- Humana (Miramar, FL)
- …referral source and provider interactions and communications. Work with Pre-Authorization, Utilization Management, Billing, Pharmacy, Home Care and DME regarding ... in the Health Plan contractual agreements. The Pre-Service Coordinator will review inbound referrals and correspondence for processing, fulfilment or resolution… more
- Veterans Affairs, Veterans Health Administration (Topeka, KS)
- …for Quality Management and Quality Improvement Activities such as Medical Record Review , Drug Utilization Evaluation in consultation with pharmacist, Peer ... determined by the VA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply.… more
- Guthrie (Sayre, PA)
- …patient care , patient and employee safety and ensure cost-effective utilization of financial resources and the sharing of opportunities. + Responsible for ... Position Summary: The Program Manager , Value Analysis will lead the establishment and...maintain expert clinical knowledge to create optimization of patient care , patient safety, caregiver safety, physician satisfaction, and supply… more
- Trinity Health (Syracuse, NY)
- …presence within our communities. Vision: .To be world-renowned for passionate patient care and outstanding clinical outcomes. Core Values: .In the spirit of good ... + Front desk staff report to this position who then reports to Practice Manager . + Management of staff schedules + Lead and participate in projects that improve… more
- HCA Healthcare (Gainesville, FL)
- …Cardiac Cath Lab with HCA Florida North Florida Hospital, you can be a manager in an organization that is devoted to giving! **Benefits** HCA Florida North Florida ... auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. + Free counseling… more
- Elevance Health (WA)
- …or equivalent. Requires a minimum of 2 years of clinical experience and/or utilization review experience. + Current active, valid and unrestricted LPN/LVN or ... focused on transforming how healthcare is delivered and promoting the advancement of care for the people we serve. Candidates** **Must live in within a reasonable… more
- Hackensack Meridian Health (Edison, NJ)
- …performance of the national STS/TVT, ACC-NCDR, and NJDHSS CV databases. Develops utilization of the Cardiovascular Registry Program to its full potential, by ... continually providing database utilization education, and training of appropriate personnel, including the CV Registry abstractor(s), regarding accurate and complete… more
- HCA Healthcare (Jourdanton, TX)
- …team. Grow your career with an organization committed to delivering respectful, compassionate care , and where the unique and intrinsic worth of each individual is ... auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. + Free counseling… more
- Beth Israel Lahey Health (Charlestown, MA)
- …include, utilization of our ERP system to: process/enter invoices/credits, review and resolve invoice coding and statement issues, monitor and respond to ... you're making a difference in people's lives.** Under the supervision of the Manager and following the established guidelines, performs a variety of clerical and… more
- Carrier (Lisle, IL)
- …team performance. This position will report directly to the Regional General Manager and dotted line to the North American Sales Leader. **Key Responsibilities:** ... + In conjunction with the Regional General Manager , you will recruit, train, develop, and coach the...the sales teams are fully trained and driving full utilization of the ALC Field sales tools, processes and… more