- KBR (Fort Benning, GA)
- …as assigned by the HP program Manager and/or Coordinator. + Document care provided, work performed, utilization , referrals, and all other information in the ... scope of practice. + Participate in periodic meetings to review the care provided to patients and...+ Serve as an advisor to the HP program Manager and/or Coordinator in matters related to injury prevention,… more
- Elevance Health (Los Angeles, CA)
- …Works on reviews that are routine having limited or no previous medical review experience requiring guidance by more senior colleagues and/or management. + Partners ... information presented meets medical necessity criteria or requires additional medical necessity review . + Conducts initial medical necessity review of exception… more
- University of Miami (Miami, FL)
- … of oncology and non-oncology therapy. Responsibilities: + Collaborate with Utilization Review Department and providers to ensure clinically appropriate, ... faculty or staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The Reimbursement Pharmacist… more
- Fresenius Medical Center (Vancouver, WA)
- … staff and by performing Acute treatments as needed or directed by Program manager . Assumes the provision of quality patient care to all hospitalized patients ... as deemed necessary. + Coordinate and schedule direct patient care staff to provide coverage of Acute Dialysis treatments...their direct supervision and submit results to the Program Manager for review . + Ensure all Acute… more
- University of Southern California (Los Angeles, CA)
- …and other issues or concerns relating to clinical specialty. Collaborates with Unit Manager in the appropriate utilization of resources and establishing cost ... CNS educates and guides the nursing staff and health care team members in the provision of patient ...nurses in coordination with the Education Department and Unit Manager . Develop goals, objectives and lesson plans and conducts… more
- HCA Healthcare (Savannah, GA)
- …a Director of Physician Services II with Memorial Health, you can be a manager in an organization that is devoted to giving! **Benefits** Memorial Health, offers a ... auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. + Free counseling… more
- KBR (Fort Bragg, NC)
- …as assigned by the HP program Manager and/or Coordinator. + Document care provided, work performed, utilization , referrals, and all other information in the ... scope of practice. + Participate in periodic meetings to review the care provided to patients and...+ Serve as an advisor to the HP program Manager and/or Coordinator in matters related to injury prevention,… more
- UPMC (Cumberland, MD)
- …and/or disease management required. + Three years of experience in a managed care environment, utilization , case, or disease management preferred. + Ability to ... at high risk for readmission on their transition of care . The Transition Coordinator coordinates care with...Health Plan Quality Management Department. + Complete an overall review of medical record to determine admission diagnoses, barriers,… more
- CenterWell (Daytona Beach, FL)
- …in patient experience, quality of care , clinical outcomes, and avoidable utilization *Periodically review clinician charts to identify opportunities in ... and social determinants of health (SDOH) efforts, improving clinical outcomes and avoidable utilization *Monitor and manage daily patient care and initiatives to… more
- CenterWell (Jacksonville, FL)
- …in patient experience, quality of care , clinical outcomes, and avoidable utilization + Periodically review clinician charts to identify opportunities in ... of health (SDOH) efforts, improving clinical outcomes and avoidable utilization + Monitor and manage daily patient care...and monitor clinical & financial performance and metrics. + Review clinician schedules and incentive plans to align with… more