- Christus Health (Chapman Ranch, TX)
- …intensive care as well as advanced diagnostic and imaging. The hospital is also home to a Level III Neonatal Intensive Care Unit which enables recovering mothers to ... physician per practice act guidelines. Responsible for overall direction, utilization , supervision, and instruction of physical therapy assistants; support staff;… more
- Edward M. Kennedy Community Health Center, Inc. (Worcester, MA)
- …The Administrative Aide's responsibility is to provide clinical and administrative support to the Home Health Utilization Nurse, the Transition of Care Nurse ... health related faxed documents in a frequency determined by the Home Health Utilization program needs. + Returns completed paperwork to appropriate… more
- Tufts Medicine (Malden, MA)
- …+ Provide effective guidance to professional staff regarding: justification for appropriate home health service utilization in terms of frequency, ... **_The great history of Home Health Foundation is now the...as interviewing, hiring, and disciplinary action. + Promotes efficient utilization of resources to achieve desired clinical outcomes and… more
- Beth Israel Lahey Health (Exeter, NH)
- …Strong understanding of care management principles under the PDGM model, case management in home health , and utilization impact on fiscal and quality ... as a clinical resource to personnel when needed. Utilizes working knowledge of home health regulations and requirements while triaging patients to ensure they… more
- CaroMont Health (Gastonia, NC)
- …At least 1 year social work experience required. Experience in case management, home health , quality and/or utilization management, community or hospital ... 1 year social work experience required. Experience in case management, home health , quality and/or utilization management, community or hospital setting… more
- Elevance Health (Norfolk, VA)
- …working with individuals with intellectual/developmental disabilities is a huge plus. + Home health experience, utilization management and/or hospital ... coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. Performs duties telephonically or on-site… more
- BrightSpring Health Services (Annandale, VA)
- …of providers, facilities and community-based clinics, within a specific territory, to foster utilization of home health services. Account Executives are ... Our Company Revival Home Care Agency Overview Revival Home Health is seeking an Account Executive to join our team. This position is a great opportunity to… more
- Hackensack Meridian Health (Little Falls, NJ)
- …the health care team to ensure effective coordination, appropriate resource referral, and utilization of home health aide services. + Act as a ... Health (https://www.stjosephshealth.org/) , provides a comprehensive continuum of home health care and hospice services, support, and resources to patients… more
- Hackensack Meridian Health (Little Falls, NJ)
- …the health care team to ensure effective coordination, appropriate resource referral, and utilization of home health aide services. + Educate the patient ... Health (https://www.stjosephshealth.org/) , provides a comprehensive continuum of home health care and hospice services, support, and resources to patients… more
- Hackensack Meridian Health (Clark, NJ)
- …the health care team to ensure effective coordination, appropriate resource referral, and utilization of home health aide services. + Act as a ... healthcare and serve as a leader of positive change. At Hackensack Meridian Health at Home , we recognize our full- and part-time benefit eligible team members by… more
- Sanford Health (MN)
- **Careers With Purpose** **Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many ... 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint.** **Facility:** Remote MN **Location:** City -… more
- Geisinger (Danville, PA)
- …a resource to departmental staff regarding insurance contacts. + Maintains Utilization management SharePoint site to reflect updated payor information. + ... to payor standards. + Works in conjunction with the Utilization nurses to ensure timely transfer of information to...appropriate staff regarding discrepancy issues with third party payer health insurance coverage and lack of coverage. + Serves… more
- Centene Corporation (Tallahassee, FL)
- …area to the Jacksonville area. Hospital and Case Management experiences strongly preferred. Home health experience and utilization management a plus.** ... preferred + Case Management experience preferred + Home Health experience a plus + Utilization Management a plus Pay Range: $72,400.00 - $130,100.00 per year… more
- Rising Medical Solutions (South Bend, IN)
- …industrial rehabilitation nursing, medical case management, occupational health , orthopedics, home health care, utilization review, or quality assurance ... injuries. The successful PDM case manager works from their home office, and they drive to physician appointments where...Benefits + Opportunity to make a difference in reducing health care costs and increasing the value of … more
- VNS Health (Manhattan, NY)
- … Health policies and procedures. Assures quality of services, appropriate access and utilization , within the VNS Health Plans contracts. * Acts as resource ... Degree or equivalent work experience in management for a health plan or utilization /case management Required Master's...of care begins with you. Together, we will revolutionize health care in the home and community.… more
- Humana (Baton Rouge, LA)
- **Become a part of our caring community and help us put health first** The Utilization Management Behavioral Health Professional 2 utilizes behavioral ... and communication of medical services and/or benefit administration determinations. The Utilization Management Behavioral Health Professional 2 work assignments… more
- LA Care Health Plan (Los Angeles, CA)
- …including providing clinical review and authorization for alternate levels of care, home health , durable medical equipment, and other discharge needs. Provides ... but not limited to: Skilled nursing facility, outpatient needs ( home health , physical therapy, infusion), and case...Utilization Management or CM. Knowledge of Department of Health Care Services (DHCS) or Centers for Medicare and… more
- VNS Health (Manhattan, NY)
- …AT VNS Health The future of care begins with you. Together, we will revolutionize health care in the home and community. When you join VNS Health , you ... member needs and identifies solutions that promote high quality and cost-effective health care services. Manages providers, members, team, or care manager generated… more
- BayCare Health System (Clearwater, FL)
- …Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With ... a foundation of trust, dignity, respect, responsibility and clinical excellence. **BayCare Health System** is currently seeking a ** Utilization Review Specialist… more
- ERP International (Nellis AFB, NV)
- …training. Includes (but is not limited to) all training on the use of utilization management data base applications (ie Defense Health Agency (DHA),,Military ... **Overview** ERP International is seeking **Registered Nurse (RN) Utilization Managers** for full-time positions in support of theMike O'Callaghan Military Medical… more
