- Humana (Montgomery, AL)
- …require interpretation and independent determination of the appropriate courses of action. The Post - Acute Utilization Management Nurse 2: + Review ... caring community and help us put health first** The Utilization Management Nurse utilizes clinical nursing skills...1 or more years previous clinical experience in a Post - Acute clinical setting such as a SNF,… more
- CVS Health (Montgomery, AL)
- …state of residence + 1+ years of clinical experience in acute or post - acute setting + Utilization management is a 24/7 operation. Work schedules will ... solutions to make health care more personal, convenient and affordable. **Position Summary** Utilization Management is a 24/7 operation and work schedules may… more
- Humana (Montgomery, AL)
- …teams focusing on quality management , utilization management , case management , discharge planning and/or home health or post - acute services (such ... Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a… more
- Humana (Montgomery, AL)
- …teams focusing on quality management , utilization management , case management , discharge planning and/or home health or post acute services such ... Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a… more
- Humana (Montgomery, AL)
- …teams focusing on quality management , utilization management , case management , discharge planning and/or home health or post acute services such ... Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a… more
- Humana (Montgomery, AL)
- …and interpretation skills with 5+ years of experience focusing on quality management , utilization management , discharge planning, rehabilitation services, ... attend Fair Hearings. The clinical scenarios arise from outpatient, post - acute care; acute inpatient; LTC...Clinical Integration, Long Term Services & Supports, and Case Management . The Medical Director, as indicated, could need to… more
- Genesis Healthcare (Elmore, AL)
- …by a clinical leadership team with a decades-long track record of excellence in post - acute and long-term care. At AlignMed, we believe in a better quality ... Overview Sub- Acute , Long-Term Care is a sector of healthcare...Management and AlignMed Partners to oversee the implementation, utilization , and outcomes measurement of AlignMed Partners Clinical Programs.… more
- Genesis Healthcare (Elmore, AL)
- …by a clinical leadership team with a decades-long track record of excellence in post - acute and long-term care. At AlignMed, we believe in a better quality ... Overview Sub- Acute , Long-Term Care is a sector of healthcare...Centers and AlignMed Partners managers to oversee the implementation, utilization , and outcomes measurement of AlignMed Partners Clinical Programs… more
- Intermountain Health (Montgomery, AL)
- …and program evaluation. + Develops processes, tools, and policies for appropriate utilization management in collaboration with key stakeholders. + Supports ... and maintains positive relationships with medical staff, administration, hospital personnel, post - acute providers, payors, and other community entities. + Leads… more