- Providence (Burbank, CA)
- …on behalf of the Executive Director , between respective PSJH enterprise risk management , integrity, compliance, privacy, and/or legal departments. + May act ... of Quality provides day to day operational leadership for risk management , responsible for the development and...liability insurance), works with claims and legal counsel in case management , assists in determining claims causation,… more
- Lilly (Indianapolis, IN)
- …and innovative Sr. Director to lead and work alongside Lilly's Litigation Case Management Team (LCMT), responsible for supporting all aspects of litigation ... significant experience in developing and implementing efficient and effective case management processes, embedding an attitude of...allows LCMT members to concentrate on tasks with higher risk and impact. + Develop and maintain case… more
- Select Medical (Gainesville, FL)
- **Overview** **Critical Illness Recovery Hospital** ** Director of Case Management ** **_Clinical license as a registered nurse or respiratory therapist or ... doing well by doing what is right. As the Director of Case Management **,**...for the patient. Reviews insurance verification forms to minimize risk . + Facilitates multi-disciplinary team meetings including physicians, nurses,… more
- Sunrun (Lehi, UT)
- …you can thrive in through our commitment to diversity, inclusion and belonging. The Director of Case Management Field Service is responsible for leading ... case escalations, and driving continuous improvement in case management processes. The Director ...practices and leveraging technology where appropriate. + Compliance and Risk Management : Ensure that field service operations… more
- Sanofi Group (Cambridge, MA)
- **Job title** : Divisional Director , Case Management - Central **Location:** Cambridge, MA, Hybrid + It is expected that this hire be onsite in Boston 2-3 ... Disease leadership team by providing the voice of the case management organization and people leadership of...and reporting Adverse Events and Product Complaints + Assessing risk and evaluating potential for patient case … more
- Bassett Healthcare (Cooperstown, NY)
- …VP-Quality & Patient Experience, the Director of Patient Safety and Risk Management provides direct, day-to-day operational leadership for the development, ... develops processes to analyze and report patient safety, risk management and patient grievance data. The Director supports compliance with federal… more
- City of New York (New York, NY)
- … management and utilize sophisticated clinical tracking and reporting systems. The Case Management Services Director will administer, coordinate, and ... of Social Services NM I to function as Case Management Services Director who...designated by HRA (substance abuse disorder; recurring homeless or risk of homelessness; diagnosed or suspected severe medical, mental,… more
- House of Blues (Houston, TX)
- …embrace these qualities, so if this sounds like you then please read on! THE ROLE The Director of Risk Management is a key member of the Corporate Risk ... role you'll be reporting to the head of Corporate Risk Management and will provide key oversight...Nation will also provide reasonable religious accommodations on a case by case basis. HIRING PRACTICESThe preceding… more
- Nuvance Health (Norwalk, CT)
- …discharge planning, utilization management and high- risk case management . Works collaboratively with the Director of transitions to ensure optimum ... with Admission, Finance, Managed Care, Medical Records, Home Care, Rehabilitative and Risk Management . Ensures provisions of a seamless continuum of care.… more
- ASM Global (Las Vegas, NV)
- …training, program compliance and oversight . The Director of Safety and Risk will provide safety leadership to management , supervise adherence to the ... ASM Global ASM Global is the world's leading venue management and services company. The company was formed by...Reporting to the Vice President of Human Resources, the Director of Safety and Risk is responsible… more
- Elevance Health (Denver, CO)
- **Business Change Director -Claims/Payment Integrity Use- Case Lead** **Location:** This position will work a hybrid model (remote and office). Ideal candidates ... 50 miles of a PulsePoint location. The **Business Change Director -Claims/Payment Integrity Use- Case Lead** is responsible for...continue to improve on the process. The Business Change Director is responsible for working with management … more
- BMO Financial Group (Los Angeles, CA)
- …to complex RFPs + Experience with Sales Strategy and Sales referral process development + Risk Management - In-depth + Sales and Service Management -In-depth ... $10MM-$50MM in company revenues. Ideal candidate will be responsible for overseeing high risk loan activities within the EMM line of business including the quarterly… more
- Carnival Cruise Line (Miami, FL)
- **Job Description** This role reports to the Supervisor of Case Management to work towards obtaining high quality, cost effective, and timely health care for all ... ensure that the appropriate documentation is kept. The Specialist, Case Management will act as a health...+ Be part of a 24/7 On-Call Roster + Risk Management : + Identifies high risk… more
- Sharp HealthCare (San Diego, CA)
- …and maintain case files.Provide clerical support and assistance to the Case Management team.Contributes to the continuous improvement initiatives of the ... the managed health care field, preferably HMO or delegated risk medical group/IPA setting. + 1 Year experience with...Case Management team to deliver quality interventions… more
- Acacia Network (Bronx, NY)
- …administrative and clinical supervision of clinical activities as directed by the Director / Senior Administrator. The Case Management Supervisor ensures ... CCBHC/ACDP Expansion Case Management Supervisor Bronx, Ne :...hiring process. + Revise and implement efficient tracking of high- risk cases, threshold visits, and planned discharges in order… more
- Providence (Santa Monica, CA)
- **Description** **THE ROLE** The Director , Case Management promotes and supports the mission, vision and objectives of Saint John's Health Center and is ... responsible and accountable for the clinical, fiscal, and personnel management of Case Management on...collaborates with other health care professionals and departments including Risk Management & Quality Management .… more
- Safran (Twinsburg, OH)
- …and tools to a business. (Program planning, monitoring and control, integrated program management and risk management ). *Must understand constraints of ... the Business Line Director and other member of the Business Line management ) to ensure alignment of technology roadmaps with medium and long term objectives of… more
- City of New York (New York, NY)
- …achieve self- sufficiency. - Ensure adequate planning, scheduling, and monitoring of case management activities and conduct regular reviews of outcome reports, ... their maximum functional capacity. Under the direction of the Director , the Administrative Assistant to the Director ...ensure awareness of all activity that will affect the case management plan. - Oversee staff that… more
- Sharp HealthCare (San Diego, CA)
- …QI/UM of any quality issues.Attends hospitalists rounds, as required, to discuss high risk patients requiring case management follow up.Attends clinical ... utilizing designated computer systems.Complies with contracted health plan requirements for case management activities performed in a manner consistent with… more
- Guthrie (Binghamton, NY)
- …care setting with strong care management , utilization review, and payer knowledge. A Case Management certification or obtain a Case Management ... case reimbursement. a) Identifies cost/clinical outlier patients for intensive case management and facilitates evaluation of alternative care options. b)… more