- FLACRA (Clifton Springs, NY)
- UTILIZATION MANAGEMENT SPECIALIST Finger...3. Ability to multi-task, have good problem solving & time management skills and the ability to ... Job Summary: In accordance with the organization's mission, vision and values, the Utilization Management Specialist is responsible for evaluation of the… more
- AdventHealth (Tampa, FL)
- …Stroke Association as a Primary Stroke Center. **The role you'll contribute:** The Utilization Management (UM) Specialist works under the direction of ... while understanding that **together** we are even better. **Schedule:** Full Time **Shift** : Days **The community...the Utilization Management Manager and supports the Utilization … more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist ... Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 10785 Salary Range: ... net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN...providers and other members of the interdisciplinary team Excellent time management and priority-setting skills. Maintains strict… more
- Sanford Health (SD)
- …- Remote SD, SD **Address:** **Shift:** 8 Hours - Day Shifts **Job Schedule:** Full time **Weekly Hours:** 40.00 **Salary Range:** $24.00 - $38.50 **Department ... Conduct level of care medical necessity reviews within patient's medical records. Performs utilization management (UM) activities in accordance with UM plan to… more
- YesCare Corp (Brentwood, TN)
- …Veterans_ _._ **Responsibilities** Below is a list of your responsibilities as a ** Utilization Management Specialist 2** with YesCare : + Responsible ... + Experience Level: 3 - 5 year's experience in utilization management , case management , quality...InterQual and/or Milliman Care guidelines preferred. Strong organizational and time management skills. + Tools and Technology:… more
- Moss Adams LLP (San Diego, CA)
- …staff, human resources, and internal accounting to promote people development and maximize utilization . The Resource Management Specialist will work to ... **Resource Management Specialist ** **Description** Moss Adams brings...$64,000 - $82,000 **Primary Location** San Diego, CA **Employee Status:** Regular **Schedule:** Full Time **Req ID:**… more
- Tenet Healthcare (Detroit, MI)
- Rehab Care Coordination Specialist FT Days - 2406000956 Description : DMC Rehabilitation Institute of Michigan is one of the nation’s largest hospitals ... appropriate parties. Refers all concerns regarding medical necessity, inappropriate utilization of resources or quality issues to management...: DMC Rehabilitation Institute of Michigan Job Type: : Full-time Shift Type: : Days : : Req ID:… more
- Emanate Health (Covina, CA)
- …ranked company in the country. **Job Summary** The Manager Utilization Review/MediCal Specialist will develop and maintain a full Medi-Cal case management ... and facilitation of educational in-services for medical staff, case managers, utilization management , discharge planning and other professional personnel. **Job… more
- Tenet Healthcare (Detroit, MI)
- Clinical PT Specialist Days FT Float Multiple Sites - 2105010601 Description : $10,000 Sign on Bonus, with required amount of relevant experience Flexibility ... management in department functions and special projects, ie, utilization review, quality assurance, program development and committee work....: DMC Rehabilitation Institute of Michigan Job Type: : Full-time Shift Type: : Days : : Req ID:… more
- Terumo Medical Corporation (Bradenton, FL)
- Field Clinical Specialist , Ft Myers Date: Apr 27, 2024 Req ID: 3005 Location: Bradenton, FL, US Company: Terumo Medical Corporation Department: TIS Sales ... Management Terumo Medical Corporation (TMC) develops, manufactures, and markets...clinical communications to support, document and drive appropriate product utilization . Work with sales and marketing, internal departments and… more
- Sharp HealthCare (Chula Vista, CA)
- …Vista **Department** **Job Status** Regular **Shift** Day **FTE** 1 **Shift Start Time ** **Shift End Time ** Bachelor's Degree; Master's Degree; Certified ... Association for Healthcare Quality; Certified Professional in Healthcare Risk Management (CPHRM) - American Hospital Association; Certified Professional in Patient… more
- Sharp HealthCare (San Diego, CA)
- …skills in area of expertise. + Proficient knowledge and understanding of utilization management , transition planning, alternative options, goals and outcomes, ... **Shift End Time ** Accredited Case Manager (ACM) - American Case Management Association (ACMA); California Registered Nurse (RN) - CA Board of Registered… more
- Bon Secours Mercy Health (Richmond, VA)
- …quality patient outcomes within the institution and community through utilization of advanced knowledge, preparation, skills, experience, and expanded practice ... practice; + Coordinates, facilitates, provides and evaluates patient, staff and health management education programs; + Serves as a patient and family advocate… more
- Sharp HealthCare (San Diego, CA)
- …position, and employer business practices. **What You Will Do** To provide comprehensive utilization management and coordination of care for members who are ... contracted health plan requirements for documentation of concurrent SNF review and utilization management activities performed in a manner consistent with… more
- University of Colorado (Aurora, CO)
- …of Colorado Anschutz Medical Campus is seeking a Medicaid Utilization Review Specialist ( full time , University Staff/Non classified) in the Department of ... Abilities:** + Well-developed knowledge and skills in areas of utilization management , medical necessity, and patient status...techniques. + Attention to detail. + Strong organizational and time management skills. + Excellent writing and… more
- Sutter Health (Berkeley, CA)
- …systems for the appeal/denial process, tracks and trends data, and coordinates utilization management activities for the assigned area. Collaborates with ... with fellow team members, supervisors, patients, and other hospital personnel. Well-developed time management and organizational skills, including the ability to… more
- Veterans Affairs, Veterans Health Administration (Clarksburg, WV)
- Summary As the Acquisition Utilization Specialist you will serve as the medical center liaison and advisor on contract related services focusing on critical ... This is not a virtual position. Position Description/PD#: Acquisition Utilization Specialist /PD99810-S Relocation/Recruitment Incentives: Not Authorized Financial… more
- Hawaii Pacific Health (Honolulu, HI)
- …Pacific Health, Honolulu, HI **Work Schedule:** Day - 8 Hours **Work Type:** Full Time Regular FTE: 1.000000 **Bargaining Unit:** Non-Bargaining Starting Hourly ... Services, which provides Hawai'i Pacific Health and its affiliates essential population utilization and financial management support, analyses and modeling. The… more
- HCA Healthcare (Panama City, FL)
- …absence) + Employee Health Assistance Fund that offers free employee-only coverage to full-time and part- time colleagues based on income. Learn more about ... you have the career opportunities as a(an) Clinical Pharmacist FT Mixed Shift you want with your current employer?...certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid time … more
- Trinity Health (Albany, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** Patient Access Concierge II - St. Peter's Hospital - FT - Days Greets patients and ... Accuracy, attention to detail, ability to work independently, and good time management skills are required. Completion of regulatory/mandatory certifications… more