- Veterans Affairs, Veterans Health Administration (Cleveland, OH)
- …and implements an individualized plan to achieve optimal population health and disease management . Demonstrates leadership and works collaboratively with the ... information systems to track service activities including admissions process, bed management , bed utilization across bed types, patient demographics, equipment… more
- Veterans Affairs, Veterans Health Administration (Chillicothe, OH)
- …care with other physicians when eye disease is concurrent with systemic disease Responsible for diagnosis, management and treatment of visual and ocular ... the eye and ocular adnexa using advanced optometric technology and utilization of medical imaging/information: laboratory results, radiology services etc. Utilizes… more
- Veterans Affairs, Veterans Health Administration (Cleveland, OH)
- …General (OIG) such as temperature checks, inventory control, blood utilization tracking, instrument maintenance and testing. Maintains accountability for inventory ... shifts and inventory of expendable supplies. Follows all safety and infectious disease policies while conducting duties of the position. Performs routine and stat… more
- Molina Healthcare (Cleveland, OH)
- …HMO regulations, managed healthcare systems, quality improvement, medical utilization management , risk management , risk adjustment, disease management ... Summary** Responsible for serving as the primary liaison between administration and medical staff. Assures the ongoing development and...resource management . + Develops and implements a Utilization Management program and action plan, which… more
- CVS Health (OH)
- …with the benefit plan. + Identifies triggers for referral into Aetna's Case Management , Disease Management , Mixed Services, and other Specialty Programs. ... May assist in the research and resolution of claims payment issues. Supports the administration of the hospital care, case management and quality management … more
- Evolent (Columbus, OH)
- …Doing:** As a Cardiology, Field Medical Director you will be a key member of the utilization management team. We can offer you a meaningful way to make a ... the Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. +… more
- OhioHealth (Columbus, OH)
- …interpreting prescriptions, managing patient drug therapy, and performing drug utilization . Pharmacists are expected to work efficiently both independently and ... healthcare field * Pharmacokinetic drug dosing experience * Drug therapy management * Collaborative practice experience * Advanced Cardiac Life Support Certification… more
- CVS Health (OH)
- …Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible ... interpretation of applicable criteria and clinical guidelines, standardized care management plans, polices, procedures and regulatory standards while assessing… more
- Highmark Health (Columbus, OH)
- …:** **JOB SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and ... participates as the physician member of the multidisciplinary team for case and disease management . They will advise the multidisciplinary team on cases,… more