- A-Line Staffing Solutions (Versailles, NY)
- …Collaborate in a positive interdisciplinary approach with other CM/DM staff, Utilization Management , Medical Services, Provider Services, Member Services ... needs. Assist staff in identifying and providing outreach, orientation, and basic care coordination of transportation services to members that may benefit from… more
- A-Line Staffing Solutions (Alameda, CA)
- …Collaborate in a positive interdisciplinary approach with other CM/DM staff, Utilization Management , Medical Services, Provider Services, Member Services ... . Assist staff in identifying and providing outreach, orientation, and basic care coordination of transportation services to members that may benefit from services.… more
- A-Line Staffing Solutions (Petoskey, MI)
- …and independence to make autonomous health decisions. . Represents the integrated care management department on various teams and performance outcomes committees ... needs within 24 hours of admission. . Receives RN Care Manager referrals to social work based on identified...of insurance benefits and coverage guidelines to maximize appropriate utilization of resources. . Documents in the EMR: assessment,… more
- Concorde Career Colleges, Inc. (San Antonio, TX)
- …other departments at the campus to ensure Concorde expands access to health care education. The FAD is responsible for creating an environment that is compliance ... improve audit results through demonstrated discipline and consistency. Maximizes the utilization of information technology into all processes and procedures. Ensure… more
- McLaren Health Care (Detroit, MI)
- …observation) based on medical necessity. 2. Performs concurrent and retrospective utilization management -related activities and functions to ensure that ... in applying the principles, methods, materials, and equipment necessary inproviding utilization management services. + Demonstrated expertise in utilization… more
- UNC Health Care (Smithfield, NC)
- …one to two weekends a month** Summary: The Care Management Assistant position supports care managers, utilization managers, and social workers by ... and management . The primary objective of the Care Management Assistant is to...in the delegation of tasks assigned by the clinician, utilization manager, social worker, or care manager.… more
- UNC Health Care (Chapel Hill, NC)
- …tasks (eg, faxing, form processing) to Care Management Assistant . Consult Social Worker and/or Utilization Manager per established departmental protocol. ... the integrating and functions of case management , utilization review and discharge planning. The Care ...to SW per established criteria. If indicated, communicate with Care Management Assistant (CMA) to… more
- UNC Health Care (Raleigh, NC)
- …tasks (eg, faxing, form processing) to Care Management Assistant . Consult Social Worker and/or Utilization Manager per established departmental protocol. ... the integrating and functions of case management , utilization review and discharge planning. The Care ...to SW per established criteria. If indicated, communicate with Care Management Assistant (CMA) to… more
- UNC Health Care (Chapel Hill, NC)
- …tasks (eg, faxing, form processing) to Care Management Assistant . Consult Social Worker and/or Utilization Manager per established departmental protocol. ... the integrating and functions of case management , utilization review and discharge planning. The Care ...to SW per established criteria. If indicated, communicate with Care Management Assistant (CMA) to… more
- Providence (Everett, WA)
- **Description** ** Utilization Management Assistant - Everett Medical Center (Full Time, Day Shift)** _Work Schedule: Mondays to Fridays 8:00 AM to 4:30 PM_ ... responsibility of the position is to maintain standard compliance and performance related utilization management data. Process of daily, weekly and monthly UM… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …development, and leadership programs + And more **Description** We're seeking an ** Assistant Manager, Utilization Review** , responsible for supervising and ... coordinating activities of personnel in the Utilization Review Department, including: + Staff schedules to ensure...least 3 years of healthcare experience required. + Case Management certification (CCM or ACM) preferred. + Leadership experience… more
- Intermountain Health (Murray, UT)
- **Job Description:** The Healthy Connections ( Care Management and Utilization Review) AVP at Select Health oversees development and evaluation of ... utilization and care management , including...license such as Registered Nurse, LCSW, Nurse Practitioner, Physician's Assistant , Physical or Occupational Therapy. Education and licensure is… more
- Hackensack Meridian Health (Holmdel, NJ)
- …to transform healthcare and serve as a leader of positive change. The ** Care Management , Care Coordinator, Utilization Management ** is a member of ... of the patient's treatment. Accountable for a designated patient caseload; the Care Coordinator, Utilization Management plans effectively in order… more
- Hackensack Meridian Health (Hackensack, NJ)
- …our mission to transform healthcare and serve as a leader of positive change. The Case Management Care Coordinator, Utilization Management is a member of ... of the patient's treatment. Accountable for a designated patient caseload; the Care Coordinator, Utilization Management plans effectively in order… more
- Hartford HealthCare (Wethersfield, CT)
- …_* The Clinical Resource Management Associate is an integral part of the Care Management team. The Clinical Resource Management Associate's focus is on ... programs and other common practices across the system. Integrated Care Partners (ICP) is a physician-led, clinically integrated health...providing support and coordination of utilization management services for the … more
- UTMB Health (Galveston, TX)
- …+ Tracks and reports trends of inappropriate resource utilization to Director/ Assistant Director of Utilization Management . + Maintains a documentation ... (M- F / 8a- 5p) **Galveston, Texas, United States** **New** Nursing & Care Management UTMB Health Requisition # 2404616 **REQUIRED EDUCATION / EXPERIENCE:**… more
- UCLA Health (Los Angeles, CA)
- …You can do all this and more at UCLA Health. Under the direction of the Utilization Management , Assistant Manager, you will play a key role in processing ... vital role within a leading health organization. Help ensure smooth and efficient case management processes to support quality care . Take your expertise to the… more
- WMCHealth (Valhalla, NY)
- …Coordinator Company: Westchester Medical Center City/State: Valhalla, NY Category: Nursing/Nursing Management Department: Clinical Care Management Union: Yes ... Internal Applicant link Job Details: Internal Posting: 09/04/24 to 09/17/24 Assistant Utilization Coordinator Summary: Under general supervision, an incumbent… more
- WMCHealth (Valhalla, NY)
- …Applicant link Job Details: Internal Posting: 08/29/24 to 09/11/24 Assistant Utilization Coordinator for Cardiovascular **Cardiovascular Experience Preferred ... or investigation of the procedures specified in the Quality Management , Utilization Review and Discharge Planning Program...report on hospital incidents; develop procedures to improve patient care ; assist in carrying out all aspects of the… more
- UNC Health Care (Chapel Hill, NC)
- … management experience** to help lead the overall operations of UNCH Care Management Department. The successful candidate will be innovative and forward ... thinking, as we lead the way in Care Management . This role is responsible for...role is responsible for the daily operations of the Utilization Management and Clinical Denials Management… more
