About this Job: General Summary of Position Plans organizes coordinates and directs the Utilization Case Management... denials and other reports. Provides direction and support regarding Utilization Management Case Management Discharge Planning...
– English (Written & Verbal) Preferred Qualifications: Project management skills - i.e., the ability to innovate and execute.... All policies and processes which pertain to employees including recruitment, selection, training, utilization, promotion...
, construction management firms, and other vendors; includes creating bid documents, managing pre-bid meetings, and organizing pre... for construction contracts, reviews and management of construction activities, including contractor's schedule, RFIs, submittals...
or management experience, preferably overseeing Case Management or Utilization Review teams in an Acute Care setting. Certification...Details Department: Case Management Schedule: Full time days Hospital: Ascension Sacred Heart Pensacola Location...
effectiveness of care management operations and utilization management using benchmark and objective data, including member health... and surpassing financial organizational targets through excellent care management. VNS Health is a trusted government partner...
along with client relationship management. You will manage teams as an engagement manager, responsible for leading the team... such as presentations, technical or business documents, and quantitative models. Build credibility with client management-level staff...
Responsibilities: Provide daily utilization oversight and external communication with network physicians and hospitals Daily... and guidance to maximize cost management through close coordination with all network and provider contracting Regularly meet...
Responsibilities: Provide daily utilization oversight and external communication with network physicians and hospitals Daily... and guidance to maximize cost management through close coordination with all network and provider contracting Regularly meet...
that utilization management responsibilities are performed in accordance with the highest and most current clinical standards. The... be required. The incumbent ensures compliance to NCQA, URAC, CMS, DOH, and DOL regulations at all times. In addition to utilization...
that utilization management responsibilities are performed in accordance with the highest and most current clinical standards. The... be required. The incumbent ensures compliance to NCQA, URAC, CMS, DOH, and DOL regulations at all times. In addition to utilization...
that utilization management responsibilities are performed in accordance with the highest and most current clinical standards. The... be required. The incumbent ensures compliance to NCQA, URAC, CMS, DOH, and DOL regulations at all times. In addition to utilization...
that utilization management responsibilities are performed in accordance with the highest and most current clinical standards. The... be required. The incumbent ensures compliance to NCQA, URAC, CMS, DOH, and DOL regulations at all times. In addition to utilization...
Details Department: Labor Management Schedule: Full Time/8-Hour Day Shift, Monday-Friday Location: Onsite presence... at local hospitals or Labor Management Office required - Will support 7 hospitals/locations in the Tulsa, Oklahoma area (Tulsa...
management, utilization management, clinical quality, and population health teams. This position is responsible for assisting...Job Description: Metro Minnesota Region Monarch Healthcare Management Corporate Nurse Leader Summary: The...
. Effective resource utilization by the Nurse Coordinator requires coordination with the Clinical Director to plan or change... are required. Provides excellent customer service interfacing well with all levels of staff, management and physicians. Applies Cooper core...
Manager, and the Medical Director or Physicians. The Lead facilitates office-wide communication, coordinates new clinical.... -Assign tasks and responsibilities to team members, ensuring proper workload distribution and effective utilization...
/chemical dependency, orthopedics, general medicine/surgery. Or, 4 years utilization review/case management/clinical...Summary We are currently hiring for a Behavioral Health Case Management Coordinator to join BlueCross BlueShield...
skills are required. Provides excellent customer service interfacing well with all levels of staff, management..., and cost in delivering care. Effective resource utilization by the Nurse Coordinator requires coordination with the Clinical...
. Effective resource utilization by the Nurse Coordinator requires coordination with the Clinical Director to plan or change... are required. Provides excellent customer service interfacing well with all levels of staff, management and physicians. Applies Cooper core...
. The Staff Engineer Software (Flight Management System Software Architect) position will be focused on software... to flight management functionality. This role requires you to have hands-on technical experience and a can-do approach...