- MyFlorida (Gainesville, FL)
- …Profile (application) must be complete in its entirety. + Work History (in easy to review chronological order) Consists of: + Any position held by a State of Florida ... your packet may be held up at the final review step. NOTE:Responses to qualifying questions must be clearly...clients, through proper training and supervision. This includes the utilization of workforce data and tools such as Labor… more
- University of Southern California (Arcadia, CA)
- …three years' experience in clinical disciplines (RN, MD, FMG) or utilization review /case management in an acute care facility, with clinical knowledge. + ... and other clinical staff. + Meets established productivity targets for record review and appropriate query placement. + Demonstrates working knowledge of ICD-10 CM… more
- University of Virginia (Charlottesville, VA)
- …that has extensive area or subject matter expertise. Limited oversight from manager . Manages projects or processes. Coaches, reviews, and delegates work to lower ... Governance: * Organize and maintain a governance committee to review and approve Clinical Pathways * Ensures regular ...to stakeholders and leadership as needed. * Monitor pathway utilization and, in partnership with data analytics, impact of… more
- Point32Health (Canton, MA)
- …Serving nearly 2 million members, Point32Health builds on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and empower ... healthier lives for everyone. Our culture revolves around being a community of care and having shared values that guide our behaviors and decisions. We've had a… more
- University of Pennsylvania (Philadelphia, PA)
- …housekeeping needs. Develops plans related to facility planning, space utilization and management, safety and accessibility requirements. Coordinates operations to ... Will assess and mitigate current and future risk for the department, review risk management policies and procedures, and leads CPR/AED/First Aid certifications and… more
- Fresenius Medical Center (Franklin, TN)
- …strategic planning, evaluation, coordination, and implementation of various managed health care programs (HMO, PPO, POS, etc.) for Payor Relations. Oversees ... contractual relationships with managed care organizations and other third party payors regarding rate...complex potential contracts for financial effect, cost benefit, and utilization . + Develop, implement, and manage various programs that… 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 ... maintaining a patient/customer focus, supports the delivery of high-quality care , shares a passion for patient and customer-centered ...patients regarding patient flow and wait times - keeps manager aware of potential issues as they arise. *… more
- Emory Healthcare/Emory University (Peachtree City, GA)
- …schools + Attend and/or participate in facility meetings as directed by Center Manager (may include utilization review , infection control, disaster ... and more! **Description** + Responsible for the evaluation, plan of care , treatment, re-evaluation, discharge, and appropriate communications of high quality… more
- HCA Healthcare (Trinity, FL)
- …Healthcare Quality) OR CHCQM (Diplomate in American Board of Quality Assurance and Utilization Review Physicians) _Individuals without CPHQ or ABQUARP will be ... of over 180 hospitals and about 2,000 sites of care in 21 states and the United Kingdom. We...Registered Nurse preferred _**If serving as facility's primary Risk Manager , VP must have current Florida license in Healthcare… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …coordination of complex patients to facilitate the delivery of cost-effective health care and identify the appropriate utilization of resources. Coaches patients ... 10-24 and their families for various psychosocial issues, advocacy, and care . Delivers information, referrals, coordinates, negotiates, and procures services and… more
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