of Case Management/Utilization Review, the UR/Case Manager supports members by coordinating services, tracking care progress... coordination, case management, customer service, discharge planning and utilization review Familiarity with mental health...
Case/Utilization Review Manager . Duties & Responsibilities Provides utilization management functions... medical data obtained by mail or fax and enter into the clinical record for review by the utilization review specialist...
Medical Case Manager, RN. PRIMARY PURPOSE: To provide comprehensive quality telephonic case management to proactively drive... a personalized holistic approach for each claim. These responsibilities may include utilization review, pharmacy oversight and care...
Case Manager, RN. PRIMARY PURPOSE: To provide comprehensive quality telephonic case management to proactively drive... a personalized holistic approach for each claim. These responsibilities may include utilization review, pharmacy oversight and care...
Case Manager at our main medical campus. In this role you will partner with the rest of the clinical team to provide... continuation of care for our patients is a seamless process. The Case Manager is a member of the leadership team charged...
of care for our patients is a seamless process. The Case Manager is a member of the leadership team charged with developing... of treatment. The Case Manager will collaborate with other members of the care team and multidisciplinary team as dictated...
and reports any quality, risk management or utilization issues to the Director of Utilization Review/Case Management. Facilitates... case activity. Assists the Director of Utilization Review/Case Management in the investigation of over...
Case Manager (Registry) at our main medical campus. In this role you will partner with the rest of the clinical team... while ensuring continuation of care for our patients is a seamless process. The Case Manager is a member of the leadership team...
continuation of care for our patients is a seamless process. The Case Manager is a member of the leadership team charged... inpatient phase of treatment. The Case Manager will collaborate with other members of the care team and multidisciplinary team...
Job Description Summary Access and Reimbursement Manager (ARM) is a field-based role that proactively provides... specifics and support questions associated with payer policies (e.g., utilization management, denial, and appeals), drug...
$75,555 - 86,888.25 /Yr. Schedule: Monday - Friday; 8:00 am - 4:30 pm Location: Rogers Park The Program Manager... acuity and needs to the Linkage team. The Program Manager will market Trilogy programs to hospitals and other organizations...
for multidisciplinary case review meetings to help identify eligible patients Partner with cross-functional teams to share patient... strategies to increase product utilization Provide in-field case support as needed, reinforcing adoption and procedural...
Manager (CCM) issued by the Commission for Case Manager Certification (CCMC) needs to be obtained within 1 year, or RN... issued by the state in which the team member practices and RN or SW: Accredited Case Manger (ACM) or SW (ACM) certification...
Assistant Building Manager supports the daily operation, maintenance, and renovation work of divisional buildings including ones... related issues with GCIS dock manager and/or dock staff. Maintains unit files and records including building code reports...
of the R&D team, the Sr. Portfolio Manager will manage Beam Suntory's 3-5 year innovation pipeline in partnership with Global... Brand House leads and regional partners. Partnering with Senior Leaders across the Globe, the Sr. Portfolio Manager...
. Join us and change lives… including your own. The Manager Nursing Women & Children will provide administrative and clinical leadership... of the nursing department. Monitor unit productivity levels and workforce design to ensure proper resource utilization...
for supervising clinical staff involved in a variety of clinical operations such as Utilization Management, Case Management.... 2 years utilization review/ managed care experience. Leadership skills. Knowledge of managed care program policies...
patients are transferred. Provides case management services related to various levels of health care, finances, housing... criteria, utilization management issues, care coordination and discharge planning needs, alternatives to admission...
with operations to review monthly utilization reports and share insights and action plan with leadership Works with the Talent... for freelance talent, creates the business case to hire and works with TA to secure the proper temporary support. Partners...
. Monitor productivity, case mix and benchmark data to ensure that the staffing requirements are planned, appropriate.../Physician Satisfaction. Routinely review patient satisfaction data, reward and recognize associates who are achieving results...