Utilization and Care Management Nurse Work from home within Oregon, Washington, Idaho or Utah Build a career..., and regulatory organizations. #LI-Remote The expected hiring range for a Utilization and Care Management Nurse...
oversight of systems designed to monitor and ensure the quality care and services are provided at a comparable level... to all members and patients across the continuum of care; coordinating efforts to resolve routine issues in quality improvement...
benefits and the additional medical, community, or financial resources available. Provide utilization management (UM) services..., appropriate utilization, and cost-effective care and services. Coordinate necessary resources to achieve member outcome goals...
requirements (CMS, NCQA, state standards). Strong understanding of care management, utilization and case management, disease... and utilize each person’s talents and strengths. The Director of Enterprise Care and Disease Management leads the design...
, condition, and functional abilities in order to develop a comprehensive, individualized care management plan that promotes... appropriate utilization, and cost-effective care and services. Based on the needs and values of the client, and in collaboration...
and utilization management. Maintains effective communication with health care team members related to care coordination... to optimal utilization of resources, efficient delivery of high quality care, patient flow, capacity management...
systems. 1 year home health, mental health, substance use, hospice, utilization review, discharge planning or care management... Management Job Function: Clinical Care Job Schedule: Full time Job Shift: Multiple shifts available Career Track: Nursing...
Job Category: Care Management Job Description: This posting is not for a specific job vacancy. It serves... of the need for Care Management (CM) services. Providence caregivers are not simply valued - they're invaluable...
management, care integration, case management, utilization review and care planning. Job Requirements: Education and Work... plan of care. Manages communication related to discharge planning and utilization management. Performs ongoing...
Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. As the facility... leader, you will be part of a close-knit, collaborative team responsible for delivering unique care plans and providing...
Registered Nurse in Home Health you will provide and direct provisions of nursing care to patients in their homes as prescribed...Explore opportunities with Assured Home Health, a part of LHC Group, a leading post-acute care partner for hospitals...
Registered Nurse in Home Health you will provide and direct provisions of nursing care to patients in their homes as prescribed...Explore opportunities with Assured Home Health, a part of LHC Group, a leading post-acute care partner for hospitals...
-informed and recovery-oriented to persons / consumers with mental illness and addictions. Trauma-informed care includes safety... provides a whole-person care approach to adults and children to address both physical and mental health needs. MCCFL...
with medical policy and criteria of for accepted standards of care while performing Utilization Review and Service Authorizations... Summary The RN Case Manager performs case management within the boundaries of accreditation organization standards to ensure...
of patients throughout the continuum of care. Develops strategies with Nurse Manager/Director to improve customer satisfaction...-bed hospital, 11 medical offices, home care services, comprehensive cancer care and a vast scope of award-winning services...
practice robust utilization and resource management. RN case managers also frequently lead multidisciplinary and family care...Department Overview: The Care Management department provides several major services to assure safe and efficient...
practice robust utilization and resource management. RN case managers also frequently lead multidisciplinary and family care...Department Overview: The Care Management department provides several major services to assure safe and efficient...
practice robust utilization and resource management. RN case managers also frequently lead multidisciplinary and family care...Department Overview The Care Management department provides several major services to assure safe and efficient...
of three years direct health plan experience in the following areas: utilization management, grievance and appeal, or claims..., review, and evaluate utilization and case management reports. Good computer skills including experience with Word, Excel...
practice robust utilization and resource management. RN case managers also frequently lead multidisciplinary and family care...Department Overview: The Care Management department provides several major services to assure safe and efficient...