- CHPW (Seattle, WA)
- …against criteria utilized for medical review. Regularly communicates with the UM Manager , Medical Director, physician advisor/reviewer and primary care ... the continuum of care in accordance with the patient's medical needs. Identify potentially unnecessary services and/or...starting at 17 days per year. 40 hours Community Service volunteer time 10 standard holidays, 2 floating holidays… more
- Advocate Aurora Health (Oak Lawn, IL)
- …Outcome Facilitation Team/Patient Care Multidisciplinary Team and works closely with medical staff, hospital departments and ancillary services in identification ... and reporting care coordination, discharge planning and utilization management ( UM ) activities. Collaborates with managers, physicians, medical directors,… more
- University of Maryland Medical System (Towson, MD)
- …recognized as a top employer by Baltimore magazine. Job Description The Care Manager coordinates the care and service of selected patient populations across ... you come to the University of Maryland St. Joseph Medical Center, you're coming to more than simply a...be contributing to a locally and nationally recognized institution. UM St. Joseph has been recognized by The Leapfrog… more
- University of Maryland Medical System (Baltimore, MD)
- Company Description Join the UM Rehab Team! At UM Rehab, we offer an unparalleled opportunity to work in a setting that seamlessly blends elements of acute care, ... many other facilities are unable to accommodate. Why Join UM Rehab? Diverse & Challenging Cases: Gain invaluable experience...group practice on the unit, and to the nurse manager for the totality of work performance. Serves as… more
- PacificSource (Bend, OR)
- …opportunities. Serve as back-up for the Director of Care Management and Utilization Management Manager , as needed. Work collaboratively with the UM Director and ... of the Care Management Team which may include the following: Health Services Representatives (HSR) Member Support Specialists (MSS) and Nurse Case Managers (NCM)… more
- WELLSPACE HEALTH (Sacramento, CA)
- …Job Location 164 - 1500 Expo Parkway - Sacramento, CA Description Clinical Care Manager Department: Nexus Location: 164 Reports to: UM Director Status: Full-Time ... always been to offer a full range of quality medical care, dental care, mental health and behavioral health... care, dental care, mental health and behavioral health services , and enabling services to underserved people.… more
- Tucson Medical Center (Tucson, AZ)
- SUMMARY : Under the direction of the Director of Professional Staff Services , the Utilization Manager acts as a liaison to hospital leadership, Case Management, ... of an interdisciplinary team consisting of the Director of Professional Staff Services and Utilization Management Physician Advisors that review and determines the… more
- EXL Service (Albuquerque, NM)
- …to ensure medical necessity and appropriate level of care. Assesses services for beneficiaries to ensure optimum outcomes, cost effectiveness and compliance with ... world's leading corporations in industries including insurance, healthcare, banking and financial services , media and retail, among others. EXL was founded in 1999… more
- UnitedHealth Group (Fort Myers, FL)
- …an individualized transition plan and/or action plan for patients Independently confers with UM Medical Directors and/ or Market Medical Directors on ... action plan and/or discharge plan. They will perform reviews of current inpatient services , and determine medical appropriateness of inpatient and outpatient … more
- IPG Mediabrands (Los Angeles, CA)
- …billion in marketing investment globally on behalf of its clients across its full- service agency networks UM , Initiative and Mediahub and through its ... Position Summary The Creative Manager will work cross departmentally to ensure that...of project management experience within either media or creative services . Experience working within an advertising agency environment. Proven… more
- Franciscan Missionaries of Our Lady Health System (Lafayette, LA)
- …and reimbursements. 3. Quality Evaluates the effectiveness and quality of necessary medical services , medical necessity criteria, and appropriateness of ... throughout our community, every day. Job Summary : The Manager Care Management, who reports to the Dir, Care...outcomes associated with utilization of resources, delays, and denials, medical necessity, and level of care. Oversee and evaluate… more
- Blue Shield of California (Rancho Cordova, CA)
- …greater FEP team with mail and care management referral support. The CSC Program Manager , Senior will report to the Manager FEP Non-Clinical Operations. In this ... as a liaison between the Clinical and Non-Clinical FEP UM and CM teams. Manage the development and implementation...Shield of California Promise Health Plan; Altais, a clinical services company; and Stellarus, a company designed to scale… more
- Oerlikon (Elgin, IL)
- …performed on time (based on the calendar that was set up with the Area Service Manager ) Perform and document the preventive maintenance on all equipment within ... guidance and informal coaching to others while potentially overseeing assigned personnel. The Service Technician reports directly to the Center Manager . We are… more
- University of Maryland Medical System (Towson, MD)
- Company Description When you come to the University of Maryland St. Joseph Medical Center, you're coming to more than simply a beautiful 37-acre, 218-bed suburban ... be contributing to a locally and nationally recognized institution. UM St. Joseph has been recognized by The Leapfrog...team members for care provided and to the nurse manager for totality of work performance. Is accountable to… more
- University of Maryland Medical System (Upper Marlboro, MD)
- …in Largo in the heart of Prince George's County, our new state-of-the-art regional medical center ( UM Capital Region Medical Center) will provide improved ... access to primary and ambulatory care services , and serve as a tertiary care center for...- Emergency Department Full-time / Evening-shift (3:30pm - 4:00am) UM Capital Region Health - Largo, MD Now offering… more
- Astrana Health, Inc. (El Monte, CA)
- …into Company's customer service module & NMM Queue system Member/Provider Service /Representative assists Supervisor and Manager with other duties as assigned ... Customer Service Representative (Cantonese or Mandarin Speaking) Department: Ops...Members assigned to wrong PCP/with no PCP status Assisted UM / Medical Directors on urgent member… more
- University of Maryland Medical System (Upper Marlboro, MD)
- …in Largo in the heart of Prince George's County, our new state-of-the-art regional medical center ( UM Capital Region Medical Center) will provide improved ... access to primary and ambulatory care services , and serve as a tertiary care center for...months maximum with a defined action plan developed with manager ). Utilizes the nursing process as the frame of… more
- Connecticut Children's (Hartford, CT)
- …and oversight of the UR Nurses, under the guidance and support of the Manager of Case Management and Director of the Center. Provides leadership and direction around ... challenges and systems issues that need to be elevated to the Manager and Center Leadership. Responsibilities Team Lead-20%: Daily clinical support and supervision… more
- Veterans Health Administration (Harrison, MT)
- …standards for the medical center. Serve as a physician in the service according to approved clinical privileges at MTVAHCS. This position is up to 75% ... (one to five years) are determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants… more
- The University of Miami (Miami, FL)
- …requirements of Clinical Trials Chemotherapy Nurse 50% Works closely with the medical director and the pediatric nursing director. Administers research study agents, ... clinic is well prepared consisting of all supplies and medical records (print and electronic) are up to date...direct patient care by assisting providers with patient care services . Acts as a liaison between patients, caregivers and… more
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