, or related field preferred. Deep expertise in utilization management, discharge planning, payer regulations, and hospital...Division Vice President Case Management Location: Florida (Multiple Locations) Employment Type: Full-Time | Acute...
, configuration and data management, digital engineering, business management, risk management, processes and tools, engineering..., and ordering of lab test materials in EPS. This position regularly interfaces with senior management within the test team...
difficulties or lack of cooperation to the Director of Quality Management. Interfaces with other teams and plan areas to assure..., the Company succeeds. This position is responsible for leading all aspects of Quality Management Clinical Operations...
. * Manages hospital Utilization Management Program by coordinating Utilization Plan changes with Medical Director... Interdisciplinary Outlier Committee, and communicates with physicians, Case Management Director, and Administration about patient needs...
number and type of denials. Serves as a resource to all staff in areas of utilization review/management. Utilizes and analyzes current medical... and outcome monitoring. May serve as a resource to all staff in areas of utilization review/management. Educates members...
. Care Managers perform a blended function of utilization management (UM) and care management (CM) activities demonstrating...Job Category: Healthcare Services and Operations Job Description: Your Role The Care Management team will serve...
number and type of denials. Serves as a resource to all staff in areas of utilization review/management. Utilizes and analyzes current medical... and outcome monitoring. May serve as a resource to all staff in areas of utilization review/management. Educates members...
Management Manager or Facility Director and assists in monitoring and performing the daily operations and supervision of team... as assigned by the Care Management Manager or Facility Director. The Care Management Supervisor will serve as the primary point...
number and type of denials. Serves as a resource to all staff in areas of utilization review/management. Utilizes and analyzes current medical... and outcome monitoring. May serve as a resource to all staff in areas of utilization review/management. Educates members...
of four-year experience in hospital setting. One-year experience in utilization management/case management is preferred..... Assists Director in appeals of stay that are denied, sets up physician to physician denials. Assures proper level of care...
where utilization review, discharge planning, and/or case management will be needed using standardized criteria to achieve optimal...Job Description: Description RN/Case Manager MSH Case Management FT Days The Case Manager (CM...
of participation related to discharge planning and utilization management. Supports ongoing communication and education on care... trends related to care management activities with Director of Inpatient Care Management Operations, Physician Advisor...
management systems. Perform other duties of a similar nature or level as requested by the HSD Executive Director...Job Summary The Health Information Management (HIM) Program Manager is responsible for overseeing the management...
a minimum of 4 years care management or case management experience and requires a minimum of 2 years clinical, utilization...Anticipated End Date: 2025-11-21 Position Title: Medical Management Nurse Job Description: Medical Management...
Manager, Master Data Management will report into Sr. Director, Data Management & Governance and will be responsible... everywhere. Apply today! Job Details As Cencora continues to expand, we're looking for a dynamic and experienced Manager, Master Data Management to join our team. The...
with regulatory standards/conditions of participation related to discharge planning and utilization management. Supports ongoing... and discusses overall and individual physician trends related to care management activities with Director of Inpatient Care...
The Pathways and Case Management Advisor partners with students, faculty, staff, Instructional Services, administrators... needs, document ongoing case management activities, and document all pertinent student information and status updates...
: BSN Health-related master's degree or MSN Prior Care Management/Utilization Management experience ACM/CCM... or Director of Nursing and is responsible for patient evaluations of post-hospital needs; development of a transition of care...
with the Director of Enterprise Risk Management to build a mature and scalable enterprise risk management program to drive... gives HR pros a way to easily manage daily tasks in payroll, benefits, talent, and workforce management. But what makes...
skills, qualifications and experiences: Utilization Management Experience with ACMP strongly preferred. Job Level: Non...Anticipated End Date: 2025-11-28 Position Title: Medical Management Nurse Job Description: Location: This role...