- Southern New Hampshire Health (Milford, NH)
- CLINICAL TEACHER / NURSE EDUCATOR - EMERGENCY DEPARTMENT Who We Are: The Emergency Department of SNHMC provides culturally competent care to the diverse population ... the ED is prepared to accommodate additional patients through utilization of hallway beds and a triage fast-track area....as ultrasound guided IV placement and arterial IV line management . Our robust staff of nurses, paramedics, LNAs and… more
- Humana (Concord, NH)
- …part of our caring community and help us put health first** The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and ... and communication of medical services and/or benefit administration determinations. The Utilization Management Behavioral Health Professional 2 work assignments… more
- Humana (Concord, NH)
- …of our caring community and help us put health first** The Manager, Utilization Management Behavioral Health utilizes behavioral health knowledge and skills to ... of medical services and/or benefit administration determinations. The Manager, Utilization Management Behavioral Health works within specific guidelines… more
- Humana (Concord, NH)
- …licensure + Previous Medicare/Medicaid experience a plus + Previous experience in utilization management , case management , discharge planning and/or home ... community and help us put health first** The Pre-Authorization Nurse 2 reviews prior authorization requests for appropriate care... depending on case findings. + Educates providers on utilization and medical management processes. + Enters… more
- Evolent (Concord, NH)
- …for operational performance of physician, nursing, and shared services staff in the utilization management value chain + Owns clinical rationale for ... point of responsibility for all clinical operations inclusive of nurse , physician, and shared services performance. and core work...utilization management decisions made by all clinical staff + Ensures… more
- Highmark Health (Concord, NH)
- …Highmark Health **Job Description :** **JOB SUMMARY** This job implements effective utilization management strategies including: review of appropriateness of ... and offers interventions and/or alternatives. **ESSENTIAL RESPONSIBILITIES** + Implement care management review processes that are consistent with established… more
- Evolent (Concord, NH)
- …years of direct clinical patient care + **Minimum one year of experience with Utilization Review (UM) in a managed care environment** + Cardiology and Oncology ... identifies and refers quality issues to the Senior Director of Medical Management or Medical Director. + Appropriately identifies potential cases for Care … more
- Intermountain Health (Concord, NH)
- …Based Care population. Experience in Health Care as: + Medical Assistant + Care Management + Social Determinates of Health + Primary Care Practices + Value Based ... anatomy and physiology. medical training such as medical assistant, certified nurse assistant, emergency medical technician. **Job Description Summary** Assesses and… more
