- UpvoteDownvoteShare Job
- Suggest Revision
Preferred Qualifications: Minimum two (2) years of experience in utilization review, case management, and discharge planning preferred. Educates other healthcare team members on utilization and care coordination.
$95.54 an hourExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Essential Responsibilities: Utilization Management: Performs daily pre-admission, admission, and concurrent utilization reviews using guidelines, institutional policies/procedures, and other information to determine appropriate levels of care and readiness for discharge.
Full-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Previous experience in case management and/or utilization review preferred. Responsible for coordinating continuum of care activities for assigned clients and ensuring optimum utilization of resources, service delivery, and compliance with external agencies and referral source requirements.
$29 - $45 a year depends on experienceFull-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Thorough knowledge of quality assurance, quality improvement, utilization review, risk management, and accreditation and licensing requirements including The Joint Commission, NCQA, Knox-Keene Act, Federal HMO Act, CMS, Cal-OSHA, Public Employees Medical and Hospital Act, HIPAA and Medi-Cal regulations and standards.
ExpandApply NowActive JobUpdated 11 days ago - UpvoteDownvoteShare Job
- Suggest Revision
As an agent of the Health Plan, works with member service directors to ensure the member grievance and complaint process has the appropriate level of qualitative and quantitative review to comply with all legal and regulatory requirements for Hospital/Health Plan.
Full-timeExpandApply NowActive JobUpdated 2 months ago - UpvoteDownvoteShare Job
- Suggest Revision
As a key member of the Public Sector Sales Operations team, the SLED Sales Operations Analyst will leverage a high degree of business acumen to: objectively partner with and guide the sales team on current performance and opportunities; be a key stakeholder in the deal review process; and actively engage in the largest commercial opportunities to deliver customer value and success while maximizing business yields for CrowdStrike.
Full-timeRemoteExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Case Managers are licensed nursing professionals who are responsible for care coordination, care transitions, discharge planning, and utilization review. Ability to perform utilization management functions to ensure the appropriate level of care and ensure appropriate utilization of resources.
$81.08 - $105.91 an hourFull-timeExpandApply NowActive JobUpdated 29 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Review monthly commission sheets, productivity reports, salespersons’ monthly forecast, and profit performance with the Dealer by salesperson and as a department. Forecast monthly sales with each salesperson to establish objectives in terms of the number and type of customers coming into the dealership, closing percentages in each category, time utilization, prospecting efforts, unit sales, and projected income.
ExpandApply NowActive JobUpdated 11 days ago - UpvoteDownvoteShare Job
- Suggest Revision
JOB SUMMARYThe RN Utilization Review coordinates care for OPIS patients who are high cost, complex, and at risk. · Review medical records for knowledge/understanding of situation and resource assessment.
ExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
- Suggest Revision
The Director - Utilization Management direct and manage the day-to-day operations of the Utilization Review Department. Act as a liaison between Medicaid reviewers and the staff completing required paperwork to facilitate the Utilization Review process.
ExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Engage with CrowdStrike Sales Enablement team to support sales onboarding and ongoing sales enablement activities and programs, including adoption and utilization of CrowdStrikes Sales Tools & Capabilities.
RemoteExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Secondary responsibilities include but are not limited to: hardware specification and schematic review, embedded Linux infrastructure, regression and release systems, utilization tracking, regression/release systems, and manufacturing support for a cross-functional team.
$170,700 - $300,200 a yearExpandApply NowActive JobUpdated 11 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Preparing for and providing meaningful contributions to the rehab team conferences, patient care conferences, utilization review meetings, family conferences, and caregiver training sessions.
Full-timeExpandApply NowActive JobUpdated 7 days ago
FEATURED BLOG POSTS
In-House vs Outsourcing Recruiting: Which is Better?
When looking at in-house vs outsourcing recruiting, it is important to nail down the benefits for each and whether those benefits outweigh the risks that follow.
How to Write a Short Bio
First impressions can be tricky. When meeting someone in person, it’s likely you have an elevator speech. These short, practiced introductions can help you share more about who you are, what you do for work and other facts about you. While this works well in a live, in-person context, there are many cases where professionals “meet” someone via written form - like social media, a resume, or published work. In these cases, your bio works as your first impression. So, here’s a step-by-step guide on how to write a short bio.
How to Conduct a Performance Review (With Examples)
In a world where the smallest mistake can cost your business tens of thousands in lost revenue, your talent is key to keeping your edge on the market and driving growth. However, managing a workforce of any size can be a challenge. Employees come with their own particular skill set, ambitions and flaws. So, it can be difficult to uncover their individual drivers. Not to mention the challenges brought on by the hybrid and remote working models where in-person interactions have become few and far between.
How to Recruit Passive Candidates
Learning to recruit passive candidates is a different ballgame than recruiting active ones. While an active candidate is someone who is currently looking for a new job, a passive candidate tends to be the opposite. Passive candidates are either already working or not looking to work. So, instead of these candidates coming to you, you'll have to find them and reach out to them first.
How to Effectively Recruit Employees
Today, hiring and retaining talent looks much different than it did only two or three years ago. Financial instability and the strain on our mental health brought on by the pandemic has made everyone more wary and selective of their workplace and employer. Whereas in the past people might have prioritized promotions and financial reward, today they look at other factors such as workplace flexibility, personal fulfillment and values alignment.
How Many Hours is Part-Time vs. Full-Time Work?
Growing up you watched your parents shuffle to and from the office, held hostage to their 9 to 5. If jammed-packed schedules and deadlines sound frightening, you might consider pivoting your search to part-time jobs. In fact, even employers have shifted their preference, selecting more people open to the idea of flexible working hours.
How to Make a Job Offer More Competitive
Money alone makes it hard to attract and retain top-notch candidates, especially when you are competing with larger businesses and corporations in your industry. So, instead of focusing on money, figure out how to make a job offer more competitive when you can't offer more money.