- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist LVN II ...At least 4 years of experience in a patient care setting and/or combination in utilization management, ... $87,342.00 (Mid.) - $107,498.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created...net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist LVN II will… more
- Lucile Packard Children's Hospital Stanford (Palo Alto, CA)
- …outcomes. A Case Manager differs from other roles in professional nursing/health care practice in that it is not intended to provide direct patient care ... FTE, 8 Hour Day Shift At Stanford Children's Health, we know world-renowned care begins with world-class caring. That's why we combine advanced technologies and… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: ... support the safety net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II facilitates, coordinates, and approves… more
- Sharp HealthCare (San Diego, CA)
- …System Integrated Care Management (ICM) team the Transfer and Admissions Utilization Manager (UM) partners with the Centralized Patient Placement Center ... while ensuring compliance with all local, state and federal regulations governing utilization review activities and/or care management. Expected outcomes include… more
- Elevance Health (Tampa, FL)
- **Licensed Utilization Review II ** **Location** : KS, FL. and VA. This is a remote position The ideal candidate will live within 50 miles Elevance Health ... **Hours** **: Monday through Friday,10:30 - 7:00 Eastern time** The **Licensed Utilization Review II ** responsible for working primarily with healthcare… more
- Elevance Health (Tallahassee, FL)
- ** Utilization Management Representative II ** **Location:** Must live within 50 miles of a Florida PulsePoint. The ** Utilization Management Representative ... to a nurse reviewer; and handles referrals for specialty care . + Processes incoming requests, collection of information needed...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- AmeriHealth Caritas (Greenville, SC)
- ** Care Manager II Registered Nurse (BSN) - Foster Care Program -SC** Location: Greenville, SC Primary Job Function: Medical Management ID**: 34482 Your ... more about us at www.amerihealthcaritas.com . **Responsibilities:** As a Care Manager II , you'll be...care management platforms where applicable. 6. Monitor appropriate utilization and coordinate services with other payer sources, make… more
- AmeriHealth Caritas (Myrtle Beach, SC)
- **REMOTE | Care Manager II Registered Nurse (BSN) - Foster Care Program -SC** Location: Myrtle Beach, SC Primary Job Function: Medical Management ID**: ... administrative services. Discover more about us at www.amerihealthcaritas.com. **Responsibilities:** As a Care Manager II , **you'll be empowered to lead… more
- LA Care Health Plan (Los Angeles, CA)
- Enhanced Care Management Clinical Specialist II Job...such as a health insurance environment and/or experience as care manager in home health or hospice ... support the safety net required to achieve that purpose. Job Summary The Enhanced Care Management (ECM) Clinical Specialist II is responsible for the management… more
- Hackensack Meridian Health (Hackensack, NJ)
- …Staff Management and Organizational Strategy a. Development & implementation of Utilization Management strategies to assure appropriate health care delivery ... **Overview** The Senior Utilization Review Specialist collaborates with the healthcare team...hospital reimbursement, clinical compliance, case management, and transitions of care , as outlined in the responsibilities below. **Responsibilities** 1.… more
- LA Care Health Plan (Los Angeles, CA)
- Enterprise Shared Services Program Manager II Job Category: Administrative, HR, Business Professionals Department: Claims Data and Support Services Location: Los ... $152,762.00 (Mid.) - $188,015.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created...that purpose. Job Summary The Enterprise Shared Services Program Manager II is responsible for leading and… more
- BAYADA Home Health Care (Pennsauken, NJ)
- …seat when required. Qualifications **Minimum of two (2) years of BAYADA Home Health Care client services manager experience, within the Home Health Visits or ... BAYADA Home Health Care is in search of a Regional Client...clinical acuity on scheduling and collaborate with the clinical manager for proper utilization of visits. Participate… more
- Sutter Health (Modesto, CA)
- … care patient experience. This position works in collaboration with the Physician, Utilization Manager , Medical Social Worker and bedside RN to assure the ... are to include the achievement of optimal health, access to care , and appropriate utilization of resources balanced with the patients' self -determination while… more
- Stanford Health Care (Redwood City, CA)
- …a Stanford Health Care job.** **A Brief Overview** The Occupational Therapist II is an experienced therapist who is fully competent with all essential functional ... in an accurate and efficient manner. The Occupational Therapist II takes an active role in multi-disciplinary care...meeting those needs. + With the support of the manager , may initiate clinical research within area of clinical… more
- Imperative Care (PA)
- Job Title: Associate Sales Manager II - Pennsylvania Location : This position is based in Pennsylvania and is full time. Why Imperative Care ? Do you want to ... make a real impact on patients? Imperative Care is changing the way stroke is treated. As...and products + Help drive depth and increased product utilization across our portfolio in existing accounts + Collaborate… more
- The County of Los Angeles (Los Angeles, CA)
- MENTAL HEALTH PROGRAM MANAGER II / EMERGENCY APPOINTMENTS HOMELESSNESS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4659662) Apply ... MENTAL HEALTH PROGRAM MANAGER II / EMERGENCY APPOINTMENTS HOMELESSNESS Salary...and implements reporting procedures to ensure that program services utilization and revenue data are reported accurately and in… more
- Covenant Health Inc. (Oak Ridge, TN)
- Overview Registered Nurse, Care Manager II Full time, 80 hours per pay period, Day shift With more than 30 specialties from Cardiology and Neurosurgery to ... physicians + Over 800 employees Position Summary: The RN Care Manager II is responsible...to identify the necessary resources and ensures the appropriate utilization of same. + Communicates effectively with physician offices,… more
- Covenant Health Inc. (Knoxville, TN)
- …as one of Tennessee's "Top 10" hospitals. Position Summary: The RN Care Manager II is responsible for integrating evidenced ... to the health care team. The RN Care Manager II is responsible...to identify the necessary resources and ensures the appropriate utilization of same. + Communicates effectively with physician offices,… more
- Trinity Health (Pontiac, MI)
- …customers and community groups. **D.** **Experience** Three years recent acute care utilization management experience. Knowledge of regulations relative to ... care , continued stay and status of discharge planning. ** II Position Qualifications:** **Minimum Education, Licensure / Certification and Experience Required.**… more
- Pacific Program Management (Sunnyvale, CA)
- …and professionalism. We balance care with accountability. Job Summary The Workplace Manager II position leads the existing space occupancy planning and data ... actions, and our culture thrives on our balance of care with accountability. We are One PPM. While we...attention to detail to ensure client satisfaction. A Workplace Manager II may be responsible for direct… more