- UpvoteDownvoteShare Job
- Suggest Revision
Participate in leadership team by actively contributing in decision making, grievance follow up, building and company-wide initiatives and attending leadership team meetings such as stand up, Managing Acute Care Conditions (MACC), Nutrition at Risk (NAR), Utilization Review (UR), Quality Assurance Performance Improvement (QAPI) and other meetings as required.
$44 - $56 an hourPart-timeExpandApply NowActive JobUpdated 20 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Lead Tenet Utilization Review Teams market structure and operations management to effectively support utilization review and authorization confirmation functions to promote an appropriate level of care and prevent payer denials.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
The Utilization Review Specialist review functions as the internal resource on issues related to the appropriate utilization of resources & services, coordination of care across agency and utilization review and management.
Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
The Clinical Care Coordinator – ED acts as principal liaison between emergency services, surgical services, nursing, finance, physicians, utilization review and Health Information Management to ensure appropriate level of care is assigned, progression of care is efficient, and discharge/transition plans are executed as needed.
Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Waysyou can advance beyond the Resident Care Manager (LPN) – MDS Nurse role: Once you master this role, you could consider the Directorof Nursing (with additional schooling), Health Services Director, or otherregional nursing roles with Prestige Care. Summary of Benefits: Full-time team members are eligible for Prestige’s comprehensive benefit package including choice of medical plans, HSA/FSA accounts, dental and vision insurance, and company paid life and AD&D insurance.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
The RN Care Manager provides education to nurses, physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge Planning and care coordination.
Full-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
- Suggest Revision
2 years of experience in Case Management (Care Coordination or Utilization Management) or successful completion of the Transitions in Practice (TIP) program for Care Manager.
$52.46 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Suggest and deploy population health management strategiesPrioritize key quality and utilization initiatives critical to success under value-based care programs. Strategy: The Practice Transformation Manager will establish the business strategy and roadmap: (1) improve outcomes for CINQCARE. members; (2) enhance the efficacy of other CINCARE business divisions; and (3) develop and deliver external market opportunities for CINQ Care products and services.
Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
The Utilization Management Nurse collaborates as necessary with other members of the health care team to ensure the above according to the mission of CHRISTUS. The Utilization Management Nurse III is responsible for determining the clinical appropriateness of care provided to patients and ensuring proper hospital resource utilization of services.
$33.3 - $44.49 an hourExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
The RN Care Manager is knowledgeable of post-hospital care and services available to the patient including, but not limited to the following: Home Health, Infusion Services, Durable Medical Equipment, Palliative Care, Hospice, Outpatient Services, Transitions of Care Clinics, Transitional Care supportive programs and clinics, follow up appointments, Skilled Nursing Facilities, Rehabilitation Services and Facilities and Community-based Organizations.
$36.35 - $58.14ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Minimum of 3-5 years as a pre-authorization or utilization review nurse in a payer or acute care setting; preferably medical-surgical or critical care/ED. Certified Professional in Utilization Review/Utilization Management/Healthcare Management (CPUR , CPUM, or CPHM) or Certified Case Manager (CCM) preferred.
Full-timeExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
- Suggest Revision
Current working knowledge of discharge planning, utilization management, case management, performance improvement, disease or population management and managed care reimbursement. The role integrates and coordinates resource utilization management, care facilitation and discharge planning functions.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Responsibilities of the Remote Utilization Management Nurse:Responsible for performing medical reviews to assess, and coordinate quality care for patientsDetermine medical necessity utilizing MCG criteria and medical policy/contractual benefits.
RemoteExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
The Utilization Review Specialist coordinates and assesses the inpatient census for appropriate alternate health care service needs. Qualified candidates will have 3-5 year of nursing experience preferably in Utilization Management, or hospital/acute care setting.
$45 - $70 an hourPart-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
The Healthy Connections (Care Management and Utilization Review) AVP at Select Health oversees development and evaluation of utilization and care management, including technology platforms, that support population health management and other mission and objectives of Intermountain Health and Select Health.
$167,579 - $192,601 a yearFull-timeExpandApply NowActive JobUpdated Today
care manager utilization jobs Company: Metroplus Health Plan
FEATURED BLOG POSTS
How to Build a Supervisor Resume
Writing a great supervisor resume doesn't have to be rocket science. All you need to do is figure out what the company requires and how best to appeal to their needs. In other words, see the resume as your “key” into any organization of choice.
The Ultimate Guide to Writing a Stellar Sales Manager Resume
Have you been working in sales for several years now and feel ready to move up the career ladder? Do you enjoy leading sales teams and developing strategies to drive company sales? Would you describe yourself as a strong communicator, negotiator, and closer? If so, then there’s a good chance that a sales manager position might be the ideal fit for you.
How to Write a Property Manager Resume
Property management experts have a variety of responsibilities, such as ensuring the safety and durability of commercial and residential buildings. During recruitment for such a position, recruiters assess your skills first-hand. This begins with how well you organize and tailor your property management resume. In other words, they can't afford to bring you onboard if your resume does not impress them.
How to Write a Chief Operating Officer Resume + Sample
Are you looking to become the Chief Operating Officer in your company of choice? Do you want to create a compelling COO resume that will earn you the job? This article is for you.
Spotting the Details to Build a Construction Project Manager Resume
So you’re ready to become a Construction Project Manager! To achieve this goal, you need to find the right role and write the best resume you can to show a prospective employer that you’re a great fit.
6 Tips to Create a Management Consulting Resume + Sample
So, you want to land a job as a management consultant? Well, here is a management consultant resume sample and some tips below. This will help you create a mind-blowing resume that will keep you in the spotlight during recruitment.
Get Ready, The Beginning of the Year is the Best Time to Job Search
Frankly, if you need a job, the best time to apply for one is right now. But, regardless of timing, the competition is fierce and job seekers should do everything they can to score an advantage. Understanding when companies hire, the typical hiring season trends, and the right time of year to apply for jobs will give you the best chance at success.