- Carle Health (Normal, IL)
- …components of case management: assessment, coordination, monitoring, implementation, and evaluation . Qualifications Certifications: Accredited Case Manager (ACM) ... of care to meet patient goals and outcomes.Documents plan of care and utilization issues in appropriate locations, including but not limited to: case management/… more
- Mercy (Fort Smith, AR)
- …Supervisor is involved in the evaluation process in collaboration with the Clinical Manager as directed. Performs duties and responsibilities in a manner ... Find your calling at Mercy! The Clinical Supervisor assures delivery of safe, high-quality and...cost-effective care provided by competent co-workers. They ensure efficient utilization of available resources to meet productivity and financial… more
- Mercy (Kingfisher, OK)
- …Supervisor is involved in the evaluation process in collaboration with the CLinical Manager as directed. Performs duties and responsibilities in a manner ... Find your calling at Mercy! The Clinical Supervisor assures delivery of safe, high-quality and...cost-effective care provided by competent co-workers. They ensure efficient utilization of available resources to meet productivity and financial… more
- Novo Nordisk Inc. (Atlanta, GA)
- …Sales Representative also assists their target physicians with their local clinical and educational initiatives by coordinating company resources (eg, counterparts, ... the Specialty Field Sales Representative reports to the District Business Manager of the specific sales territory. The Specialty Field Sales Representative… more
- SSM Health (Dupo, IL)
- …Today! Job Summary: Under the direction of the Radiologist, Director, and Manager performs diagnostic medical imaging by magnetic resonance including Cardiac MRI, ... a culture of safety. K) Maintains proficiency in the utilization of the Electronic Medical Record (EMR). 2) Observes...TB 5. Department Specific 6. Age Appropriate Care (for clinical staff only) 7. Population Specific Care E) Works… more
- LifeCenter Northwest (Bellevue, WA)
- …- $159,600.00 Salary Position Type Full Time Description and Qualifications The Manager , Organ Utilization (OUM) provides strategic leadership and operational ... identify areas for improvement. + Partner with the Organ Utilization Program Manager (OUPM) on OUCT staffing,...other recovery teams as needed. + Serve as a clinical resource for Organ Utilization Coordinator Team… more
- Huron Consulting Group (Chicago, IL)
- …our team as the expert you are now and create your future. The Manager of Utilization Management is responsible for planning, organizing, developing, and ... and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient...directing implementation of the Utilization Review Plan and the… more
- University of Rochester (Rochester, NY)
- …activities as defined by NYS Laws and Regulations. The Pharmacy Medication Utilization and Inventory Compliance Manager has direct supervision and management ... individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE Using clinical judgment and available resources, develops and oversees medication… more
- Behavioral Center of Michigan (Warren, MI)
- …to help educate the staff and physicians regarding charting. REPORTS TO: Utilization Review Lead/ Manager QUALIFICATIONS: + High School Diploma or equivalent. ... the level of nursing care and collaborates with other departments in evaluation of projects affecting discharge plans. Supports clinical improvement activities… more
- BJC HealthCare (St. Louis, MO)
- …work experience) **Additional Information About the Role** BJC HealthCare is seeking a Product Utilization Manager to join our team to assist with the operating ... with physicians and clinicians within the HSO to engage in the identification, evaluation , pilot and execution processes for ensuring clinical efficacy of… more
- CareFirst (Baltimore, MD)
- …(all benefits/incentives are subject to eligibility requirements). **Department** Clinical Utilization Management **Equal Employment Opportunity** CareFirst ... & Qualifications** **PURPOSE** : Supervise the daily operations of the utilization management (UM) department functions to ensure appropriate coordination of health… more
- US Tech Solutions (Columbia, SC)
- …+ Reviews and evaluates medical or behavioral eligibility regarding benefits and clinical criteria by applying clinical expertise, administrative policies, and ... service requests or provides health management program interventions. Utilizes clinical proficiency and claims knowledge/analysis to assess, plan, implement, health… more
- Guthrie (Towanda, PA)
- …support staff, exhibiting the Core Values in all activities. Mentors under the Clinical Manager / Director and pursues management and leadership training within ... the Guthrie Robert Packer Hospital. May be assigned to special projects per Clinical Manager / Director consistent with strategic, fiscal, and operational… more
- CenterWell (Marietta, GA)
- **Become a part of our caring community and help us put health first** The Clinical Manager , Home Health Nursing enables patients to stay in their homes by ... providing health and personal services; supporting patients and their families. The Clinical Manager , Home Health Nursing works within specific guidelines and… more
- Northwell Health (New Hyde Park, NY)
- …responsible for the development, implementation, and maintenance of drug formularies, clinical utilization management (UM) criteria, and evidence-based drug ... claims adjudication to match formulary intent. This role involves critical evaluation of clinical literature, pharmacoeconomic data, and regulatory requirements… more
- CenterWell (Liverpool, NY)
- …Hours **Position Type** : Hybrid **Branch Location** : Liverpool, NY The **RN Clinical Manager ** coordinates and oversees all direct care patient services ... provided by clinical personnel. This role is a focused on both...specific location. Responsible for the overall direction, coordination, and evaluation of the location. Carries out supervisory responsibilities in… more
- Sharp HealthCare (San Diego, CA)
- …requirements for the position, and employer business practices. **What You Will Do** The Clinical Case Manager 's (CCM) role is to be a patient advocate providing ... that there are multiple options for patients and are provided excellent care. The Clinical Case Manager will be responsible for collecting data regarding patient… more
- Cedars-Sinai (Los Angeles, CA)
- **Job Description** The Senior Manager , MN Clinical Ops is responsible for the planning, organizing and managing of assigned areas. Works closely with leadership ... and operations for a specific specialty, regional program or department. The Senior Manager , MN Clinical Ops plays an important role in coordinating the… more
- Cedars-Sinai (Beverly Hills, CA)
- …and providing ongoing direction for system utilization . + Assists the Senior Manager , MN Clinical Ops in developing and managing the budget for responsible ... **Job Description** The Manager , MN Clinical Operations supports the...for all customers. + Participates in the interviewing, hiring, evaluation and human resource management functions of the staff.… more
- CenterWell (Raleigh, NC)
- … clinical operations across multiple branch locations.** The **Weekend Regional RN Clinical Manager ** provides weekend oversight and clinical operations ... Carolina, while driving operational efficiency and supporting branch-level field-based clinical teams. + Conducts/delegates the assessment and reassessment of… more
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