- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …of services and care. * Provides referrals to Case management , Disease Management , Appeals & Grievances, and Quality Departments as needed. * Develop and ... About The Role BHPS provides Utilization Management services to its clients. The Utilization ...compliance with regulatory and accreditation standards * Identifies potential quality of care issues, service or treatment delays and… more
- University of Utah Health (Salt Lake City, UT)
- …are committed to the values of compassion, collaboration, innovation, responsibility, integrity, quality and trust that are integral to our mission. EO/AA_ This ... Center and is nationally ranked and recognized for our academic research, quality standards and overall patient experience. Our five hospitals and eleven clinics… more
- UTMB Health (Webster, TX)
- …arising during care coordination processes and report issue/concern to the CMC Quality /Risk Management Department. + Collaborates with UTMB TDCJ Care Managers, ... during infirmary placement and reports issue/concern to the CMC Quality /Risk Management Department. + Demonstrates strong problem...achieve target. + Presents LOS variances for review to Director and Inpatient Medical Director .… more
- Brighton Health Plan Solutions, LLC (NC)
- …of services and care. * Provides referrals to Case management , Disease Management , Appeals & Grievances, and Quality Departments as needed. * Develop and ... About The Role BHPS provides Utilization Management services to its clients. The Utilization ...compliance with regulatory and accreditation standards * Identifies potential quality of care issues, service or treatment delays and… more
- Pacific Medical Centers (Renton, WA)
- …collaboratively and proactively with Director of Operations and USFHP Medical Director (s) to develop and implement strategic case management and utilization ... **Description** The Supervisor Care Management RN is responsible for the supervision of...experience **Preferred Qualifications:** + Bachelor's Degree Nursing + Acute inpatient , skilled nursing facility, home health or community health… more
- Beth Israel Lahey Health (Burlington, MA)
- …strategic planning 2 Supervisors Department strategic planning, Day to Day management 4 Inpatient Pharmacists/Technicians Oversight of daily activities 5 ... and timely manner under the direct supervision of an inpatient pharmacist. Develops a full understanding of the drug...1. Directly supervises the pharmacy staff to assure the quality of pharmaceutical services. 2. Supervises and monitors the… more
- HCA Healthcare (Nashville, TN)
- …other members of the interdisciplinary care team to effect timely, appropriate patient management . + Monitor the quality of CM interactions with patients, ... clear understanding and adherence to department processes. + Monitor quality of documentation and assessments by regularly auditing the...daily, weekly and monthly reports as assigned by the Director of Case Management . + Seek ways… more
- University of Southern California (Alhambra, CA)
- …The role integrates the functions of complex case management , utilization management , quality management , discharge planning assessment, and coordination ... meet an individual's health care needs to promote cost-effective, quality outcomes. Serves as a consultant to members of...as requested by department director or Medical Director . + Outcomes Management 1. Participates in… more
- University of Utah Health (Salt Lake City, UT)
- …are committed to the values of compassion, collaboration, innovation, responsibility, integrity, quality and trust that are integral to our mission. EO/AA_ This ... patient service and nutritional care for patients in an inpatient care unit by making sure the patient's dietary...is nationally ranked and recognized for our academic research, quality standards and overall patient experience. Our five hospitals… more
- AdventHealth (Orlando, FL)
- …for providing physician review of utilization, claims management , and quality assurance related to inpatient care, outpatient care/observation stays and ... expert, providing clinical expertise and business direction in support of medical management programs, promoting the delivery of high quality , patient focused… more