- State of Colorado (Pueblo, CO)
- …are understood, actionable, and tied to CMHHIP's improvement goals. + Participate in utilization management and review activities when requested, applying ... surveyors throughout the hospital) and/or provides assistance to Quality Management Leadership as directed during regulatory surveys. May perform...appeal with the State Personnel Board or request a review by the State Personnel Director if… more
- LA Care Health Plan (Los Angeles, CA)
- …information required by clinical staff to render decisions, assists the Manager and Director of the Utilization Management department in meeting regulatory ... Authorization Technician II (ALD) Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time… more
- Texas Health Resources (Dallas, TX)
- …all available resources. Assesses patient information utilizing psychological and medical knowledge. Utilization Review and Management * Performs effective ... according to department identified criteria to determine the appropriate utilization of resources and patient level of care. Reviews...if criteria is met. Makes appropriate referrals to Medical Director of Case Management for admission status… more
- LifeCenter Northwest (Bellevue, WA)
- …the development and day-to-day management of departmental budget. + Assists the Director , Tissue Donation in yearly policy review and creation of new policy, ... and serve as a subject matter expert on cases. ESSENTIAL JOB FUNCTIONS Management Responsibilities + Works collaboratively with the Director , Tissue Donation… more
- Penn Medicine (West Chester, PA)
- …& EMPLOYEE/ORGANIZATIONAL: + Meets regularly with hospital leadership and management to review product/equipment/supply issues and provide updates ... to systemwide Value Analysis Councils. Acting as a liaison among Materials Management , Physicians, Clinical Groups, Supply Chain, and System Leadership, the position… more
- University of Miami (Miami, FL)
- …and brings utilization issues to the attention of the Medical Director (s). + Analyzes data, generates graphs of quality indicators, conducts investigations, and ... faculty or staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The Department of… more
- Veterans Affairs, Veterans Health Administration (Battle Creek, MI)
- …other champions to improve processes to meet the performance measure goals and improve utilization management ; serving as a liaison to outside facilities when to ... as a key clinical resource for the Medical Center Director and the Chief of Staff. Provides administrative and...a Mental Health leader for quality improvement initiatives and utilization management related to Psychiatry Service. Plans,… more
- Nuvance Health (Poughkeepsie, NY)
- …in Nursing, BSN preferred. Must have current RN license. *Preferred Experience: * Utilization Review / Management .Company: Vassar Brothers Medical Center Org ... case from physiological and economic perspectives. Has overall accountability for the utilization management and transition management for patients within… more
- Access Dubuque (Dubuque, IA)
- …office and is also available remotely. **Key Responsibilities:** + Provide telephonic case management and utilization review for assigned consumers. + ... or higher preferred. + **Experience:** Minimum 2 years of clinical practice. Case management or utilization review experience strongly preferred. +… more
- AON (Chicago, IL)
- …design recommendations across topics such as executive compensation, board of director compensation, incentive plan design, equity guidelines + Run projects within ... agreed upon timeline and within budget + Review and be accountable for all methodology / analysis...teams (professionally or otherwise) + Strong interpersonal and project management skills + Ability to multi-task and manage multiple… more