- Sharp HealthCare (San Diego, CA)
- …aligning patient goals, preferences and values with care received. The AIM Navigator is an expert clinical practitioner, using an evidence-based approach ... ensure safe and effective care and care coordination. The AIM Navigator partners with care team members to coordinate...safe and effective care.Facilitates goals of care conversations, POLST review and works with healthcare team to align goals… more
- Sutter Health (San Francisco, CA)
- …Planning and Utilization Management throughout the acute care patient experience. The RN Case Manager works in collaboration with the Physician , Medical Social ... CPMC-California Pacific Med Center Van Ness **Position Overview:** The RN Case Manager is responsible for Care Coordination, Care Transitions, Discharge… more
- Ventura County (Ventura, CA)
- Physician Lead - Whole Person Care Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4384907) Apply Physician Lead - Whole Person Care Salary ... Benefits + Questions Description PAYROLL TITLE: Primary Care Clinic Physician THE BENEFITS + CHECK OUT OUR BENEFITS FLYER...+ Provides clinical supervision of the whole person care case management team, including supervising weekly case … more
- CareOregon (Portland, OR)
- …non-dominant groups within Housecall Providers and our communities at large. The quadruple aim is real at Housecall Providers In home medical care for homebound ... on the satisfactory completion of a pre-employment background check, immunization review , and drug screen (including THC/Marijuana). CareOregon is a federal… more
- Sutter Health (San Francisco, CA)
- **Organization:** SHSO-Sutter Health System Office-Bay **Position Overview:** The Physician Advisor (PA) is a key member of the hospital's leadership team charged ... care services. The PA will develop expertise on matters regarding physician practice patterns, over- and under-utilization of resources, medical necessity,… more
- CareOregon (Portland, OR)
- …non-dominant groups within Housecall Providers and our communities at large. The quadruple aim is real at Housecall Providers In home medical care for homebound ... on the satisfactory completion of a pre-employment background check, immunization review , and drug screen (including THC/Marijuana). CareOregon is a federal… more
- Elevance Health (Columbus, OH)
- …timely and consistent medical decisions to members and providers. **Job Summary:** + Perform physician -level case review , following initial nurse review , ... of Medical Oncology regimens and supportive care. + Perform physician -level case review , following initial nurse review , of chemotherapy regimens. +… more
- Vanderbilt University Medical Center (Nashville, TN)
- …caregivers in the patient's own environment under the direction of the patient's physician . When you or your loved one receives care from Vanderbilt Home Care, ... a quality educator, a quality data analyst, and quality reviewer . They work closely together with clinical managers to...who come to work each day with the simple aim of changing the world. It is a place… more
- University Medicine (East Providence, RI)
- SUMMARY: Reporting to the Manager of Case Management, the nurse case manager is responsible for providing comprehensive screenings, assessment, care coordination ... intent of encouraging self-management for patients with chronic conditions. The Nurse Case manager is integrated in the office-based healthcare team and thereby has… more
- Elevance Health (Walnut Creek, CA)
- … decisions that require Medical Director review or policy interpretation. + Perform physician -level case review , following initial nurse review , of ... Health family of companies, Carelon Medical Benefits Management, formerly AIM Specialty Health, is a benefit-management leader in Illinois....supervisors attention, any case review… more
- Vanderbilt University Medical Center (Nashville, TN)
- …is a community of diverse individuals who come to work each day with the simple aim of changing the world. It is a place where your expertise will be valued, your ... in: * Service Line Development & Growth Planning * Physician & Staff Development * Strategic Planning & Execution...and vacation schedules. + Ensure the completion of annual review all annual staff evaluations. + Ensure that annual… more
- Providence (Napa, CA)
- …and executing performance improvement work in alignment with the Value Triple Aim (Quality, Service and Cost Excellence). The Director will partner with Ministry ... physician , clinical and operational leaders to develop the infrastructure,...Memorial Hospital license. + Establishes a quality plan and review procedure annually that creates transparency from bedside to… more
- CareOregon (Portland, OR)
- …non-dominant groups within Housecall Providers and our communities at large. The quadruple aim is real at Housecall Providers In home medical care for homebound ... on the satisfactory completion of a pre-employment background check, immunization review , and drug screen (including THC/Marijuana). CareOregon is a federal… more
- Elevance Health (Columbus, OH)
- …+ Determines the medical necessity of requests using clinical criteria. + Performs physician -level case review of musculoskeletal utilization requests. + ... the Elevance Health family of companies, Carelon Medical Benefits Management, formerly AIM Specialty Health, is a benefit-management leader in Illinois. Our platform… more
- Tufts Medicine (Boston, MA)
- …and other disciplines to implement plan of care by participation in nursing, physician , and case management reporting rounds. 17. Delegates responsibilities to ... on providing professional and nonprofessional nursing care services in accordance with physician orders. In addition, this role focuses on performing the following… more
- Ascension Health (Glendale, WI)
- …compliance with governmental and regulatory requirements. + Implement utilization review and quality improvement systems. Implement educational programs and ... + Growth + Continuum of Care development + Branding and Marketing + Physician Network Development They will work collaboratively with physicians, system and regional… more
- Trinity Health (Maywood, IL)
- …and hospital nursing operations, including regionalized services for Utilization Review / Case Management, Centralized Telemetry, Nursing Professional Practice and ... decile performance levels. Collaborates with regional leadership, hospital leadership, physician practice leadership and the medical staff leadership to identify,… more
- UPMC (Pittsburgh, PA)
- …all types of patients in cooperation with the supervising or medically directing physician and under the standards of the Department of Anesthesiology and in ... Performs according to established policies, procedures, and regulatory standards. Review appropriate documentation for informed consent and identify appropriate… more
- Pfizer (New York, NY)
- …Lab Execution, Manufacturing Process Intelligence and Production Optimization that aim to improve product quality, increase asset utilization/uptime, automate manual ... and solve technical issues + Support new project scoping, costing and business case definition + Lead product owner key activities (eg backlog management, program… more
- University of Utah Health (Murray, UT)
- …of full-time clinical practice experience. + Experience with population health, case management, or managed care. + Experience with payment methodologies including ... assigned departments and/or programs. + As needed, perform reviews on utilization review , appeals and grievance cases. + Support Sales and Marketing departments in… more