- Molina Healthcare (Columbus, OH)
- …auditing of registered nurse and other clinical functions in Utilization Management ( UM ), Case Management (CM), Member Assessment Team (MAT), Health Management ... more
- McLaren Health Care (Port Huron, MI)
- **Position Summary:** Responsible for providing assistance to the Utilization Manager ( UM ) RN in the coordination of patient admission and continued stay ... more
- Molina Healthcare (Rock Hill, SC)
- …auditing of registered nurse and other clinical functions in Utilization Management ( UM ), Case Management (CM), Member Assessment Team (MAT), Health Management ... more
- University of Miami (Miami, FL)
- …Specialist assists in creating, updating, and maintaining research charts and case report forms, including regulatory related issues, in accordance with department ... 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 ... more
- Molina Healthcare (Long Beach, CA)
- …Certified Clinical Coder + Certified Medical Audit Specialists (CMAS) + Certified Case Manager (CCM) + Certified Professional Healthcare Management (CPHM) ... more
- University of Miami (Miami, FL)
- …regulations. + Maintains study binders and filings according to protocol requirements, UM and department policy. + Distributes study drug materials according to ... more
- US Tech Solutions (Canton, MA)
- …frames. The Clinical Reviewer functions as a member of the Precert / Outpatient UM team and works under the general direction of the Precertification Team Manager ... more
- Molina Healthcare (Reno, NV)
- …auditing of registered nurse and other clinical functions in Utilization Management ( UM ), Case Management (CM), Member Assessment Team (MAT), Health Management ... more
- Dignity Health (Merced, CA)
- …of nursing experience + Certified Case Manager (CCM), + Accredited Case Management (ACM-RN), or UM Certification preferred Please be advised that this ... more
- LA Care Health Plan (Los Angeles, CA)
- …Licenses/Certifications Preferred Certified Professional in Utilization Review (CPUR) Certified Case Manager (CCM) Required Training Physical Requirements Light ... more
- University of Michigan (Ann Arbor, MI)
- …equipment for surgeries. + Ensure availability of instruments and supplies needed for case . Assist with opening of supplies and instruments. + Assist nursing staff ... more
- ChenMed (Philadelphia, PA)
- …performance of the center, as the true dyad partner to the Center Manager /Center General Manager . Directly supervise, performance manage and train PCPs in ... more
- University of Michigan (Ann Arbor, MI)
- …when necessary, due to backup of malfunctioning lift + Unloading dirty lift with used case carts, and replacing with new case carts + Sending sterile instruments ... more
- Elevance Health (Winston Salem, NC)
- …for providing oversight and leadership of integrated behavioral health benefits, including UM program, network development and care management. **How you will make ... more
- Hackensack Meridian Health (Hackensack, NJ)
- …iii. Clarifying ambiguous or conflicting documentation iv. Target DRGs Reviews v. Use of case manager as a resource 4. Uses guidelines to evaluate patient status ... more
- Hackensack Meridian Health (Hackensack, NJ)
- …d. Clarifying ambiguous or conflicting documentation e. Target DRGs Reviews f. Use of case manager as a resource + Uses guidelines to evaluate patient status ... more
- Fallon Health (Worcester, MA)
- …department goals and processes, including introductory database management and case triage process. Understands interdepartmental processes and relationships. + ... more
- Sharecare (Columbus, OH)
- …hire plan selection, claims issues, ID card issues, grievances/appeals, utilization management ( UM ) status, including but not limited to medical, dental, and vision ... more