- 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...Communicates concerns that arise in these discussions to the Manager and/or Medical Director. 4. Maintains knowledge of the… more
- Commonwealth Care Alliance (Boston, MA)
- …Knowledge, Skills & Abilities (must have): - Expertise in managing utilization review processes including prior authorization, concurrent and retrospective ... facilities under the provisions of CCA's benefits plan. The Manager , Utilization Management is responsible for overseeing...for overseeing and managing the daily operation of the Utilization Management Review Nurse and Specialist staff… 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...accurate documentation of clinical decisions and works with UM Manager to ensure consistency in applying policy + Works… more
- Stanford Health Care (Palo Alto, CA)
- …responsibilities include coordinating all facets of a patient's admission/discharge; performing utilization review activities, including review of patient ... other interdisciplinary team members; arranges follow up care as appropriate. + Utilization Review -- Reviews prospectively, concurrently and retrospectively all… more
- Amherst College (Amherst, MA)
- …requests in a timely manner. Administratively supports the selection, training, and utilization of the Community Standards Review Board. Enters case information ... Office Manager for Care and Accountability Amherst Campus Full...and dissemination of training materials for the Community Standards Review Board and Advisors. Responds to inquiries regarding law… more
- Merck & Co. (Rahway, NJ)
- …the business.- - Working independently, the Protocol Clinical Supplies Project Manager (Protocol CSPM) designs strategic and operational plans for all activities ... supply chain deliverables and prepares, analyses, and/or develops mitigation strategies for review with clinical partners and senior leaders. Works directly in the… more
- Daiichi Sankyo, Inc. (Bernards, NJ)
- …involves working with suppliers and internal stakeholders to define scope and review of work orders and agreements, Mitigates supplier issues, develops action plans ... intelligence and trends, to help inform Business budgeting and supplier utilization decisions- Partners with senior business stakeholders across functions to… more
- Commonwealth Care Alliance (Boston, MA)
- 011150 CCA-Network Contracting **Position Summary:** The LTSS Program Manager is responsible for overseeing relationships and performance with community-based ... alignment with CCA's model of care and strategic objectives. The Manager fosters effective clinical and programmatic collaboration with provider partners,… more
- Commonwealth Care Alliance (Boston, MA)
- …Position Summary: The Behavioral Health (BH) Provider Engagement Program Manager is responsible for cultivating strong, collaborative relationships with behavioral ... mission and supporting high-quality, coordinated care for members. In this role, the Program Manager acts as an account manager , relationship manager , and… 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...cases for authorization for in patient stay. + Staff review short stay, long stay and complex cases to… 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 plans ... 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
- Home Depot (Richmond, VA)
- **Position Purpose:** The District Asset Protection Manager (DAPM) is responsible for teaching, coaching, and training associates to ensure the effective execution ... be able to multi-task across stores and gain the partnership of the District Manager , Store Manager , Store Leadership Team, APS and other store associates to… more
- MVP Health Care (Schenectady, NY)
- …functional capability through the coordination of quality cost effective care. The Case Manager will also monitor and review cases with the Medical Director ... innovative thinking and continuous improvement. To achieve this, we're looking for a Case Manager , Medicaid Long Term Support Program to join #TeamMVP. If you have a… more
- Red River (Hartford, CT)
- **Position Summary:** The Manager , Residency Services reports to Director of Professional Services. Responsibilities include: Identifying new Residency Services ... further our Corporate Mission, Values and Objectives. Red River's Residency Services Manager will be responsible for our residents' growth and operational management… 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 ... **Overview** ERP International is seeking a **Licensed Clinical Social Worker/Case Manager ** for a Full-Time position in support of the **56th Medical Group, Luke… more
- University Health (San Antonio, TX)
- …(as a Staff nurse II or above). Work experience in case management, utilization review or hospital quality is preferred. LICENSURE/ CERTIFICATIONS Current ... POSITION SUMMARY/RESPONSIBILITIES The nurse case manager coordinates, in collaboration with the patient and interdisciplinary team, the treatment/plan of care for a… more
- University Health (San Antonio, TX)
- …to five years nursing experience required. Work experience in case management, utilization review or hospital quality is preferred. LICENSURE/ CERTIFICATIONS ... POSITION SUMMARY/RESPONSIBILITIES The nurse case manager coordinates, in collaboration with the patient and interdisciplinary team, the treatment/ plan of care for a… 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 ... Job Type Travel Offering Nursing Profession RN Specialty Case Manager Job ID 33531206 Job Title Registered Nurse -...Job ID 33531206 Job Title Registered Nurse - Case Manager @ Providence Little Company of Mary Medical Center… more
- Everon (Fort Worth, TX)
- …controlling costs. + Provides adequate supervision and personnel deployment and utilization and materials purchasing and coordination to ensure maximum profit ... + Sets realistic schedule for self and subordinates to ensure maximum utilization of resources and timely completion of tasks. + Direct coordinate activities… 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
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