- Commonwealth Care Alliance (Boston, MA)
- …procedures, and facilities under the provisions of CCA's benefits plan. The Manager , Utilization Management is responsible for overseeing and managing the ... of service decisions and organizational determinations. Essential Duties & Responsibilities: The Manager , Utilization Management reports to the Director of … more
- Stanford Health Care (Palo Alto, CA)
- …activities by identifying opportunities for improvement in such areas as clinical outcomes, utilization of resources and concurrent data collection;participates ... include coordinating all facets of a patient's admission/discharge; performing utilization review activities, including review of patient charts for timeliness… more
- Alameda Health System (Oakland, CA)
- Clinical Nurse V + Oakland, CA + Highland General Hospital + FQ MCH/OB Clinic (K6) + Full Time - Day + Management + $64.00- $96.00 + Req #:42878-31844 + FTE:1 + ... and environment of the unit and staff needs. Ensures implementation and evaluation of individual nursing care plans. Assists and/or reviews priorities of patient… more
- Magnolia Medical Technologies, Inc. (Lexington, KY)
- …Technologies is growing our Commercial Sales team and hiring a Territory Account Manager , based in Kentucky for the area. The Territory Account Managers are ... cultures, the gold standard diagnostic test for sepsis. Steripath(R) delivers significant clinical and cost savings benefits which have been extensively proven with… more
- Commonwealth Care Alliance (Boston, MA)
- …ensuring alignment with CCA's model of care and strategic objectives. The Manager fosters effective clinical and programmatic collaboration with provider ... and Continuous Improvement** + Work collaboratively with internal departments-including Clinical Operations, Contracting, Network Management, Utilization Management,… more
- ERP International (Luke AFB, AZ)
- **Overview** ERP International is seeking a **Licensed Clinical Social Worker/Case Manager ** for a Full-Time position in support of the **56th Medical Group, ... 5:00pm, including a one hour lunch **Core Duties:** - Participate in Utilization Management/Case Management meetings to review and identify opportunities to improve… more
- Commonwealth Care Alliance (Boston, MA)
- …working with clinical community partners responsible for care management and utilization management across CCA's One Care and SCO products. This role focuses on ... fostering strong clinical and programmatic collaboration, effectively communicating program performance to...of CCA's model of care and strategic objectives. The Manager leads performance evaluation and improvement efforts,… more
- Stanford Health Care (Palo Alto, CA)
- …employees. **This is a Stanford Health Care job.** **A Brief Overview** The Social Work Manager is a part of and engages with the service line leadership team. The ... Manager has the responsibility to collaborate with the service...necessary levels of and provides supervision of operational and clinical functions of staff. Ensures that enough qualified and… more
- ERP International (Tinker AFB, OK)
- **Overview** ERP International, LLC is seeking a **Registered Nurse - Case Manager ** for a full-time position supporting **SHG Clinic** in support of **Tinker AFB, ... transgender care in coordination with the Transgender Health Medical Evaluation Unit (THMEU) in San Antonio, Tx. The Case... Unit (THMEU) in San Antonio, Tx. The Case Manager will be required to attend a 1 (one)… more
- Stanford Health Care (Palo Alto, CA)
- …be a member of a peer collaborative responsible for similar initiatives throughout the Clinical Enterprise. The Category Manager will lead teams that include the ... LPCH, PCHA, UHA, SBC and new activations as appropriate). The Category Manager is responsible for driving category specific contract coverage and compliance. Areas… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …home opportunity! Please note this position aligns to PST business hours.** The ** Manager , Case Management** Team is a Supervisor for Case Managers. This position is ... responsible for the execution and implementation of Clinical Programs' strategy and goals and the oversight of Clinical Programs' operations. The incumbent… more
- BlueCross BlueShield of Tennessee (Memphis, TN)
- …the resources they need to meet their complex needs\. As a Care Transition Case Manager , you will play a vital role in ensuring safe and effective discharge planning ... we'd love to have you on our team\. **Job Responsibilities** + Supporting utilization management functions for more complex and non\-routine cases as needed\. +… more
- Commonwealth Care Alliance (Springfield, MA)
- …the patient and meet his/her needs. This position reports to the CIC CHW Clinical Manager **Supervision Exercised:** + No, this position does not have direct ... to influence the outcomes of assigned patients by impacting acute care utilization , ensuring optimal treatment and closing gaps in care through connecting patients… more
- Commonwealth Care Alliance (Springfield, MA)
- …and the community across various locations. This position reports to the CIC BH Clinical Manager . **Supervision Exercised:** + No, this position does not have ... centric individualized plan of care. The SBHC uses evidence-based care approaches, clinical skills, education, and training to influence the clinical outcomes… more
- Stanford Health Care (Palo Alto, CA)
- …and serves as a resource in meeting those needs. + With the support of the manager , may initiate clinical research within area of clinical expertise. + ... in an accurate and efficient manner. The SLP II conducts clinical and instrumental swallow examinations (videofluoroscopy and flexible endoscopic swallow… more
- Stanford Health Care (Palo Alto, CA)
- …and serves as a resource in meeting those needs. + With the support of the manager , may initiate clinical research within area of clinical expertise. + ... plan for the needs of the patient. The Therapist II serves as a clinical advisor to less experienced therapists by consulting on complex clinical presentations,… 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 Delivery ... Business Ops and Clinical Management teams, the Supervisor partners in ensuring the...in Care Delivery Programs The role reports to the Manager , Care Delivery Patient Access Operations Supervision Exercised: -… more
- Stanford Health Care (Palo Alto, CA)
- …and serves as a resource in meeting those needs. + With the support of the manager , may initiate clinical research within area of clinical expertise. + ... our Inpatient Acute Physical Therapy department have access to: o PT Clinical Specialists' support for mentorship, education and skill enhancement o Frequent… more
- Geisinger (Wilkes-Barre, PA)
- …and facilitate patient needs. Participates in unit-based decision-making regarding the utilization of evidence based practice. Provides input to the manager ... expected to be completed in 2028. Work is typically performed in a clinical environment. Accountable for satisfying all job specific obligations and complying with… more
- Geisinger (Wilkes-Barre, PA)
- …Job Description: Contributes data to the assessment, planning, implementation, and evaluation of patient care. Promotes adaptive responses of patient/family to ... and facilitate patient needs. Participates in unit-based decision-making regarding the utilization of evidence based practice. Provides input to the manager… more
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