- Edward M. Kennedy Community Health Center, Inc. (Worcester, MA)
- …The Administrative Aide's responsibility is to provide clinical and administrative support to the Home Health Utilization Nurse, the Transition of Care Nurse ... health related faxed documents in a frequency determined by the Home Health Utilization program needs. + Returns completed paperwork to appropriate… more
- Tufts Medicine (Malden, MA)
- …+ Provide effective guidance to professional staff regarding: justification for appropriate home health service utilization in terms of frequency, ... **_The great history of Home Health Foundation is now the...as interviewing, hiring, and disciplinary action. + Promotes efficient utilization of resources to achieve desired clinical outcomes and… more
- Beth Israel Lahey Health (Exeter, NH)
- …Strong understanding of care management principles under the PDGM model, case management in home health , and utilization impact on fiscal and quality ... as a clinical resource to personnel when needed. Utilizes working knowledge of home health regulations and requirements while triaging patients to ensure they… more
- CaroMont Health (Gastonia, NC)
- …At least 1 year social work experience required. Experience in case management, home health , quality and/or utilization management, community or hospital ... 1 year social work experience required. Experience in case management, home health , quality and/or utilization management, community or hospital setting… more
- Elevance Health (Williamsburg, VA)
- …working with individuals with intellectual/developmental disabilities is a huge plus. + Home health experience, utilization management and/or hospital ... coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. Performs duties telephonically or on-site… more
- BrightSpring Health Services (Annandale, VA)
- …of providers, facilities and community-based clinics, within a specific territory, to foster utilization of home health services. Account Executives are ... Our Company Revival Home Care Agency Overview Revival Home Health is seeking an Account Executive to join our team. This position is a great opportunity to… more
- CareFirst (Baltimore, MD)
- …5 years clinically related experience working in Care Management, Discharge Coordination, Home Health , Utilization Review, Disease Management or other ... with other members of the interdisciplinary care team to coordinate services, decrease utilization , and ensure optimal health outcomes. We are looking for an… more
- Providence (WA)
- …Referral, Transition of Care Planning, Discharge Planning, Coordination of Outpatient Care, Home Health ) + Utilization Management Experience (EX. Concurrent ... **Description** **Providence Health Plan caregivers are not simply valued -...This position requires for you to have a current home address in either the State of Oregon or… more
- Hackensack Meridian Health (Little Falls, NJ)
- …the health care team to ensure effective coordination, appropriate resource referral, and utilization of home health aide services. + Act as a ... Health (https://www.stjosephshealth.org/) , provides a comprehensive continuum of home health care and hospice services, support, and resources to patients… more
- Hackensack Meridian Health (Little Falls, NJ)
- …the health care team to ensure effective coordination, appropriate resource referral, and utilization of home health aide services. + Educate the patient ... Health (https://www.stjosephshealth.org/) , provides a comprehensive continuum of home health care and hospice services, support, and resources to patients… more
- Hackensack Meridian Health (Clark, NJ)
- …the health care team to ensure effective coordination, appropriate resource referral, and utilization of home health aide services. + Act as a ... healthcare and serve as a leader of positive change. At Hackensack Meridian Health at Home , we recognize our full- and part-time benefit eligible team members by… more
- Sanford Health (ND)
- **Careers With Purpose** **Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many ... members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint.** **Facility:** Remote ND (Central Time) **Location:**… more
- Centene Corporation (Tallahassee, FL)
- …the Tallahassee to Orlando areas. Hospital and Case Management experience strongly preferred. Home health experience and utilization management a plus.** ... preferred + Case Management experience preferred + Home Health experience a plus + Utilization Management a plus Pay Range: $72,400.00 - $130,100.00 per year… more
- Rising Medical Solutions (Schaumburg, IL)
- …industrial rehabilitation nursing, medical case management, occupational health , orthopedics, home health care, utilization review, or quality assurance ... injuries. The successful PDM case manager works from their home office, and they drive to physician appointments where...Benefits + Opportunity to make a difference in reducing health care costs and increasing the value of … more
- VNS Health (Manhattan, NY)
- … Health policies and procedures. Assures quality of services, appropriate access and utilization , within the VNS Health Plans contracts. * Acts as resource ... Degree or equivalent work experience in management for a health plan or utilization /case management Required Master's...of care begins with you. Together, we will revolutionize health care in the home and community.… more
- CVS Health (Austin, TX)
- …+ 2+ years of clinical experience as an RN (all clinical areas considered: Home Health , Med/Surg, Telemetry, ICU, NICU, Long term care, orthopedics, and more) ... Bring your heart to CVS Health . Every one of us at CVS ...care more personal, convenient and affordable. Position Summary: This Utilization Management (UM) Nurse Consultant role is fully remote… more
- Henry Ford Health System (Detroit, MI)
- …care to complex and specialty care, health insurance, a full suite of home health offerings, virtual care, pharmacy, eye care and other health ... The Medical Director of Utilization Review is responsible for the medical oversight...duties beyond those explicitly described above. Overview Henry Ford Health partners with millions of people on their … more
- Humana (Columbus, OH)
- …put health first** Humana Healthy Horizons in Kentucky is seeking a Utilization Management Behavioral Health Professional 2 who utilizes behavioral health ... and communication of medical services and/or benefit administration determinations. The Utilization Management Behavioral Health Professional 2 work assignments… more
- VNS Health (Manhattan, NY)
- …AT VNS Health The future of care begins with you. Together, we will revolutionize health care in the home and community. When you join VNS Health , you ... member needs and identifies solutions that promote high quality and cost-effective health care services. Manages providers, members, team, or care manager generated… more
- BayCare Health System (Clearwater, FL)
- …Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With ... a foundation of trust, dignity, respect, responsibility and clinical excellence. **BayCare Health System** is currently seeking a ** Utilization Review Specialist… more