- University of Southern California (Arcadia, CA)
- …timely and accurate information to payers. The role integrates and coordinates utilization management , care facilitation, and discharge planning functions. The ... follows up to resolve problems with payers as needed. + Completes utilization management for assigned patients. + Coordinates/facilitates patient cares… more
- Swedish Health Services (Seattle, WA)
- …reports cases and problems appropriate for secondary review to Case Management Department leadership, the Medical Director , or Physician Advisor. *Resource ... resource outcomes. Acts as resource and provides oversight for the Case Management Associate for discharge planning and utilization activities *Coordination:… more
- HCA Healthcare (Las Vegas, NV)
- …radiology and special procedures. The VPDCO will collaborate with the Supply Chain Director and Clinical Resource Management Team to ensure data integrity, ... support the Supply Chain team to lead margin improvement activities, which includes inventory management and patient billing review . The VPDCO will review … more
- Hartford HealthCare (Farmington, CT)
- …service/program level management and system support functions including Finance, Utilization Management , Revenue Cycle and Compliance. Works in support of ... functional areas under Revenue Cycle including financial clearance, benefit verification, utilization management , billing/follow-up, denial management and… more
- Hartford HealthCare (Mansfield Center, CT)
- …patient care decisions to support optimal clinical and operational outcomes. They review visit utilization for care appropriateness and collaborate with ... the lives of their clients and their clients' families. Reporting to the Director of Clinical Services, this role ensures the accuracy, compliance, and quality of… more
- New York State Civil Service (Albany, NY)
- …children and/or adolescents with mental illness, as well as utilization management experience, including familiarity with the review of medical evidence, ... or improve children's intensive outpatient community based mental health services. Review data reports, such as utilization rates, patient characteristics,… more
- Saint Francis Health System (Tulsa, OK)
- …of quality and cost improvement that is data driven and develops systems to review utilization of resources and objectively measure outcomes of care in the ... and outpatient settings. Leads educational sessions regarding clinical resource management , appropriate document standards, utilization and quality issues… more
- STG International (Milledgeville, GA)
- …forms, reports, evaluations, studies, charting, etc., as necessary. + Periodically review the department's policies and procedures manuals, job descriptions, etc., ... and make recommendations for revisions to the Director of Nursing. + Coordinate the completion of resident...and education for self-help as appropriate. + Provide pain management for residents in accordance with established pain … more
- University of Maryland, Baltimore (Baltimore, MD)
- …related to the delivery of medical care and clinical services such utilization review , quality assurance, policies, procedures and guidelines development. 3. ... *Medical Director , Level III Neonatal Intensive Care Unit* *University...of Maryland Medical Center (UMMC). 8. Provides oversight of utilization and risk management activities including monitoring… more
- J&J Family of Companies (Santa Clara, CA)
- …needs. + Present sales, revenue and expenses reports and realistic forecasts to the Area Director and Sales Management team. + Communicate at a high level and ... We invite candidates from various locations to apply and encourage you to review the following states where this opportunity is available: We are searching for… more