- UTMB Health (Galveston, TX)
- Utilization Review Case Mgr . - Galv. Campus Utilization Mgmt. (M- F / 8a- 5p) **Galveston, Texas, United States** **New** Nursing & Care Management ... and criteria guidelines. **MAJOR DUTIES / CRITICAL TASKS:** + Implements Utilization review procedures by prospectively, concurrently, and retrospectively… more
- Hackensack Meridian Health (Hackensack, NJ)
- …the IT Case Management screens, and patient records + Completes utilization management for assigned patients. + Applies approved InterQual criteria as a ... management and PC skills. + Current working knowledge of discharge planning, utilization management, case management, performance improvement, and managed care… more
- Hackensack Meridian Health (Hackensack, NJ)
- …management and PC skills. + Current working knowledge of discharge planning, utilization management, case management, performance improvement, and managed care ... and serve as a leader of positive change. **Responsibilities** The **RN Case Manager** bears overall responsibility for coordinating patient care activities to… more
- Covenant Health Inc. (Oak Ridge, TN)
- …Madeline Fornadel || ###@covhlth.com || ### Responsibilities Assessment: + Utilizes case finding criteria to screen patients and gather information from the ... the patient that will meet identified needs. + Facilitates timely documentation review with the Clinical Documentation Improvement (CDI) specialist, as necessary to… more
- Covenant Health Inc. (Knoxville, TN)
- …level. Recruiter: Angelica Adams || ###@covhlth.com || ### Responsibilities + Utilizes case finding criteria to screen patients and gather information from the ... the patient that will meet identified needs. + Facilitates timely documentation review with the Clinical Documentation Improvement (CDI) specialist, as necessary to… more
- Covenant Health Inc. (Knoxville, TN)
- …contact Recruiter: Lacey Spoon ||###@covhlth.com|| ### Responsibilities Assessment: + Utilizes case finding criteria to screen patients and gather information from ... the patient that will meet identified needs. + Facilitates timely documentation review with the Clinical Documentation Improvement (CDI) specialist as necessary to… more
- Molina Healthcare (Madison, WI)
- …performing one or more of the following activities: care review / utilization management (prior authorizations, inpatient/outpatient medical necessity, etc.), ... 3 or more years in one or more of the following areas: utilization management, case management, care transition and/or disease management. + Minimum 2 years of… more
- Stanford Health Care (Palo Alto, CA)
- …Knowledge, Skills and Abilities** + Knowledge of principles and best practices of case management, utilization review , social work, care coordination and ... Become part of a management team that has been able to guide and influence case managers dedicated to the continuity of patient care for the aging population. Our… more
- Huntington Ingalls Industries (Fort Belvoir, VA)
- …+ Acts as primary customer contact for project activities, leading project review sessions with customers to discuss cost, schedule, and technical performance. + ... or SQL databases in the management of projects, the utilization of Office 365 products to flatten communications with...your contact information. Reasonable accommodations are considered on a case -by- case basis. Please note that only those… more
- IQVIA (Wayne, PA)
- …analytics skillsets through a combination of classroom-based lectures, interactive case studies, hands-on working sessions, client role-playing scenarios, and ... Targeting; Promotion: Allocation, Optimization, Sales Force, ROI; Tracking: Tracking, Utilization , Usage, SOB, LOT, Etc.; Forecasting and Launch: Model Building;… more
- Rush University Medical Center (Chicago, IL)
- …**Shift:** **Shift 1** **Work Schedule:** 8 Hr **Summary:** The Social Work Care Mgr (CM) works with physician practices and inpatient teams to promote the effective ... utilization of services and coordination of patient centered care....1. Functions as an expert clinical practitioner within the Case Management team and serves as a resource to… more
- Elevance Health (Olathe, KS)
- …ensure our members are directed to the appropriate level of care. Whereas the BH Case Mgr (CM) job progression is primarily member facing and involves complete ... services only, and there is licensed staff supervision. + Previous experience in case management/ utilization management with a broad range of experience with… more