- CoxHealth (Lake Spring, MO)
- …works in collaboration with a physician for assistance in clinical decision-making, case management and evaluation of performance. The Nurse Practitioner ... direct, or coordinate medicine and health services in hospitals, clinics, managed care organizations, public health agencies, or similar organizations.Education:… more
- CoxHealth (Lake Spring, MO)
- …works in collaboration with a physician for assistance in clinical decision-making, case management and evaluation of performance. The Nurse Practitioner ... plan, direct, or coordinate medicine and health services in hospitals, clinics, managed care organizations, public health agencies, or similar organizations. *… more
- CoxHealth (Monett, MO)
- …:* Job Summary ◦ The Physician Assistant works in clinical decision-making, case management and evaluation of performance. The Physician Assistant provides ... plan, direct, or coordinate medicine and health services in hospitals, clinics, managed care organizations, public health agencies, or similar organizations. *… more
- Insmed Incorporated (Minneapolis, MN)
- …and issue/problem solving.Provide medical and scientific support to payers, commercial managed markets, and related health care organizations to facilitate ... objective, scientific and evidence-based medical information, and education to health care customers within managed markets/healthcare/payor systems, in addition… more
- Somatus (Kansas City, KS)
- …Educator experience + Field-based experience going into homes + Telephonic case management experience + Experience working within a managed care ... Overview As the largest and leading value-based kidney care company, Somatus is empowering patients across the...Community engagement opportunities + And more! Field Based Nurse Case Managers are an important part of the interdisciplinary… more
- Battelle Memorial Institute (Fort Benning, GA)
- …history to develop time sensitive treatment plans which delineate the expected process of care delivery for selected case managed patients or populations + ... a case manager by a recognized certifying organization, ie, Commission for Case Management Certification or American Nurse Credentialing Center + At least… more
- Memorial Sloan-Kettering Cancer Center (New York, NY)
- …around the globe. **Exciting Opportunity at MSK:** Are you passionate about using your Case Management experience to support Oncology Patients? The MSK Case ... and responding to clinical and administrative denials referred to Case Management Department for appeal. You will...least 2-3 years of clinical hospital nursing experience + Managed care /UR/CM experience strongly preferred + Knowledge… more
- Commonwealth Care Alliance (Boston, MA)
- …clinical organization. - Ensures that utilization management processes are integrated with care management and care delivery processes. - Works closely ... active RN license required Required Experience: - 7-10 years - 8-10 years of managed care operations experience, including a minimum five (5) years of leadership… more
- Commonwealth Care Alliance (Boston, MA)
- …(Certified Case Manager) **Required Experience (must have):** + 2 to 3 years Utilization Management experience in a managed care setting + 2 or more ... CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management , the Nurse Utilization Management (UM) Reviewer is responsible… more
- Children's Hospital Los Angeles (Los Angeles, CA)
- …utilization management and/or discharge planning experience. Thorough knowledge of managed care , utilization management , discharges planning, and ... **NATIONAL LEADERS IN PEDIATRIC CARE ** Ranked among the top 10 pediatric hospitals...with the multidisciplinary team to develop and implement a case management plan to ensure quality patient… more
- Commonwealth Care Alliance (Boston, MA)
- …management Desired Experience (nice to have): - Experience working with managed care organizations, value-based programs, or community-based behavioral health ... and member experience. - Address provider inquiries related to care coordination, utilization management , and program participation,...across BH and Health Home providers. - Participate in case review meetings and rounds as needed to enhance… more
- COOLSOFT (Madison, WI)
- …the DOCs Health and Behavior Solutions COMPAS team. COMPAS is the State of Wisconsins case management and decision support tool utilized by Case Managers. ... 155932 Job title Analyst Job location in Madison, WI Skills required Vendor Management Experience, UAT, SDLC, Open Date 12-Nov-2025 Close Date Job type Contract… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …drug utilization management strategies and programs for Pharmacy, Medical Services, Care Management , Case Management , Disease Management ... pharmacy students and/or residents, introducing them to drug utilization management and care management activities....MPH or equivalent experience) is preferred. + Experience in managed care setting. + Experience in delivering… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …program as part of a core team. You'll collaborate cross-functionally with care management , utilization management , provider/member relations, and ... tooncology, provider contracting related to oncology infusion therapies, member engagement, case management , Rx products, affordability programs, among others +… more
- Stony Brook University (Stony Brook, NY)
- …and Throughput experience + Leadership experience working with C-Suite Executives + Experience in Care Management + Experience in Managed Care /Insurance ... workers with discharge planning efforts, coordinate trainings and meetings for the care management staff and maintain departmental resources for staff. **Duties… more
- CyrusOne (Allen, TX)
- …+ Knows and understands the Owner's building operations rules for the building(s) under his care and as provided by the DC Manager. + Uses and teaches others to use ... the Computerized Maintenance Management system (CMMS) to track all maintenance work, labor...Perform Level 1 response on Windows servers for both non- managed and managed clients, including initial troubleshooting,… more
- Battelle Memorial Institute (Columbus, OH)
- …resolve non-recurring problems, ensuring efficient program operations and high-quality patient care . **Responsibilities** + Assist with the management and ... behavioral health activities by conducting intake interviews, assisting with patient care , and leading therapeutic sessions under the supervision of licensed… more
- Alameda Health System (Oakland, CA)
- …and medications; make assessments and create a plan of care ; perform care coordination and case management ; participate actively in the team-based ... treatment recommendations to establish and maintain a plan of care jointly created and managed by patient,...and care team. 14. Provides clinical support, care coordination and direct case management… more
- The Toro Company (Bloomington, MN)
- …environment, including turf and landscape maintenance, snow and ice management , underground utility construction, rental and specialty construction, and irrigation ... roadmaps for the divisions, identifying and developing the business case for key technology integration driven by unmet customer...key project stage gates. + Assist with the ongoing management and evolution of existing technologies in use across… more
- Alameda Health System (Oakland, CA)
- … Care Testing and phlebotomy. 10. Provides clinical support and direct case management including patient education, goal setting, self- management teaching ... but are not limited to: vital signs, procedural sedation management , cleaning and use of medical equipment, Point of...treatment recommendations to establish and maintain a plan of care jointly created and managed by patient,… more
