- MetroHealth (Cleveland, OH)
- …and Milliman Health Management Guidelines. Current working knowledge of, utilization management , case- management , performance improvement, and managed ... **Location:** **METROHEALTH MEDICAL CENTER** **Biweekly Hours:** **80.00** **Shift:** **8a-430p** **The...socioeconomic backgrounds Preferred: 3 years of experience with a Utilization Management focus. Working knowledge of current… more
- Fresenius Medical Center (Akron, OH)
- …communicated to and implemented by the facility staff. + Maintains integrity of medical records and other FMS administrative and operational records. + Complies with ... the liaison for patient care as per the disease management agreement, including initial and ongoing validation of member...**STAFF:** + Responsible for implementation of FMS staffing, and medical supply models, to provide quality patient care, and… more
- CommuniCare Health Services Corporate (Akron, OH)
- Registered Nurse (RN), Mobile MDS Coordinator CommuniCare Health Services is currently looking for a Registered Nurse to fill the key position of RN Mobile MDS ... offer you a menu of benefit options from life and disability plans to medical , dental and vision coverage, from quality benefit carriers. We also offer 401(k) with… more
- Fresenius Medical Center (Cleveland, OH)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. ... a tremendous asset that sets us apart. At Fresenius Medical Care, you will truly make a difference in...Disease (ICD) coding. + Manages clinic financials including efficient utilization of supplies or equipment and regular profits and… more
- Elevance Health (Independence, OH)
- …in office setting. The ** Nurse Case Manager II** is responsible for care management within the scope of licensure for members with complex and chronic care needs ... with providers, claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements:** + Requires… more
- Bon Secours Mercy Health (Elyria, OH)
- …sites and clinicians are recognized for clinical and operational excellence. **_Registered Nurse (RN) - Northern Ohio Imaging Center_** **This is a Collective ... partnership * Interprofessional collaboration and leadership * Understanding and utilization of office and clinical technologies * Compassionate, relationship-based… more
- Cleveland Clinic (Cleveland, OH)
- …and recognition. This ACNO role will have direct oversite of Ambulatory Nursing, Utilization and Care Management , Home Health and Hospice. The footprint of ... implementation of assigned business plans. * Collaborate with and medical staff to develop and measure performance standards. *...ACNO role will have direct oversite of Ambulatory Nursing, Utilization and Care Management , Home Health and… more
- MetroHealth (Brooklyn Heights, OH)
- …Coordinates the care of selected patients. Integrates and coordinates access and utilization management , proactive patient panel management , care ... MetroHealth System is redefining health care by going beyond medical treatment to improve the foundations of community health...Ohio RN licensure. Three to Five years of case management or managed care experience. Ability to work independently… more
- Fresenius Medical Center (Cleveland, OH)
- …address barriers to quality improvement. This includes promoting the adoption and utilization of Medical Advisory Board Recommended Algorithms and Standing ... a frequency determined by Clinical Quality leadership. + Collaborates with facility management staff to evaluate the effectiveness of the facility QAPI Program and… more
- Organon & Co. (Cleveland, OH)
- …include Health Care Providers such as Physicians across multiple specialties, Nurse Practitioners, Physician Assistants, Midwives, Nurses and Pharmacist in addition ... programs, Federally Qualified Health Centers, Universities, Independent Physician Associations, Management Service Organizations, Planned Parenthood and Family Planning Clinics,… more
- Cleveland Clinic (Euclid, OH)
- …of eligibility (CTM, ACM, CCM or AHA). + 2 years of recent experience in utilization review, quality or care management . + Knowledge of acute care and ... Registered Nurse (RN) Case Manager Join Cleveland Clinic's Euclid...Euclid Hospital have made it not only an excellent medical facility, but also a home away from home.… more
- Bayer (Cleveland, OH)
- …with sales consultants, key account executives, radiation therapy specialists, oncology nurse educators, , medical affairs, and other internal partners, ... need; 3. Contribute to overall speaker bureau maintenance, including training, utilization tracking, and new speaker identification; 4. Harvest insights during… more