- Humana (Salt Lake City, UT)
- …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 2 utilizes clinical nursing...state, with no disciplinary action + 2+ years of Post Acute clinical experience in a Skilled… more
- Humana (Salt Lake City, UT)
- …prior experience participating in teams focusing on quality management , utilization management , and acute inpatient rehabilitation. Preferred ... hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers. + Utilization management experience in a medical management … more
- Humana (Salt Lake City, UT)
- …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
- University of Utah Health (Salt Lake City, UT)
- …nurse case management by coordinating with home care agencies, post - acute care facilities, durable medical equipment companies, transportation agencies and ... related field. + One year of experience in a utilization review or case management environment. +...monthly retirement benefits from URS are subject to URS' post -retirement rules and restrictions. Please contact Utah Retirement Systems… more
- Humana (Salt Lake City, UT)
- …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
- Intermountain Health (Murray, UT)
- …equity, CMS metrics, documentation, and stewardship metrics including cost of care and utilization . + Partners with CV Clinical Program, acute and ambulatory ... + Experience working in a complex health system (hospitals, ambulatory clinics, post - acute care, etc.). + Demonstrated leadership of clinicians. **Physical… more
- R1 RCM (Salt Lake City, UT)
- …status information on all managed care claims + Research medical records for post - acute care, and verify of accurate discharge status information + Compile ... with payors and research that was conducted + Research and communicate with post - acute care agencies to verify accurate discharge status information + Compile… more
- Intermountain Health (Provo, UT)
- …and community resourcing, drug and alcohol assessment and placement, care management , utilization initiatives and readmission goals, and mental health/emotional ... allocation of resources while balancing clinical quality and cost management . **To show our commitment to you and to...COP/NCQA and department standards. ED SWCM assesses patients for post - acute needs and referrals; actively intervenes and… more
- HCA Healthcare (Salt Lake City, UT)
- …the organization. + Implement timely discharge plans and facilitate follow-up to anticipated post - acute interventions identified in the plan of care. + Provide ... Summary and Qualifications** As a Social Worker in Case Management at our facility you will be joining a...more years of clinical experience preferred. + Knowledge of Utilization Review, DRG review, and Discharge Planning preferred. For… more