- Cleveland Clinic (Cleveland, OH)
- ** Non -Invasive and Invasive Cardiologists** Sydell and Arnold Miller Family Heart, Vascular & Thoracic Institute Cleveland Clinic Regional Cardiovascular Medicine ... Non -Invasive, Invasive Cardiologist _Cleveland Clinic is recognized in the...at the Cleveland Clinic Lerner College of Medicine of Case Western Reserve University. This dynamic position commands an… more
- Catholic Health Initiatives (Lincoln, NE)
- …other healthcare professionals. + Participate in interdisciplinary team meetings and case discussions. + Provide consultative services to other healthcare providers. ... Improvement: + Participate in quality assurance and improvement initiatives. + Review and analyze clinical outcomes for continuous improvement. + Implement changes… more
- Guthrie (Binghamton, NY)
- Provides health care services regarding admissions, case management, discharge planning and utilization review . Responsibilites: Reviews admissions and service ... Guthrie Clinic is an Equal Opportunity Employer. The Guthrie Clinic is a non -profit, integrated, practicing physician -led organization in the Twin Tiers of New… more
- Sharp HealthCare (San Diego, CA)
- …rev1ew process. + Participates in risk management, pharmacy utilization management, catastrophic case review , outreach programs, HEDIS reporting, site visit ... Supervises the process for identifying Potential Quality Issues. + Supervises Physician Reviewer (s) + Shares after-hours coverage responsibilities with other… more
- BlueCross BlueShield of Tennessee (Chattanooga, TN)
- …support of medical management and quality improvement initiatives\. + Direct and support physician review to ensure timeliness, accuracy and reliability of UM ... **Are you a board\-certified physician ready to take the next step in...clinical leader to join our team as Lead Medical Review Director-a pivotal role with a clear path toward… more
- Guthrie (Sayre, PA)
- …of all operational aspects for Care Coordination including, but not limited to Case Management, Utilization Review (UR), Utilization Management (UM), and Medical ... Guthrie Clinic is an Equal Opportunity Employer. The Guthrie Clinic is a non -profit, integrated, practicing physician -led organization in the Twin Tiers of New… more
- Dignity Health (Bakersfield, CA)
- …to review medical records, authorize requested services and prepare cases for physician review based on medical necessity. The position partners with both ... as deemed appropriate. - Identify cases that require additional case management. - Composes denial letter in a manner...Ensures that there is evidence that the UM nurse reviewer documented communications with the requesting provider to validate… more
- ChenMed (Oakland Park, FL)
- …programs and identify patient interest in participation. + Coordinate acute UR physician meetings. **Community Case Manager** ( _primarily clinic and community ... rapidly expanding and we need great people to join our team. The Nurse Case Manager 1 (RN) is responsible for achieving positive patient outcomes and managing… more
- Johns Hopkins University (Baltimore, MD)
- …studies, and other tests in a timely fashion, and then gathering results for physician review . + Coordinate patient visits within specialty program that requires ... and rescheduling of clinics for providers who have a non -schegistrar as their MOC. + Collect insurance information, and...Services and/or JHH Patient Financial Services. + Support the physician with insurance preauthorization and single case … more
- Hartford HealthCare (Bloomfield, CT)
- …families. Basic Purpose of the Position: Work in collaboration with hospital case managers and or social workers, skilled nursing facilities, Assisted living ... and trust across the continuum -Marketing HHCAH service lines for system and non -system partners -Identifying patients at risk during transition to home (or SNF)… more