- University of Rochester (Rochester, NY)
- …**Responsibilities:** GENERAL PURPOSE Ensures University facilities are optimal for utilization . Administers and coordinates projects for the design, construction, ... Planning and Project Management to provide technical assistance, including review and support of design and engineering safety regulations...looking for a career in higher education or health care , the University of Rochester may offer the perfect… more
- St. Bernard's Medical Center (Jonesboro, AR)
- … and cost effectiveness through the integration and functions of case management and utilization review . The person in this position is self-directed, has a ... positive attitude, has the ability to motivate others toward achieving goals, and has a strong sense of and respect for confidentiality involving both patients and fellow employees. more
- Burns & McDonnell (Denver, CO)
- …cost, schedule and quality of assigned projects. + Ensure that the project review process and other quality control guidelines are followed. + Establish project ... coordinate activities of multiple disciplines, ensure the efficient, cost-effective utilization of staff. **Qualifications** + Bachelor's degree in engineering or… more
- WestCare Foundation (Fresno, CA)
- …meetings and presentations with referral agencies. * Implement Quality Assurance and Utilization Review systems that monitor the effectiveness of the program. ... working with the homeless population, substance users and or mental health care systems. + Management and administrative experience and capabilities; + Must possess… more
- Intermountain Health (Ogden, UT)
- …for service authorizations in accordance with contractual requirements and communicates with care managers, utilization review RNs, revenue cycle, and ... retrieves medical records from Health Information Management for retrospective utilization review or quality assurance. + Delivers...prior to the patient choice consultation conducted by the care manager or social worker. + Aids… more
- BayCare Health System (Bradenton, FL)
- …agency staff. + Participates with Case Manager on initial Plan of Care review with a focus on quality, utilization and individual patient care goals. ... bodies within the area of responsibility. + Ensure quality assurance program and utilization review is followed in accordance with Home Care protocol. +… more
- BayCare Health System (Dunedin, FL)
- …agency staff + Participates with Case Manager on initial Plan of Care review with a focus on quality, utilization and individual patient care goals ... bodies within the area of responsibility + Ensure quality assurance program and utilization review is followed in accordance with Home Care protocol +… more
- Bassett Healthcare (Cooperstown, NY)
- …exceptions, as measured by direct supervisory observation and random supervisory chart review + Demonstrates consideration of safety, effective utilization of ... Nurse RN will provide clinical support and direct patient care in a variety of inpatient units during peak...than 3-5 exceptions, as measured by random supervisory chart review and/or direct supervisory observation and co-worker feedback +… more
- Molina Healthcare (AZ)
- …Qualifications * Experience with utilization /quality program management. * Managed care experience. * Peer review experience. * Certified Professional in ... in preparation for national committee for quality assurance (NCQA) and utilization review accreditation commission (URAC) certifications. * Provides leadership… more
- CVS Health (Springfield, IL)
- …to meet the requirements of the position **Preferred Qualifications** + Certified Case Manager + 3+ years Care Management, Discharge Planning and/or Home Health ... with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we...who cannot advocate for themselves. The TOC team will review prior claims to address potential impact on current… more