- Molina Healthcare (Bronx, NY)
- …to other clinical programs. + Collaborates with multidisciplinary teams to promote Molina Care Model. + Adheres to UM policies and procedures. **JOB ... Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery… more
- Elevance Health (Chicago, IL)
- …you for payment as part of consideration for employment. **Director of Medical Mgmt, Post Acute Care UM ** + Job Family: MED > Licensed Nurse + Type: Full time + ... is a benefit-management leader in Illinois. Our platform delivers significant cost-of- care savings across an expanding set of clinical domains, including radiology,… more
- Humana (Columbus, OH)
- …part of our caring community and help us put health first** The Compliance ( UM ) Coordinator 2 conducts and summarizes compliance audits. The Compliance ( UM ) ... holidays on a rotating schedule. (about 2 holidays per year) The Compliance ( UM ) Coordinator 2 generates notice of adverse benefit determination and approval letters… more
- Sharp HealthCare (San Diego, CA)
- …Will Do** As a member of the System Integrated Care Management (ICM) team the Transfer and Admissions Utilization Manager ( UM ) partners with the Centralized ... payer, physician advisor and other members of the interdisciplinary care team as appropriate. This position coordinates...and orientees under the direction of the ICM Centralized UM Leadership team . This position supports the… more
- Ventura County (Ventura, CA)
- …Reviewers, treatment team , member, and families on the development of care /case management treatment plans. + Assists in problem solving with providers and/or ... Medical Management Nurse Senior- UM , CM/DM, &/or QA (Updated) Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4280743) Apply Medical Management… more
- University of Maryland, Baltimore (Baltimore, MD)
- …**Faculty* **Organization:** **School of Medicine - Centers/Programs/ORCs* **Title:** *Neurocritical Care Intensivist - UM Capital Region/ UMSOM* **Location:** ... of Maryland School of Medicine* The Program in Trauma, Section of Neurocritical Care at the University of Maryland School of Medicine (UMSOM) is recruiting… more
- Magellan Health Services (Albuquerque, NM)
- …Remote, Must reside in NM. Facilitates department workflow by supporting clinical team with administrative care coordination support. Locates community services ... Pain Management guidelines and workflows is also required. General Job Information Title Care Worker ( UM ) Grade 19 Work Experience - Required Work Experience… more
- Humana (Columbus, OH)
- …Nursing Educator 2 develops educational goals and plans for new associate orientation, ongoing training, and professional development. Training programs may include, ... but not be limited to, Pre-Certification, Care Management, Utilization Management, and/or Compliance. + Plans, coordinates,...for new nurses. + Facilitates process update training for UM nurses. + Develops programs to improve UM… more
- Universal Health Services (Riverside, CA)
- …Medical Clinic is the best place to work, practice medicine, and receive care . SUMMARY: Manager with a health care system development and integration ... the organization will be responsible for improving membership retention, quality of care , health outcomes, and regulatory compliance, and utilization of services as… more
- LA Care Health Plan (Los Angeles, CA)
- …RN II is responsible for ensuring that delegates contracted to perform Utilization Management ( UM ) functions on behalf of LA Care (LAC) is in compliance with ... expected that the Clinical Auditor will utilize a rapid team approach for needed improvements identified through external audits...liaison between the Plan Partners and PPGs and LA Care Health Plan regarding UM issues. The… more
- LA Care Health Plan (Los Angeles, CA)
- …aids, and workflows to optimize the process flow, performance and productivity of the UM team . Completes intermittent and annual staff evaluations. Serves as the ... in which quality flourishes. Services as member/resource/liaison to the Interdisciplinary Care Team . Recommends resources to improve performance standards in… more
- University of Michigan (Ann Arbor, MI)
- Residency Associate Apply Now **How to Apply** A cover...This position works as an important part of a team to provide students, families and U-M staff with ... criteria under the university'sGuidelines for Qualifying for In-State Tuition.The Residency Associate is also expected to apply comprehensive knowledge of processes… more
- LA Care Health Plan (Los Angeles, CA)
- …for Authorization Technicians Leads, Authorization Technician and clerical staff in the UM department. Ensure Associate Supervisors are providing consistent and ... Range: $60,778.00 (Min.) - $75,950.00 (Mid.) - $91,166.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the state of… more
- University of Michigan (Brighton, MI)
- Patient Services Associate /Assistant - Brighton Center for Specialty Care Apply Now **How to Apply** A cover letter is required for consideration for this ... We are seeking a compassionate and enthusiastic Patient Services Assistant/ Associate to join our team . This individual...Care and Michigan Medicine patients, families, providers and team members. Candidate should expect to cross train on… more
- University of Michigan (Brighton, MI)
- …Assistant/ Associate (Adult/Peds Specialties) Brighton Center for Specialty Care (Sign-On Bonus!) Apply Now **Summary** Provide exceptional customer service ... and support to all Brighton Center for Specialty Care patients, families, providers and team members. Duties include: receive/assist patients and families as… more
- University of Michigan (Ann Arbor, MI)
- Patient Care Tech Associate Apply Now **Summary** The Department of Von Voigtlander Women's Hospital (VVWH) Nursing Services is a full-scope Perinatal care ... Team Leader or Charge Nurse of any patient care /equipment problems/issues. + Communicate to families in a welcoming,...**Job Detail** **Job Opening ID** 247766 **Working Title** Patient Care Tech Associate **Job Title** Patient … more
- University of Michigan (Ann Arbor, MI)
- Patient Care Tech Associate Apply Now **Mission...for surgical procedures + Work closely with the nursing team to provide direct patient care and ... for daily use. + Collaborate with our Supply Chain team to assure supplies and necessary equipment are available...**Job Detail** **Job Opening ID** 245648 **Working Title** Patient Care Tech Associate **Job Title** Patient … more
- University of Michigan (Brighton, MI)
- Ophthalmic Imaging Specialist Associate /Intermediate - Brighton Center for Specialty Care Apply Now **Summary** Under the supervision of the Manager of ... ability to work independently, and as part of a team + Comfortable with hands on patient care...**Job Opening ID** 247436 **Working Title** Ophthalmic Imaging Specialist Associate /Intermediate - Brighton Center for Specialty Care … more
- McLaren Health Care (Detroit, MI)
- **Position Summary:** Responsible for providing assistance to the Utilization Manager ( UM ) RN in the coordination of patient admission and continued stay reviews, as ... Functions and Responsibilities as Assigned:** 1. Collaborates with the UM RN to determine the appropriate hospital setting (inpatient...payer contract to obtain authorization for appropriate level of care and length of stay as needed. 4. Obtains… more
- University of Miami (Coral Gables, FL)
- …this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . Research Assistant/ Associate Professor The University of Miami ( ... (SONHS) seeks to hire an Asst./Assoc Professor (Research Track). UM is one of the top research universities and...Health Studies (SONHS) is to transform lives and health care through education, research, and service across the hemisphere.… more