- Dana-Farber Cancer Institute (Newton, MA)
- …is 100% on-site Monday through Friday 8:30am-5pm. Reporting to the Practice Manager , this mission critical position is responsible for administrative tasks that ... technologies in a genuinely positive environment, we provide compassionate and comprehensive care to patients of all ages; we conduct research that advances… more
- Sharp HealthCare (San Diego, CA)
- …and safe patient handovers to next level of care ; work closely with ambulatory care manager (ACM) at the system level, in clinics, and homecare and sub-acute ... utilization review demands to assure patients are receiving care in the appropriate setting and level of ...course of hospitalization and beyond through the continuum of care .The SRS RN CM II will relate… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Admissions Liaison RN II (After Hours Evening) Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, ... with rotating weekends and holidays. Established in 1997, LA Care Health Plan is an independent public agency created...net required to achieve that purpose. Job Summary The Utilization Management (UM) Admissions Liaison RN II … more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: ... support the safety net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II facilitates, coordinates, and approves… more
- Sharp HealthCare (San Diego, CA)
- …System Integrated Care Management (ICM) team the Transfer and Admissions Utilization Manager (UM) partners with the Centralized Patient Placement Center ... while ensuring compliance with all local, state and federal regulations governing utilization review activities and/or care management. Expected outcomes include… more
- Elevance Health (Norfolk, VA)
- …PulsePoint locations. **Shift** : 4 weekdays and 1 weekend day as discussed with manager . The **Licensed Utilization Review II ** is responsible for working ... **Title:** Licensed Utilization Review II **Location** : This...therapy that is not associated with a continuum of care , radiology review, or other such review processes that… more
- Elevance Health (Tampa, FL)
- ** Utilization Management Representative II ** **Location:** Must live within 50 miles of a Florida PulsePoint. The ** Utilization Management Representative ... to a nurse reviewer; and handles referrals for specialty care . + Processes incoming requests, collection of information needed...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Prime Healthcare (Montclair, CA)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/177331/discharge-planner- ii utilization ... Overview Montclair Hospital Medical Center is a 106-bed acute care , not-for-profit community hospital, received the "100 Top Hospital" in the nation award from IBM… more
- Prime Healthcare (Chino, CA)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/177329/discharge-planner- ii utilization ... Medical Center is committed to serving the community's health care needs with top-rated emergency care as...Management Department under the direction of the assigned Case Manager /Social Worker in the development and implementation of the… more
- Prime Healthcare (San Dimas, CA)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/179193/discharge-planner- ii utilization ... technology, we are committed to serving the community with personalized, high-quality care . We offer a full range of comprehensive services, including 24-hour… more
- HCR Home Care (Liverpool, NY)
- … needs in the Health Home Program. This position is designated as a higher-skilled Care Manager , capable of exceeding the basic tenants of care management. ... room and/or in-patient utilization . + Communicate directly with members of the care team to provide up-to-date information regarding the clients care to… more
- BayCare Health System (Tampa, FL)
- …8:00AM - 4:30PM Equal Opportunity Employer Veterans/Disabled **Position** Manager Site II - MPM Primary Care **Location** Tampa | Physician Practice - ... BayCare is currently in search of our newest **Site Manager II ** who is passionate about providing...responsible for: In a minimally complex practice, oversees the utilization management and daily business operations of the physician… more
- AmeriHealth Caritas (Greenville, SC)
- ** Care Manager II Registered Nurse (BSN) - Foster Care Program -SC** Location: Greenville, SC Primary Job Function: Medical Management ID**: 37923 **Job ... more about us at www.amerihealthcaritas.com . **Responsibilities:** As a Care Manager II , you'll be...care management platforms where applicable. 6. Monitor appropriate utilization and coordinate services with other payer sources, make… more
- AmeriHealth Caritas (Florence, SC)
- **REMOTE | Care Manager II Registered Nurse (BSN) - Foster Care Program -SC** Location: Florence, SC Primary Job Function: Medical Management ID**: 34390 ... administrative services. Discover more about us at www.amerihealthcaritas.com. **Responsibilities:** As a Care Manager II , **you'll be empowered to lead… more
- Hackensack Meridian Health (Hackensack, NJ)
- …Staff Management and Organizational Strategy** **a. Development & implementation of Utilization Management strategies to assure appropriate** **health** ** care ... **Overview** **The Utilization Review Physician collaborates with the healthcare team in the** **management and resolution of activities that assure the integrity of… more
- Hackensack Meridian Health (Hackensack, NJ)
- …Staff Management and Organizational Strategy a. Development & implementation of Utilization Management strategies to assure appropriate health care delivery ... **Overview** The Senior Utilization Review Specialist collaborates with the healthcare team in the management and resolution of activities that assure the integrity… more
- Elevance Health (Seven Fields, PA)
- ** Manager II Behavioral Health Services** **Location:** This position will work a hybrid model (remote and office). The Ideal candidate will live within 50 miles ... of one of our Elevance Health PulsePoint locations. The ** Manager II Behavioral Health Services** will be responsible for Behavioral Health Utilization … more
- Prime Healthcare (Weslaco, TX)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/183021/registered-nurse-case- manager utilization ... CENTER IS LOOKING FOR A PRN REGISTERED NURSE CASE MANAGER TO WORK WEEKENDS. WE OFFER: + Competitive PRN...With 227 beds, the community hospital specializes in emergency care , orthopedics, obstetrics and gynecology, wound care ,… more
- LA Care Health Plan (Los Angeles, CA)
- Enterprise Shared Services Program Manager II (ALD) Job Category: Administrative, HR, Business Professionals Department: Claims Data and Support Services ... $152,762.00 (Mid.) - $188,015.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created...that purpose. Job Summary The Enterprise Shared Services Program Manager II is responsible for leading and… more
- Elevance Health (FL)
- …Analyst (BCBA )certification and/or state licensure required (Florida). + Prior utilization management experience preferred. + Prior managed care experience ... 50 miles of an Elevance Health PulsePoint office. This utilization management role is responsible for utilization ...+ Will serve as a resource to other BH Care Managers. + Assists with more complex cases and… more
