- Geisinger (Wilkes-Barre, PA)
- …regarding the utilization of evidence based practice. Provides input to the manager for performance appraisals of care delivery team members. Precepts and ... Job Title: LPN - Graduate Inpatient Licensed Practical Nurse (Geisinger Wyoming Valley, Wilkes-Barre) Location: Wilkes-Barre, Pennsylvania Job Category: LPN - … more
- Stanford Health Care (Palo Alto, CA)
- …Stanford Health Care job.** **A Brief Overview** Case Managers are licensed nursing professionals responsible for coordinating continuum of care and ... Manager differs from other roles in professional nursing/health care practice in that it is not intended to...collaboration with other interdisciplinary team members; arranges follow up care as appropriate. + Utilization Review --… more
- Commonwealth Care Alliance (Boston, MA)
- …- As a member of the management team, shared accountability for reductions in acute care utilization - Attend team meetings and huddles to provide input on ... member of Care Delivery Leadership, the Primary Care Nursing Manager is the nursing leader...years in a Nursing leadership role - Experience managing DPH- licensed clinics - Experience in value-based practice settings Required… more
- Stanford Health Care (Palo Alto, CA)
- …Stanford Health Care job.** **A Brief Overview** Case Managers are licensed nursing professionals responsible for coordinating continuum of care and ... outcomes. A Case Manager differs from other roles in professional nursing/health care practice in that it is not intended to provide direct patient care… more
- Luke Staffing (Yigo, GU)
- …of clinical nursing experience is required. One year of previous experience in Utilization Management is required. Full time employment in a nursing field within the ... requirements of this position, it must be directly related to referral/ utilization management. + **Licensure:** Current, full, active, and unrestricted license to… more
- Commonwealth Care Alliance (Springfield, 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
- Stanford Health Care (Palo Alto, CA)
- …**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 ... team when decisions are made around program and staff development. The Manager plans, develops implements and evaluates health care services, programs,… more
- Stanford Health Care (Pleasanton, CA)
- …discovered. Day - 12 Hour (United States of America) **This is a Stanford Health Care job.** **A Brief Overview** The Manager - Advanced Practice Providers (APP) ... collaboration with the Director of Advanced Practice, the APP manager will participate in developing structured APP associated metrics...structured APP associated metrics for assessing outcomes of APP care and quality of care metrics; in… more
- Mom's Meals (Ankeny, IA)
- …and Experience + Individuals with clinical background, such as registered dietitian, licensed social worker or nursing case manager , with customer relationship ... Position SummaryThe Manager of Healthcare Partnerships will drive Medicare Advantage...continued development of relationships at Medicare Advantage (MA) Managed Care Plans. The position will concentrate on expanding knowledge… more
- DESC (Seattle, WA)
- …coordination, and the delivery of consistent, recovery-oriented, trauma-informed, and harm-reduction-based care . The Clinical Project Manager ensures that case ... CSC Clinical Project Manager Seattle, WA (http://maps.google.com/maps?q=1600+South+Lane+Street+Seattle+WA+USA+98144) -Clinical Administration Apply Job Type… more
- Luke Staffing (Agana Heights, GU)
- **INDEPENDENT LICENSED SOCIAL WORKER CASE MANAGER ** **SITE OF SERVICE:** . US Naval Hospital, Guam . Full Time **POSITION QUALIFICATION/REQUIREMENTS:** . ... last (3) three years as a Social Work Case Manager working in an out/inpatient setting. . **Licensure:** Current,...full, active, and unrestricted license to practice as a Licensed Clinical Social Worker in any one of the… 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, ... opportunity. www.erpinternational.com **Be the Best!** Join our team of exceptional health care professionals across the nation. Come discover the immense pride and… more
- Stanford Health Care (Palo Alto, CA)
- …the technical direction of the Medical Director, the Testing Lab Operations Manager is responsible for the administrative and technical management of Technical ... and support personnel as appropriate. The Testing Lab Operations Manager will be responsible for managing supervisors as well...other duties as assigned. + Manage a team of licensed Clinical Laboratory Scientists, 2 supervisors and their teams… more
- Battelle Memorial Institute (Sneads Ferry, NC)
- …conditions + Evaluate and treat patients with or without referrals as licensed independent practitioners, credentialed as direct care providers in specific ... their scope of practice as directed by HP program Manager and/or Coordinator + Participate in periodic meetings with...care + Provide input for the development and utilization of required databases + Conduct peer record reviews… more
- UNC Health Care (Smithfield, NC)
- …through post discharge for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Clinical Care Management staff to ... met and care delivery is coordinated across the continuum. The Utilization Manager completes admission, continued stay, and discharge reviews in accordance… more
- UNC Health Care (Raleigh, NC)
- …through post discharge for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Clinical Care Management staff to ... met and care delivery is coordinated across the continuum. The Utilization Manager completes admission, continued stay, and discharge reviews in accordance… more
- Beth Israel Lahey Health (Plymouth, MA)
- …a job, you're making a difference in people's lives.** Full Time **Job Description:** ** Utilization Review & Denials management manager - Full Time** **Who We ... and Serve Your Community!** **In your role as a Utilization Review & Denials Management Manager , you...care determination and the appeal/denial process. + Oversees utilization review workflow processes to ensure timely response to… more
- Intermountain Health (Las Vegas, NV)
- …of staffing, escalations, barrier triage, and coordination with compliance and legal to support care delivery. The Manager Care Management I reports to the ... 5:30 pm Holiday and weekend coverage when needed. The Manager of Care Management I leads and... Care Management I leads and collaborates with care management operations across utilization review, acute… more
- Helio Health Inc. (Syracuse, NY)
- …to track, review, and analyze data relating to continuous quality improvement. The Utilization Case Manager will work on a Full-Timebasis supporting ourSyracuse ... Assist in developing and administering policies and procedures for utilization . + Negotiating access to care for...also take into account information provided by the hiring manager and program Job LocationsUS-NY-Syracuse Category Case/ Care … more
- Children's Mercy Kansas City (Kansas City, MO)
- …nursing + required within 4 years of hire + 1-2 years experience + Experience in Utilization Review + One of the following: Licensed RN - MO, Registered Nurse ... and training oversight of programs and services. Responsible for effective utilization review and proper resource management of patients, including patient statusing… more
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