CASAC-T, CASAC, LMSW, LMHC, LCSW )...identified in patient treatment plans and requested by program director Performs utilization review, provides progress reports… more
- Central Health (Austin, TX)
- …services and monitoring patient progress for concurrent reviews. The Utilization Management RN will work in conjunction with Case Managers, Social Workers, ... of Utilization or designee - the Utilization Management RN is responsible for assessing...years of nursing experience in an inpatient setting or case management - Required Licenses and Certifications: Registered… more
- HCA Healthcare (North Miami Beach, FL)
- …patient. The CM collaborates with the Rehab Program Director and Facility Case Management Director regarding departmental functions. The CM coordinates ... experience or 2 years of critical care experience Certification in case management or utilization review preferred InterQual experience preferred HCA… more
- Macpower Digital Assets Edge (Downey, CA)
- Job Summary: This is backfilled position and you will be responsible for Risk Management and Patient Safety for large medical center and also responsible for leading ... Situation Management Team to facilitate the review and evaluation of...and information requested for specific and highly sensitive patient case reviews; reporting trends in the process flow of… more
- Heywood Hospital (Gardner, MA)
- …4 Hours, Days, Rotating weekends, Rotating holidays Responsibilities Essential Functions: Utilization Management - Utilization Review and Care Transitions ... to Interqual Criteria used for determining Admission or Observation status. Completes utilization reviews daily and/or as required by insurer, (concurrent and retro)… more
- Pinnacle Treatment Centers (Charleroi, PA)
- …Service field from an accredited college or university. Previous experience in case management and/or utilization review. (preferred) Responsibilities: ... Case Manager We offer competitive salary, full benefits...of long-term recovery. You will partner with the Clinical Director and Executive Director to establish and… more
- Premier Health (Eaton, OH)
- …standards for administration and reporting of outcome measures and documentation of utilization management of clinical care. *Demonstrate knowledge of other ... Case Manager FACILITY: SAMARITAN BEHAVIORAL HEALTH Case...assigned programs and staff meetings. *Meet regularly with clinical director and as needed to review clinical care of… more
- QTC (San Antonio, TX)
- …medical exams and review services, occupational health services, diagnostic testing, and case management solutions. As innovators, we focus on advancing ... meaningful impact every day Leidos QTC Health Services is seeking an Operations Director on our RHRP team. The Reserve Health Readiness Program (RHRP) provides… more
