- CommonSpirit Health (Phoenix, AZ)
- …for completing quality assurance reviews of work performed and communicating with department manager and director the outcomes of the review and any identified ... responsibilities leading up to or including supervisory role + Experience in Utilization Management, Case Management or Care Coordination, Managed Care… more
- Elevance Health (FL)
- …must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US ... health medical services, to ensure the appropriate and most cost-effective medical care is received. May be responsible for developing and implementing programs to… more
- Veterans Affairs, Veterans Health Administration (Huntington, WV)
- …transportation to Veterans who require assistance traveling to and from VA health care facilities and authorized non-VA health care appointments within the ... Manages demand against available resources to increase access to medical care through the Medical Centers organic transportation resources. Collaborates with service… more
- Actalent (Sacramento, CA)
- …(eg, med-surg, telemetry, ICU) + At least 1 year of experience in utilization review , case management, or hospital discharge planning + Familiarity with ... within 50 miles of the Sacramento area Job Duties + Perform timely utilization reviews for Medicare inpatient admissions, continued stays, and discharges + Apply CMS… more
- University of Washington (Seattle, WA)
- …auditor, certified professional in utilization review (or utilization management or healthcare management), certified case manager , certified ... and communicated payer decisions in a timely manner + Review clinical denials and initiate appeals process + Conduct...by advancing medical knowledge, providing outstanding primary and specialty care to the people of the region, and preparing… more
- State of Colorado (Golden, CO)
- …diagnostic equipment, medication formulary, quality assurance program, and hospitalization utilization review . This position works collaboratively with Agency ... is the agency statutorily mandated to provide for the care and supervision of youth committed by the District...include staffing patterns and assignments, training and quality assurance review in collaboration with the DYS Quality Coordinator for… more
- MTC (Anson, TX)
- …rotation. + Refer patients for specialty consultations and treatment through the utilization manager process. + Utilize established corporate, facility and ... + Monitor all potential catastrophic illnesses. + Implement basic cost containment and utilization management for patient care and facility operations. + Comply… more
- Roper St. Francis (Summerville, SC)
- …critical thinking. Ability to run effective shift safety huddles, report safety concerns, review device utilization , report staffing concerns, and review ... Thank you for considering a career at Roper St. Francis Healthcare! ** Manager seeking prior Labor And Delivery RN experience.** **Shift Hours:** 7:00pm - 7:30am… more
- HCA Healthcare (Ocala, FL)
- …auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. + Free counseling ... assistance. + Referral services for child, elder and pet care , home and auto repair, event planning and more...Pharmacist will assist the Director of Pharmacy and Clinical Manager in the development of Pharmacy clinical services and… more
- Penn Medicine (Philadelphia, PA)
- …is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field ... communicates to staff the importance of patient satisfaction, quality of care , and sound financial performance; and champions our successes and priorities… more