- NHS Management (Prattville, AL)
- …services at the highest practicable level for each resident. Provides case management services for certain high-risk Medicare Part A residents to ensure services ... in accordance with the assessment and the plan of care . QUALIFICATIONS Must be a Registered Nurse in good...any evidence of late assessments to the facility Administrator, Director of Nursing, Regional Administrator, Director of… more
- Shannon Health (San Angelo, TX)
- …stamina to make frequent location and position changes, assist with patient care , and perform other physical activities of average difficulty. Candidates whose ... and consults with the supervisor, manager, or team member when appropriate. Time Management : Works efficiently and manages duties to ensure that tasks are completed… more
- HCA Healthcare (Denver, CO)
- …provides clinical management to the department through coordination of patient care activities, procedures and flow of patients between various units. The CNC ... auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. Free counseling services… more
- NHS Management (Athens, AL)
- …provides leadership, supervision, and guidance to nursing staff while partnering with the Director of Nursing to ensure high-quality resident care . The Weekend ... $10,000 Sign-On Bonus (Full-Time Only) Leadership Role in Long-Term Care & Rehab Home-Like, Resident-Focused Environment Comprehensive Benefits Package Best-in-Class… more
- NHS Management (Birmingham, AL)
- …patient care , supervising, directing and developing nurse staff, and reporting to the Director of Nursing to ensure quality patient care within a long-term ... and utilization review activities. Receives physicians' instructions regarding resident care and ensures that orders are transmitted to other units as needed.… more
- NHS Management (Madison, AL)
- …patient care , supervising, directing and developing nurse staff, and reporting to the Director of Nursing to ensure quality patient care within a long-term ... and utilization review activities. Receives physicians' instructions regarding resident care and ensures that orders are transmitted to other units as needed.… more
- NHS Management (Athens, AL)
- …patient care , supervising, directing and developing nurse staff, and reporting to the Director of Nursing to ensure quality patient care within a long-term ... and utilization review activities. Receives physicians' instructions regarding resident care and ensures that orders are transmitted to other units as needed.… more
- NHS Management (Fayetteville, AR)
- …patient care , supervising, directing and developing nurse staff, and reporting to the Director of Nursing to ensure quality patient care within a long-term ... and utilization review activities. Receives physicians' instructions regarding resident care and ensures that orders are transmitted to other units as needed.… more
- Humana (Washington, DC)
- …depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an assigned ... of decisions to internal associates, and possible participation in care management . The clinical scenarios predominantly arise...with prior experience participating in teams focusing on quality management , utilization management , case … more
- UNC Health Care (Morrisville, NC)
- …and well-being of the unique communities we serve. **Summary** : The **Executive System Director of Utilization Management (UM)** is a strategic and ... value-based care across the healthcare system. **Responsibilities** : 1. ** Utilization Management ** - Develop and lead a system-wide utilization… more
- Fallon Health (Worcester, MA)
- …+ Works with VP/Medical Director to identify and prioritize the cost of care opportunities related to Utilization Management . + Works with VP/ Medical ... With the general direction from the VP Sr. Medical Director Clinical Management and SVP/Chief Medical Officer...responsibility for the clinical and operational utilization management activities for all inpatient and outpatient care… more
- Mount Sinai Health System (New York, NY)
- … (Licensed)** is responsible for leading and sustaining a Utilization Management Initiative supporting ACO and value-based care populations. This role drives ... Occupational Therapy **Experience Requirements** + 7+ years of experience in care management , utilization management , population health, or value-based… more
- Alameda Health System (Oakland, CA)
- Director , Utilization Management + Oakland, CA + Highland General Hospital + SYS Utilization Management + Full Time - Day + Nursing + Req ... plans **Role Overview:** Alameda Health System is hiring! The Director of Utilization Management holds...needed. In essence, they orchestrate efficient utilization management to deliver high-quality patient care . **DUTIES… more
- Centene Corporation (Richmond, VA)
- …including a fresh perspective on workplace flexibility. **Position Purpose:** Directs the utilization management team to ensure the appropriate application of ... manages Utilization Operations specific to the daily operations of Utilization Management including timeliness, quality and performance outcomes, provider… more
- Prime Healthcare (Inglewood, CA)
- …Social Workers, and Clinical Coordinators. This leader will oversee all facets of utilization management , discharge planning, and care coordination to ensure ... part-time. Responsibilities We are seeking a strategic and compassionate Director of Case Management to lead our...patients receive timely, appropriate, and efficient care throughout their hospital stay. The Director … more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …of Minnesota Position Title: Senior Director of Health Services - Utilization Management Location: Hybrid | Eagan, Minnesota Career Area: Health Services ... join us. The Impact You Will Have The Senior Director of Health Services, Utilization Management...for assuring members receive high quality and appropriate clinical care in a timely and cost-effective manner. This role… more
- Elevance Health (Indianapolis, IN)
- ** Utilization Management Medical Director - Indiana Medicaid** **Location:** This role enables associates to work virtually full-time, with the exception of ... Internal Medicine, and Family Medicine specialties preferred. + 3-5 years of Utilization Management experience preferred. + Indiana license or the ability… more
- Integra Partners (Troy, MI)
- … (Senior MD) serves as the clinical and strategic leader for Integra's Utilization Management (UM) and Credentialing programs. This is a full-time, 40+ ... quality and inter-rater reliability, overseeing audit readiness, and chairing Integra's Utilization Management Committee and Credentialing Committee. This role… more
- Wellpath (Cleveland, OH)
- …and point of care support. **How you make a difference** The Medical Director of Utilization Management leads and oversees utilization review, ... to ensure quality patient care and the appropriate utilization of medical services. The Medical Director of Utilization Management serves as a… more
- Integra Partners (Troy, MI)
- …of Durable Medical Equipment (DME) and related requests to support Integra's Utilization Management (UM) operations. This full-time, salaried role functions ... The Utilization Review Medical Director is responsible...or past OIG or state sanctions + Experience performing utilization management or clinical review activities +… more
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