- BronxCare Health System (Bronx, NY)
- …assist the department's leadership develop strategies for denial prevention, improved utilization management , documentation of medical necessity and identify ... from completing job tasks. -Assists the Administrative Manager and Director with annual review and revisions of...avoidable day and barriers to discharge processes pertaining to utilization management . - Liaisons and coordinates with… more
- Touro University (Hawthorne, NY)
- …management techniques. + Assist in solving patient-related problems + Assist the Director in the review within their clinical practice, each student's ... with disabilities, and veterans. Responsibilities Directly reporting to the Director of Orthodontics, Touro College of Dental Medicines, ...+ Guide doctor/patient interaction + Aid in the continual review of student rosters. + In the case of… more
- State of Colorado (Colorado Springs, CO)
- …for this position, you may file an appeal with the State Personnel Board or request a review by the State Personnel Director . An appeal or review must be ... fiscal oversight and reporting to the Budget Office, CDOC Clinical Management , Behavioral Health Administrators and the Health Services Administrators (HSAs) of… more
- Cedars-Sinai (Beverly Hills, CA)
- …for medical necessity, appropriateness of care and level of care. Use evidence based review guidelines to conduct utilization review as is appropriate to ... than date of discharge. + Communicates with CSMPN Medical Director , Employee Health Services, Risk Management , and...TPL carrier of all injured worker cases receiving case management services. + Ensures appropriate utilization of… more
- Polaris Pharmacy Services, LLC (Lebanon, OH)
- …savings using preferred drug management and formulary compliance, perform review of controlled substance utilization , reconciliation, and documentation; ... reports of these reviews, providing quarterly reports reflecting facility-level drug utilization and clinical management trends, recommendations to improve… more
- Trevecca Center for Rehabilitation and Healing (Nashville, TN)
- …meaningful contributions to the rehab team conferences, patient care conferences, utilization review meetings, family conferences, and caregiver training ... Department: Respiratory Therapy Reports To: Administrator GENERAL PURPOSE: The Director of Respiratory Therapy is responsible for internal departmental communication… more
- University of Colorado (Aurora, CO)
- …**Key Relationships:** + **Division Leadership:** Division Head/Chief; Divisional Administrative Director . + **Department of Medicine:** **Executive Vice Chair - ... a Division "operations playbook"o **Access/Scheduling:** Optimize template design, room utilization , referral standards, subspecialty triage, new/return ratios, cancellation/no-show reduction,… more
- State of Colorado (Lakewood, CO)
- …all hazard events. The division accomplishes its mission through the following offices: + Director 's Office + Office of Emergency Management (OEM) + Office of ... Department Department of Public Safety Division Homeland Security and Emergency Management Opening Date 12/17/2025 Closing Date 1/1/2026 11:59 PM Mountain FLSA… more
- Atlantic Health System (Summit, NJ)
- …Physician in Management course), or CPUR (Certification Program in Utilization Review ), Institute for Healthcare Improvement courses, or physician advisor ... training from ABQAURP (The American Board of Quality Assurance and Utilization Review Physicians), AAPL (American Association for Physician Leadership's… more
- FLACRA (Penn Yan, NY)
- …progress notes and other documentation required for the client medical record and utilization management within the timelines outlined by FLACRA. + Participates ... + Monitors, support, and mentors clinicians in their practice management to meet expectations for excellent client care. +...in quality initiatives and utilization review activities as requested. + Strives… more