- Veterans Affairs, Veterans Health Administration (Cleveland, OH)
- … mechanisms; review of workload data from Vista and DSS, and position management . They review staffing patterns and work assignments within assigned area to ... under the direct supervision of the VISN CRH Associate Director for Mental Health (MH) or MH Chief. A...review , as well as the administrative and personnel management functions relative to the staff supervised. The SP… more
- University of Utah (Salt Lake City, UT)
- …External Posting **Pay Rate Range** $55,000 to $56,798 **Close Date** 03/03/2026 **Priority Review Date (Note - Posting may close at any time)** **Job Summary** ... processes awarded by departmental and external entities. Assumes primary responsibility for management of such programs and processes in the University Office of… more
- CenterWell (Raleigh, NC)
- …review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and ... utilization of Performance Improvement principles. + Responsible for review of the appropriate number of Case Managers and...perform work associated with patient care assignments and staff management activities. + Acts as Branch Director … more
- Rochester Regional Health (Rochester, NY)
- …case coordination/patient navigation for patients, including triage management , algorithm management , utilization management and resource management . ... possible after admission-within the first12 to 24 hours. Applies utilization review criteria to assess and document...consistent with strategic plan + Makes referrals to administrative director , medical director , quality management ,… more
- 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