- UPMC (Hanover, PA)
- **UPMC is hiring a part time Professional Care Manager for our Utilization Review department in Hanover! This is a part time, day shift position with a ... rotating weekend and holiday schedule.** **Purpose:** The Care Manager (CM) coordinates the clinical and financial plan for patients. Performs overall … more
- Stanford Health Care (Palo Alto, CA)
- …work-life balance while honoring its commitment to delivering evidence-based and patient-centered care . We are seeking a results-driven manager to further ... our robust, Utilization Management team. Are you driven by health care innovation, partnerships, and measurable results to improve the continuity of care… more
- VNS Health (Manhattan, NY)
- … utilization management processes are followed by the service operations staff, utilization staff, and the interdisciplinary care team to ensure cost ... , staff productivity and coverage. + Generates management reports via the care / utilization management systems and demonstrates competency as a super user… more
- Mount Sinai Health System (New York, NY)
- …in Nursing or health-related field preferred. + 5 years minimum of progressive acute care leadership and acute care utilization review experience. + ... **Job Description** The Utilization Review Manager for the Selikoff...area of nursing practice assigned; in this case, acute care utilization review. + Previous experience making… more
- Lucile Packard Children's Hospital Stanford (Palo Alto, CA)
- …to optimal patient outcomes. A Case Manager differs from other roles in professional nursing/health care practice in that it is not intended to provide ... include coordinating all facets of a patient's admission/discharge; performing utilization review activities, including review of patient charts for...direct patient care ; rather, a Case Manager will be… more
- Independent Health (Buffalo, NY)
- …perks, benefits and commitment to diversity and inclusion. **Overview** The Program Manager - Utilization Management (UM) will be accountable for the management, ... containment activities, and services on automated UM review. The Program Manager will ensure accurate implementation, system configuration and appropriate benefit… more
- Prime Healthcare (Elgin, IL)
- …required professional . 2. Minimum of 3 years' experience in Utilization review / Denial management process. Preferred qualifications: 1. ECFMG Certification ... staff and hospital management staff. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/179182/regional- utilization -review- manager /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilitySaint Joseph Hospital - Elgin… more
- VNS Health (Manhattan, NY)
- …and cost-effective health care services. Manages providers, members, team, or care manager generated requests for medical services and renders clinical ... subject matter experts, physicians, member representatives, and discharge planners in utilization tracking, care coordination, and monitoring to ensure … more
- Veterans Affairs, Veterans Health Administration (Palo Alto, CA)
- …within a grade. The Dimension requirements (Practice, Veteran/Patient Driven Care , Leadership, Professional Development and Evidence-Based Practice/Research) are ... Former EDRP participants ineligible to apply. Responsibilities The RN - Utilization Management is focused on individual growth and development in practice… more
- Catholic Health Services (Melville, NY)
- …Health was named Long Island's Top Workplace! Job Details Position Summary: The Utilization and Appeals Manager (UAM) proactively conducts clinical reviews and ... current with industry standards and business objectives related to Utilization and Care Management as appropriate. |...minimal oversight and direction. | Demonstrates a courteous and professional demeanor, team spirit and the ability to work… more