- ManpowerGroup (Philadelphia, PA)
- …and distribute operational reports (daily, weekly, monthly). Emergency & Incident Management : - Develop, review , and enforce emergency response procedures ... and communication skills. - Experience with regulatory compliance, QA/QC, safety management , and contract administration. - Ability to review technical… more
- HCA Healthcare (Ocala, FL)
- …the areas of critical thinking, interpersonal relationships, and technical skills. + Review non-formulary requests and provide overall formulary management for ... safe, and economical patient care. Advanced Clinical Pharmacist will assist the Director of Pharmacy and Clinical Manager in the development of Pharmacy clinical… more
- Wellpath (Lemoyne, PA)
- …or Care Management Certification. + RN preferred. Experience + Previous utilization review and/or case management and pre-certification experience + ... this role** The Regional Care Manager (RCM) works collaboratively with the Utilization Medical Director , Regional Medical Directors, and Site Leadership to… more
- City of New York (New York, NY)
- …support, guidance and customer service. Under the direction of the Deputy Director of Contracts, the Contract Analyst will perform responsible work in the ... various contracts/projects aimed at improving Administration, Customer Service and Project Management within the Division of Family & Child Health, by coordinating… more
- Dartmouth Health (Lebanon, NH)
- …At the direction of the Cytology Supervisor and the Cytology Medical Director , theCytotechnologist IIIwill analyze and interpret cellular changes caused by disease ... students, fellows, and new cytotechnologists. Actively participate in compliance and quality management activities on a daily basis. Perform other duties as required… more
- Houston Methodist (Katy, TX)
- …Business Practices, Health Information Management , Patient Access Services, and Utilization Review as needed to ensure operational billing compliance with ... Manager Revenue Cycle position is responsible for the daily management of the staff and operations for one or...payer audits. + Oversee case intake, documentation collection, quality review , and timely submission. + Track and analyze audit… more
- University of Rochester (Rochester, NY)
- …work with staff on resolving discrepancies. + Utilize Tableau reports for operations, utilization , and revenues. + Build/edit and review reports for various ... Improvement Team monthly meeting and adding updated information to the visual management board quarterly + Generate productivity reports, clinic volume reports +… more
- Children's Home Healthcare (Albuquerque, NM)
- …for Home Health services from insurance company. 7. Attend quarterly Utilization Review meetings as designated by the Director of Professional Services. 8. ... on a 60 days basis per company policy. 9. Review /approve plan of care and all related documents prior...skills and willing to travel to patient homes + Utilization Management Experience + Reliable transportation for… more
- MTA (New York, NY)
- …system, conduct applicable monthly payment data reports analysis, conduct site visits, review and process goal waivers and reduction requests (as necessary), and ... contractor's MW/DBE & SDVOB certification. + Conducts site visits to review contractors' invoices, work samples, and other relevant documents. Inputs interview… more
- Stark County Board of Developmental Disabilities (Canton, OH)
- …selection process; + Prepares data and reports as directed by the SSA Director ; + Verifies through supervision and review SSA dashboard, etc., monitoring ... follow up of UI/MUI; + Reviews SSAs Targeted Case Management (TCM) progress weekly and follows TCM policy and...meet all Medicaid Waiver requirements; + Collaborates with Assistant Director (s) and Waiting List Review Committee to… more