- Corewell Health (Southfield, MI)
- …everyone. Together, we are Corewell Health. Scope of work The Clinical Utilization Management (UM) Supervisor is responsible for monitoring, supervising, and ... performing daily Utilization Management functions, which includes but is...health of our organization. As a health system, we advocate for equity as we care for… more
- Carle (Urbana, IL)
- Social Work Staff - Care Facility and Utilization Management + Department: IP Clinical Case Mgmt - CMH + Entity: Peoria Service Area + Job Category: Social ... Summary: Provide psychosocial assessment, individual and family counseling and support, care planning, case management , and community education, outreach and… more
- Corewell Health (Grand Rapids, MI)
- …budget. Develops policies and procedures in coordination with the leadership team to support Utilization and Care Management services in the provision of ... Work Manages and coordinates the clinical functions of the Utilization Management Department. Oversees the efficiency and...health of our organization. As a health system, we advocate for equity as we care for… more
- Catholic Health (Lockport, NY)
- …as an active member of the Care Management and interdisciplinary care team, provides comprehensive Utilization Review and transitions of care ... and Holiday Rotation Hours: 8:00a-4:00p, 9:00a-5:00p, 10:00a-6:00p, 11:00a-7:00p Summary: The RN Care Manager, Utilization Review/ Transitions of Care ,… more
- Corewell Health (Caledonia, MI)
- …everyone. Together, we are Corewell Health. Scope of Work Supervises assigned Utilization Management staff. Plans, organizes, and supervises all assigned ... - 4700 60th St - Grand Rapids Department Name Utilization Management - GR Employment Type Full...health of our organization. As a health system, we advocate for equity as we care for… more
- City of New York (New York, NY)
- …PROGRAM AND JOB DESCRIPTION: The Bureau of Alcohol and Drug Use Prevention, Care and Treatment (BADUPCT) works to reduce morbidity and mortality related to alcohol ... and epidemiology and program evaluation; develops and disseminates treatment and management guidelines; develops and implements public health initiatives; engages in… more
- Acacia Network (Brooklyn, NY)
- …and group work rooted in evidenced based approaches for intervention and management strategies. Certified Recovery Peer Advocate services are peer-delivered ... Transitional Housing Certified Recovery Peer Advocate (Brooklyn) Brooklyn,, NY : 3/17/2023 Job Description...+ . Perform additional relevant duties as requested by supervisor/ management . + . Completes care plans, progress… more
- Prime Healthcare (Weslaco, TX)
- …point of their admission and across the continuum of the health care management . Works on behalf of the advocate , promoting cost containment and demonstrates ... #patientrentry #patienttreatmentplan Connect With Us! (https://careers-primehealthcare.icims.com/jobs/156984/registered-nurse-case-manager utilization - management /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityKnapp Medical Center… more
- Prime Healthcare (Anaheim, CA)
- …point of their admission and across the continuum of the health care management . Works on behalf of the advocate , promoting cost containment and demonstrates ... credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/157767/case-manager utilization - management /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityWest Anaheim Medical Center… more
- Prime Healthcare (Montclair, CA)
- …point of their admission and across the continuum of the health care management . Works on behalf of the advocate , promoting cost containment and demonstrates ... credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/153574/case-manager-%28rn%29 utilization - management /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityMontclair Hospital Medical Center… more
- Prime Healthcare (Redding, CA)
- …Watson Health and holds an 'A' Grade from Leapfrog Group, the nation's premier advocate of transparency in health care . The hospital is Joint Commission ... credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/156421/social-worker-ii utilization - management /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityShasta Regional Medical Center… more
- Acacia Network (Brooklyn, NY)
- CCBHC/ACDP Expansion Certified Recovery Peer Advocate Brooklyn, NY : 2/15/2023 Job Description Job ID#: 3509 Job Category: CCBHC/ACDP Expansion Position Type: Full ... Time Positions Available: 2 Details: The Certified Recovery Peer Advocate requires someone who is culturally aware and sensitive to the needs of the Latino… more
- Acacia Network (Buffalo, NY)
- Alba De Vida Certified Recovery Peer Advocate Buffalo, NY : 2/12/2024 Job Description Job ID#: 3797 Job Category: Alba De Vida Position Type: Full Time Details: ... TheCertified Recovery Peer Advocate (MMU)requires someone who is culturally aware and sensitive...work rooted in evidenced based approaches for intervention and management strategies. Peer Support services are peer-delivered services with… more
- Universal Health Services (Memphis, TN)
- …and love what you do! We are currently hiring a full time Director of Utilization Management (UM) for Compass Intervention Center! The UM Director is responsible ... utilization and review function is highly preferred. Previous management experience in supervision or administration is preferred. Licensure/Certifications:… more
- The Cigna Group (Bloomfield, CT)
- …2-3 years clinical experience. * Utilization Review or Utilization Management experience *Experience in regulated managed care setting preferred If you ... *Responsible for the effective and sufficient support of all Utilization Management activities to include review of...Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life.… more
- WTW (San Francisco, CA)
- …to provide coordinated service and placement to meet the client's insurance and risk management needs. A Senior Client Advocate should be the top Relationship ... **The Role** The Senior Client Advocate is responsible for cultivating and maintaining client...and consulting advice to clients; monitors insurance and risk management needs in collaboration with WTW resource, practice, and… more
- Evergreen Health (Buffalo, NY)
- …and regulation. + Provide additional referral options as appropriate (ie: primary care , testing, mental health counseling, case management , housing information, ... EVERGREEN HEALTH The Recovery Peer Advocate is an individual who uses their knowledge...to patients that have a high rate of hospital utilization to decrease readmission and emergency room occurrences. +… more
- Spectrum Billing Solutions (Skokie, IL)
- Spectrum Billing Solutions is an industry-leading revenue cycle management company for healthcare organizations. We are looking to add a Utilization Review (UR) ... and clinical information to ensure medical necessity and compliance of utilization review guidelines. + Obtain initial and continuing authorization for treatment… more
- CVS Health (Columbus, OH)
- …of network management and clinical coverage policies.What is A1A?Aetna One Advocate is Aetna's premier service and clinical offering for Aetna nation-wide and ... of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at… more
- Prime Healthcare (Ontario, CA)
- …With Us! (https://careers-primehealthcare.icims.com/jobs/153634/ utilization -review-rn/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityPrime ... Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC\_KnowYourRights\_screen\_reader\_10\_20.pdf Responsibilities Responsible for the quality and resource management of all authorizations and referrals with the Prime… more