- Magellan Health Services (Boise, ID)
- …and implement solutions that directly influence quality of care . General Job Information Title Care Manager ( UM / UR ) - Remote, Idaho Licensed Grade 24 ... + Maintains an active work load in accordance with National Care Manager performance standards. + Works with community agencies as appropriate. Proposes… more
- Stanford Health Care (Palo Alto, CA)
- …Stanford Health Care job.** **A Brief Overview** The Dir-Utilization Management ( UM ) leads and shapes the UM Strategy, while providing management oversight ... the Department's functions and overall business operations. Directs, manages, and supervises UM Department staff **Locations** Stanford Health Care (Palo Alto,… more
- Elevance Health (Mason, OH)
- …Nurse II** is responsible for providing case management and/or medical management ( UM / UR ) for members receiving transplant services. Within the case management ... this position. + Both Case Management and/or Medical Management ( UM / UR ) is highly desired. + Within the...care products preferred. + Certification as a Case Manager is preferred. + Previous work from home/remote experience… more
- Sharp HealthCare (San Diego, CA)
- …management process.Identify and refers situations needing immediate intervention to UR Manager , Physician Advisor, as appropriate.Participate in system ... Integrated Care Management (ICM) team the Transfer and Admissions Utilization Manager ( UM ) partners with the Centralized Patient Placement Center (CPPC) RN's… more
- Billings Clinic (Billings, MT)
- …in all organizational, departmental, and outside agency requirements. The responsibilities of the UR case manager are listed below, in order of priority and ... inpatient level of care to obtain inpatient order Communicate with Case Manager to understand discharge plan and barriers to discharge on OBS and Outpatient in… more
- Cleveland Clinic (Cleveland, OH)
- …Physician Adviser interaction and special projects which are coordinated and directed by the UM Team Manager . **A caregiver in this position works 8:00AM - ... relationships with TCC's, physicians and the multidisciplinary team. + Document appropriately in UM notes to provide evidence that the UR process for the… more
- CareFirst (Baltimore, MD)
- …management ( UM ) department functions to ensure appropriate coordination of health care services and compliance with UR policies/procedures, as well as, ... that week. **ESSENTIAL FUNCTIONS:** + Supervise the daily operations of the UM staff. Recruits, retains and develops a high performing team. Evaluates performance… more
- Corewell Health (Grosse Pointe, MI)
- …+ May review cases for medical necessity, uses InterQual and/or other UR / UM Committee-approved medical necessity screening criteria, when appropriate. Works ... the position is to enhance the quality of patient care and engagement, to promote continuity of care...(BLS) - ARC American Red Cross preferred + CRT-Case Manager , Certified (CCM) - CCMC Commission for Case … more
- Tenet Healthcare (Detroit, MI)
- …Description : The Detroit Medical Center (DMC) is a nationally recognized health care system that serves patients and families throughout Michigan and beyond. A ... medical excellence and service provides patients and families world-class care in cardiovascular health, women's services, neurosciences, stroke treatment,… more