UTILIZATION MANAGEMENT CLINICAL QUALITY jobs in UNITED STATES, United Kingdom

to deliver clinical excellence behind the scenes in data science, case management or transfer centers. Unlock your potential... a balance of optimal care and appropriate resource utilization · Provides case management services for both inpatient...

We are now hiring a Full-time RN Clinical Manager for our home office in Manchester, TN. This position is a full time... we serve—it truly is all about helping people. You can find a home for your career here. As a Clinical Manager, you can...

and appropriate resource utilization · Provides case management services for both inpatient and observation patients as assigned... Diploma Bachelor’s Degree in Nursing 2+ years experience in case management OR 3+ years experience in clinical nursing...

and appropriate resource utilization · Provides case management services for both inpatient and observation patients as assigned... Diploma Bachelor’s Degree in Nursing 2+ years experience in case management OR 3+ years experience in clinical nursing...

Job Description The Program Director (PD) is responsible for the supervision and management of the treatment program... quality and initiates any quality improvement that may be necessary. Supervise weekly Treatment Team Meetings to ensure...

include: Patient Focus; Human Resource Management; Financial Management; Departmental/Organizational Support; and Clinical...: The Assistant Clinical Manager collaborates and supports the health care team in the delivery of quality evidence-based...

The Clinical Manager is responsible for the coordination of high quality, cost-effective patient care. This position... and appropriateness for home care services and establishment of frequencies and utilization for new admissions. Works closely with the...

excellence. Serving all aspects of the industry, Hines is committed to conserving health care dollars while ensuring quality care... DESCRIPTION: This individual will utilize clinical knowledge and communication skills to obtain patient specific information regarding patient...

The Clinical Care Manager is responsible for utilization management by conducting utilization review activities..., population management, cross-system consultation, provider management and treatment quality monitoring. The Clinical Care Manager...

CARE SPECIALIST - ECM Are you a dedicated individual with a passion for providing quality care and making a positive... your commitment to delivering high-quality care. If you possess these qualities and are ready to embrace a role that demands...

The Utilization Management Clinical Quality Nurse Reviewer RN II, under the purview the Utilization Management... on audit findings, as well as make recommendations, to submit to the department's Quality Assurance Team and UM Management...

Physician Advisor, Quality Utilization Management The Physician Advisor, Utilization Management (UM), provides... clinical and management guidance to enhance process improvement and resource management at the hospital level. Reporting to the...

meaning behind Caring. Connecting. Growing together. The Regulatory Adherence Utilization Management Sr. Clinical Quality RN... is responsible for monitoring and reporting compliance issues, with Utilization Management (UM) organization determinations...

seeks a Utilization Management (UM) Nurse Clinical Reviewer - LPN/RN (Remote U.S.) to join our growing team. Job Summary..., or Bachelor’s Degree Nursing Program. 2+ years of Utilization Management (UM) experience from the State, Hospital, or Health Plan...

Utilizes clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management program... constituents in the coordination and administration of the utilization/benefit management function. Required Qualifications...

Join our team at VillageCare as a Full Time Utilization Management, Non-Clinical Supervisor in this exciting remote... to individuals residing within New York City for over 45 years. What does a Utilization Management, Non-Clinical Supervisor...

sector. Acentra is looking for a Utilization Management - Mental Health Clinical Reviewer to join our growing team..., services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the...