- NorthWest Senior & Disability Services (Salem, OR)
- …with physical disabilities, age 18 years and older + Performs assessments for case planning and intervention + Completes a written report that encompasses the ... Rules and Oregon Revised Statutes 2. Performs assessments for case planning and intervention + Work closely with other...that encompasses the evidence gathered during the investigation + Review the information and make a determination as to… more
- Omaha Children's Hospital (Omaha, NE)
- …physician advisor. o Guides admitting physician in protocols for conducting physician to physician review with third-party payers. o Appropriately ... Utilization Management (UM) is a specialty area of Nursing Case Management (NCM) and is responsible for reviewing and...medical necessity and works collaboratively with patient accounts, the physician advisor, and NCM in various aspects of denial… more
- Omaha Children's Hospital (Omaha, NE)
- …physician advisor. * Guides admitting physician in protocols for conducting physician to physician review with third-party payers. * Appropriately ... Utilization Management (UM) is a specialty area of Nursing Case Management (NCM) and is responsible for reviewing and...medical necessity and works collaboratively with patient accounts, the physician advisor, and NCM in various aspects of denial… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …Emory University School of Medicine (Emory) are seeking a visionary and collaborative physician leader with a strong clinical and academic foundation to serve as ... Chief, Endocrinology. The Division Chief will serve as the primary physician leader for Endocrinology for Children's, providing strategic leadership and oversight… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …Emory University School of Medicine (Emory) are seeking a visionary and collaborative physician leader with a strong clinical and academic foundation to serve as ... Division Chief, Nephrology. The Division Chief will serve as the primary physician leader for Nephrology for Children's providing strategic leadership and oversight… more
- The County of Los Angeles (Los Angeles, CA)
- …medicine, nursing, and administration. Incumbents seek the expert opinion or advice of a physician whenever the incumbent determines if a case falls outside the ... management as well as any subsequent modification. Incumbents may review use and effects of psychotropic drugs and other...case that are detailed and complete for any physician reviewing them to evaluate the effectiveness of the… more
- State of Colorado (Grand Junction, CO)
- …Address 360 28 Rd, Grand Junction, CO 81501 FLSA Status Non -Exempt; position is eligible for overtime compensation. Department Contact Information ###@state.co.us ... from the residency requirements. Applications will be considered from residents and non -residents of Colorado. How To Apply Please submit an online application for… more
- Brighton Health Plan Solutions, LLC (Westbury, NY)
- About The Role MagnaCare provides Utilization Review / Case Management/ Medical Management/Claims Review services to its clients. Care Coordinators facilitate ... healthcare services. Primary Responsibilities + Collect data from claimant representative, physician , or hospital; verify claimant case status and provider… more
- UPMC (Pittsburgh, PA)
- …and non -emergent member care needs and communicates with the physician /advanced practice provider as appropriate. Demonstrates knowledge and understanding of the ... face-to-face assessments that include a clinical assessment and treatment, a review of the medical, functional, behavioral, pharmaceutical, and social needs of… more
- Blue KC (MO)
- …discount program** **Job Description Summary:** Provides medical leadership and physician advice for the Medical Management function. Additionally, provides ... within Medical Management, eg, medical policy, credentialing, utilization management, case management, patient centered medical home, population management, reporting… more