- Humana (Des Moines, IA)
- …require interpretation and independent determination of the appropriate courses of action. The Post - Acute Utilization Management Nurse 2: + Review ... caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing...required, with no disciplinary action + 2+ years of Post - Acute clinical experience in a SNF, LTACH… more
- CVS Health (Sacramento, CA)
- …- Must possess 1+ years of clinical experience in acute or post acute setting - Utilization management is a 24/7 operation. Work schedules will ... may include weekends and holidays and evening rotations._ As a Utilization Management Nurse Consultant, you will utilize clinical skills to coordinate, document… more
- CVS Health (Topeka, KS)
- …Nurse + Must possess 1+ years of clinical experience in acute or post - acute setting + Utilization management is a 24/7 operation. Work schedules will ... and external constituents in the coordination and administration of the utilization /benefit management function. + Typical office working environment with… more
- Sutter Health (Berkeley, CA)
- …change. This position coordinates the utilization management , resource management , discharge planning, post - acute care referrals and care ... interview patient/family and determine preferences for post - acute care services. Utilization Management . * Completes initial InterQual review screening… more
- Sutter Health (San Francisco, CA)
- …oversees the Case Management Assistants to determine preferences for post - acute care services. Utilization Management . * Reviews medical record to ... communicates to patient/family prior to transition. * Assures necessary paperwork for post - acute transfers to comply with state and federal regulatory… more
- ChenMed (Houston, TX)
- …Assists and coordinates, in conjunction with the transitional care team; hospital, SNF, post - acute , delegated utilization management and home-based ... Director/Manager, Center Managers, external sub-specialists and providers in hospitals and post - acute care facilities. **KNOWLEDGE, SKILLS AND ABILITIES:** +… more
- Insight Global (Philadelphia, PA)
- …to work from home 3+ years of case management and utilization management experience Post acute Care experience Discharge planning and post ... Management when indicated. Efficiently collaborates with the hospital utilization review department, attending physicians and members/families as appropriate. We… more
- Trinity Health (Des Moines, IA)
- …member of Mercy One's PHSO Care Management department, the Manager of Post Acute and Transition Care management provides leadership in understanding, ... management program. The incumbent is accountable for the management of all PHSO Post - Acute ...PHSO strategies and infrastructure necessary to effectively manage costs, utilization and quality associated with risk contracts in the… more
- HCA Healthcare (Asheville, NC)
- …prevent readmissions, and lower total cost of care thru the appropriate utilization of Post - Acute services.** **Qualifications:** **Required Education: ... environment where diversity and inclusion thrive? Submit your application for our Post Acute Transition Specialist CarePartners opening with CarePartners today… more
- Ascension Health (Baltimore, MD)
- …Services at Ascension Saint Agnes Hospital is responsible for overseeing the integration and management of Post Acute Care, Palliative Care, and Transitional ... treatment planning and core measures, Discharge Planning, tracking of the post - acute period and provision of disease management , and contracting internally… more