- Magellan Health Services (Boise, ID)
- …and implement solutions that directly influence quality of care . General Job Information Title Care Manager ( UM / UR ) - Remote, Idaho Licensed Grade 24 ... + Maintains an active work load in accordance with National Care Manager performance standards. + Works with community agencies as appropriate. Proposes… more
- Apex Health Solutions (Houston, TX)
- …staff when benefit coverage or UR questions or issues arise. To support care management initiatives, the UM Reviewer should also identify enrollees in need ... a contact and resource person to Health Solutions' members for the utilization review ( UR ) of healthcare services. The UM Reviewer will be responsible for… more
- Cleveland Clinic (Cleveland, OH)
- …Physician Adviser interaction and special projects which are coordinated and directed by the UM Team Manager . **A caregiver in this position works 8:00AM - ... relationships with TCC's, physicians and the multidisciplinary team. + Document appropriately in UM notes to provide evidence that the UR process for the… more
- LifePoint Health (Hickory, NC)
- …in the absence of the Director. Accountable for the execution, adaptation, and outcome of care management as described in the initial UM plan with regard to ... Job Summary Manager of Case Management in the departments activities...beautiful foothills of North Carolina is a 355-bed acute care hospital, 81-bed Behavioral Health facility and more than… more
- Covenant Health (Nashua, NH)
- …special projects at the request of the VP MA / CMO and/or Director of Care Coordination or Manager Care Coordination/Case Management + Other duties as ... and enhancing quality, cost-effective clinical outcomes. The RN Case Manager works closely with, and delegates care ...directives + Works collaboratively with the Hospitalist group and UR nurses to determine level of status based on… more
- Covenant Health (Bangor, ME)
- …the patient and assists in providing information regarding their insurance coverage. The UR Nurse Case Manager conducts medical necessity reviews in accordance ... to the position. Summary In direct delivery of patient care , and under the supervision of the VP of...Operations & Population Health Strategy the Utilization Review Case Manager will work collaboratively with other members of the… more
- Catholic Health Services (Melville, NY)
- …and human services agencies. Our health system has over 16,000 employees, six acute care hospitals, three nursing homes, a home health service, hospice and a network ... we treat and serve our communities. We work collaboratively to provide compassionate care and utilize evidence based practice to improve outcomes - to every patient,… more