The RNUtilization Review Nurse collaborates as necessary with othermembers of the health care team to ensure the above according tothe mission of CHRISTUS. The campus also boasts an Outpatient Imaging Center and threemedical plazas, one of which houses our CHRISTUS Santa Rosa FamilyMedicine Residenc...
Coordinates the integration of case management functions into the patient care and discharge planning processes in collaboration with other hospital departments, external service organizations, agencies, and healthcare facilities. Must have working knowledge of discharge planning, utilization manage...
Cross-trained care management and population health teams. We’re a physician-led, patient-centric network committed to simplifying health care and bringing a more connected kind of care. When you join our team, you become part of a compassionate community of people who work hard every day to make he...
The RN Utilization Review Nurse collaborates as necessary with other members of the health care team to ensure the above according to the mission of CHRISTUS. The campus also boasts an Outpatient Imaging Center and three medical plazas, one of which houses our CHRISTUS Santa Rosa Family Medicine Res...
Promotes a population health management approach to health care within a managed health care environment for assigned product lines including STAR Kids, STAR+PLUS, Medicare Advantage and Medicare Advantage Dual Special Needs Plan (D-SNP). Actively participates with the directors, managers and team l...
Works collaboratively with Inventory Management Specialist – Automatic Inventory Replenishment System, Patient Care Services, and Materials Management staff to assure that departmental expectations are achieved while optimizing inventory and par levels. Primary responsibilities will be to assist the...
Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health ...
Must have working knowledge of discharge planning, utilization management, case management, performance improvement, and managed care reimbursement. The CM is responsible for identifying, initiating, and managing optimal patient flow/throughput to enhance continuity of care, smooth and safe transiti...
Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health ...
The campus also boasts an Outpatient Imaging Center and three medical plazas, one of which houses our CHRISTUS Santa Rosa Family Medicine Residency Program and CHRISTUS Santa Rosa Family Health Center. CPHQ (Certified Professional in Healthcare Quality) preferred. ...
A personal commitment to treat all Health System customers with courtesy, dignity, respect and professionalism and adherence to the University Health Commitment to Service Excellence behaviors and standards. Primary responsibility will be to proactively manage all aspects of the inventory management...
Manages, supervises Service Coordinators, and assists the Director of STAR+PLUS with oversight of Service Coordination (SC) staff in the Population Health Management department to facilitate high-quality, cost-effective care for Community First Health Plans, Inc. Seven years of clinical nursing or s...
Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health ...
Maintains daily reciepts summary spreadsheet to inform PFS Management of cash. UMC Health System provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment on the basis of race, color, religion, age, sex, national origin, disabi...
Coordinates the integration of case management functions into the patient care and discharge planning processes in collaboration with other hospital departments, external service organizations, agencies, and healthcare facilities. Must have working knowledge of discharge planning, utilization manage...
Account Management/ Case Management in the Healthcare and/or 1 year of Medical Front office experience. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. We want everyone who works at CVS Health to feel empowered by the role they play in...
Tracks Skilled (MRA/MCO/MCG/MMP) customers utilizing Case Management Tools to determine continued and appropriate Medicare/Managed Care eligibility and benefit period through regular communications with Regional Care Management Specialist, Business Office and external Case Managers. Ensures timely, ...
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. Follows the CHRISTUS Guidelines related to the Health Insurance Portability and Accountability ACT (HIPPA) designed to prevent or detect una...
Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. Nurse Medical Management II - Utilization Management. Requires minimum of 3 years acute care clinical experience or case management, utilization management or managed care experience; or...
Coordinates the integration of case management functions into the patient care and discharge planning processes in collaboration with other hospital departments, external service organizations, agencies, and healthcare facilities. Must have working knowledge of discharge planning, utilization manage...
This Analyst Healthcare Quality Management will be a Quality Practice Liaison who builds positive relationships between Aetna Better Health (ABH) and its providers to facilitate high quality care for members. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every m...
Works collaboratively with Inventory Management Specialist – Automatic Inventory Replenishment System, Patient Care Services, and Materials Management staff to assure that departmental expectations are achieved while optimizing inventory and par levels. Primary responsibilities will be to assist the...
Are you a dedicated nursing professional with a passion for maternal and newborn care? Our client, a highly reputable Women's Healthcare Unit, is seeking an experienced and dynamic Nurse Director for their Postpartum unit. This is a unique opportunity to lead a team of exceptional health care provid...
Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health ...
Licensed Master Social Worker – Case Management. University Health System is one of the largest employers in San Antonio. Our mission is to improve the good health of the community through high quality compassionate patient care, innovation, education and discovery. We are currently looking fo...