- Novo Nordisk Inc. (Philadelphia, PA)
- …Commercial team, you will have the opportunity to help people with obesity receive the care they deserve. The Novo Nordisk aspiration is to be a driving force in the ... providers, positioning Novo Nordisk as a leader in obesity care , understanding the local market and customer needs and...health. Internally, the OCS reports to the District Business Manager of the specific sales territory. The OCS also… 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 Admissions Liaison RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: ... $115,509.00 (Mid.) - $142,166.00 (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 (UM) Admissions Liaison RN II … more
- Elevance Health (Washington, DC)
- …preferred. + 3 years management experience with direct reports. + Managed Care Utilization Management experience, preferably in the District. + Working ... Manager ll HCMS - Utilization and... Manager ll HCMS - Utilization and Case Management (JR142403) **Location:** This position...a 1 hour commute of the above office. The ** Manager ll HCMS** is responsible for managing a team… more
- Elevance Health (Altamonte Springs, FL)
- …and personalized support throughout the consumer's treatment journey. **Title:** Utilization Management Representative II **Location:** Hybrid; FL-ALTAMONTE ... Friday; 10:00am-7:00pm **Build the Possibilities. Make an extraordinary impact.** The Utilization Management Representative II is responsible for managing… more
- Elevance Health (Columbus, OH)
- ** Utilization Management Representative II ** **Location:** This is a remote position but candidates should live within 50 miles of one of our PulsePoint ... locations. The **Utilizations Management Representative II ** is responsible for managing incoming calls, including triage, opening of cases and authorizing sessions.… more
- Sharp HealthCare (San Diego, CA)
- …and safe patient handovers to next level of care ; work closely with ambulatory care manager (ACM) at the system level, in clinics, with SCMG and other ... utilization review demands to assure patients are receiving care in the appropriate setting and level of ...course of hospitalization and beyond through the continuum of care .The RN CM II will relate and… more
- AmeriHealth Caritas (Jacksonville, NC)
- …administrative services. Discover more about us at; www.amerihealthcaritas.com .; **Responsibilities** The Care Manager II is responsible for managing and ... care and barriers to care . The Care Manager II develops a...care management platforms where applicable. + Monitor appropriate utilization and coordinate services with other payer sources, make… more
- AmeriHealth Caritas (Southfield, MI)
- …at; www.amerihealthcaritas.com .; **All applicants must reside in the state of Michigan.** The Care Manager II is responsible for managing and coordinating ... care and barriers to care . The Care Manager II develops a...care management platforms where applicable. + Monitor appropriate utilization and coordinate services with other payer sources, make… more
- AmeriHealth Caritas (Florence, SC)
- …other administrative services. Discover more about us at www.amerihealthcaritas.com. **Responsibilities:** The Care Manager II is responsible for managing ... care and barriers to care . The Care Manager II develops a...care management platforms where applicable. 6. Monitor appropriate utilization and coordinate services with other payer sources, make… 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 in the management and resolution of activities that assure the integrity… more
- Hackensack Meridian Health (Hackensack, NJ)
- …Staff Management and Organizational Strategy d. Development & implementation of Utilization Management strategies to assure appropriate health care delivery ... **Overview** The Utilization Review Physician collaborates with the healthcare team in the management and resolution of activities that assure the integrity of… more
- Veterans Affairs, Veterans Health Administration (San Juan, PR)
- …demonstrating leadership, experience, and creative approaches to management of patient care . Responsibilities The Utilization Management Nurse (UMN) demonstrates ... Summary The Utilization Management Nurse (UMN) serves as a subject...II Demonstrates leadership in delivering and improving holistic care through collaborative strategies with others. A BSN with… more
- LA Care Health Plan (Los Angeles, CA)
- Enterprise Shared Services Program Manager II (ALD) Job Category: Administrative, HR, Business Professionals Department: Claims Data and Support Services ... $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
- Elevance Health (Norfolk, VA)
- …Behavioral Analyst (BCBA )certification and/or state licensure required. + Prior utilization management experience preferred. + Prior managed care experience ... 50 miles of an Elevance Health PulsePoint office. This utilization management role is responsible for utilization ...+ Will serve as a resource to other BH Care Managers. + Assists with more complex cases and… more
- Sutter Health (Castro Valley, 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
- Sharp HealthCare (La Mesa, CA)
- …considerations with regulatory/financial/ utilization review demands to assure patients are receiving care in the appropriate setting and level of care . The ... nursing experience or case management experience. + 3 Years case management, utilization review, care coordination experience. + California Registered Nurse (RN)… 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
- Sutter Health (Tracy, CA)
- …STCH-Sutter Tracy Community Hosp **Position Overview:** Coordinates the utilization management, resource management, discharge planning, post-acute care ... presenting to the Emergency Department. Strives to promote patient wellness, improved care outcomes, efficient utilization of health services and minimized… more
