- HCA Healthcare (El Paso, TX)
- …and retrospective review of patient medical records for purposes of utilization review, compliance with requirements of external review agencies including ... needs across the care team + Collaborating closely with the Rehab Program Director , Facility Case Management Director , and interdisciplinary team to ensure… more
- HCA Healthcare (Overland Park, KS)
- …clinical and psychosocial patient/family needs with the efficient and cost-effective utilization of resources, while promoting quality outcomes through the continuum ... of care. Reviews and performs utilization review functions on each assigned patient per hospital...care team + Collaborating closely with the Rehab Program Director , Facility Case Management Director , and interdisciplinary… more
- Veterans Affairs, Veterans Health Administration (Baltimore, MD)
- …Staff and serves as a key clinical resource for the Medical Center Director and the Chief of Staff. Responsibilities The responsibilities include hands-on clinical ... service lead physician for quality and safety improvement initiatives and utilization management. Develops a high-reliability organization through direction of the… more
- Access Dubuque (Dubuque, IA)
- …available remotely. **Key Responsibilities:** + Provide telephonic case management and utilization review for assigned consumers. + Develop, implement, and monitor ... Minimum 2 years of clinical practice. Case management or utilization review experience strongly preferred. + **Skills:** Strong communication, problem-solving,… more
- HCA Healthcare (Wichita, KS)
- …case management department and reports directly to the Hospital Case Management Director . This RN CM participates in outstanding customer service and accepts ... staff and serving as the leader in charge when the manager and director are unavailable. **Job Responsibilities:** + Provides case management services for both… more
- University of Utah Health (Salt Lake City, UT)
- …data collection. + Documents activities and progress in medical charts, computer billing/ utilization systems, or in other ways as directed. + Collaborates with ... related field. + One year of experience in a utilization review or case management environment. + Basic Life...sexual misconduct including sexual harassment, you may contact the Director /Title IX Coordinator in the Office of Equal Opportunity… more
- State of Colorado (Colorado Springs, CO)
- …and grants, pharmacy appropriations oversight, and financial analysis related to healthcare utilization trends. Job Duties: + Work leads one or more Administrator ... billing issues. + Ability to identify trends in clinical utilization and develop actionable fiscal recommendations. + Proficiency using...Board or request a review by the State Personnel Director . An appeal or review must be submitted on… more
- Air National Guard Units (Moffett Field, CA)
- …and coordinate concurrently with the Force Support Squadron Commander/Human Resource Officer ( Director of Personnel (DP)) at each wing, Joint Force Headquarters - ... State (JFHQ-ST) Family Program Director , NGB Family Programs Office, and US Air Force/Major...issues, trends, needs, program priorities, and program effectiveness through utilization of appropriate research methods and resources. Identifies Wing… more
- Dignity Health (Los Angeles, CA)
- …community. + Attends LA County DMH meetings and trainings pertaining to utilization review, billing and audit procedures, data entry, and reimbursement. + Educates ... and administrative staff in the above procedures. + Assists Director in coordinating UR meetings with clinical staff. +...meetings with clinical staff. + Conducts internal audit and utilization review activities on cases and informs clinical and… more
- Geisinger (Scranton, PA)
- …developing, organizing and directing system resources to effectively manage the clinical utilization of supplies and equipment across the Health System with an ... for expense reduction. Promotes a cost conscious approach to utilization efforts that encourages staff participation and establishes accountability. Proactively… more