and hospital acquired conditions/never events.. The Utilization Management Nurse, Senior will report to the Senior Manager... In this role, you will: Perform retrospective utilization reviews and first level determination approvals for members using BSC...
preferred. Comprehensive knowledge of case management, discharge planning, utilization management, disease management... and ability to interact with all levels including senior management and influence decision-making. About the Team: About Blue...
outpatient setting. The Senior Care Manager will report to the Manager of Care Management. In this role you will ensure.... Care Managers perform a blended function of utilization management (UM) and care management (CM) activities demonstrating...
be the architect of patient care excellence, reporting directly to the Senior Operations Leader. You'll be entrusted... utilization. Providence Little Company of Mary Medical Center San Pedro is a mission-driven hospital providing comprehensive...