- HCA Healthcare (Overland Park, KS)
- …while promoting quality outcomes through the continuum of care. Reviews and performs utilization review functions on each assigned patient per hospital policy ... care team + Collaborating closely with the Rehab Program Director , Facility Case Management Director ,...our PRN Registered Nurse Case Manager opening. We promptly review all applications. Highly qualified candidates will be contacted… more
- Dignity Health (Los Angeles, CA)
- …and community. + Attends LA County DMH meetings and trainings pertaining to utilization review , billing and audit procedures, data entry, and reimbursement. + ... To be successful, you'll combine strong analytical and project management skills with a thorough understanding of QI principles,...meetings with clinical staff. + Conducts internal audit and utilization review activities on cases and informs… more
- HCA Healthcare (Nashville, TN)
- …collaborating with leadership and sourcing teams (VP, AVP, Contract Director , Contract Managers and Contract Analysts). Responsibilities include conducting ... The Sr. Analyst supports sourcing projects by coordinating the analytics team's review of multiple agreements within a category to establish financial and… more
- ITW (Washington, NC)
- …takes necessary steps to make corrections. + Prepares a Production operating budget for review , approval, and inclusion by the Director of Operations in a ... onsite in Washington, North Carolina and reports to the Global Operations Director . Essential Job Duties and Responsibilities **:** + Actively Analyze Key… more
- Johns Hopkins University (Baltimore, MD)
- …appropriate solutions and formulates sound reasonable recommendations for management 's corrective action, using appropriate criteria and cost-benefit considerations. ... shape priorities. + Negotiate audit parameters with Manager/ Sr. Director . + If leading a team, will ensure that...internal audit programs and time budgets based upon the review and evaluation of underlying financials and business risks.… more
- Bon Secours Mercy Health (Norfolk, VA)
- …The Network Manager serves as the front-line driver of network growth, retention, and utilization to improve the quality of care in our markets. The Network Manager ... Roads, VA Market. **Essential Job Functions** + Collaborates with the market Director of Network Performance to successfully understand and drive market and system… more
- CommonSpirit Health (Rancho Cordova, CA)
- …leading up to or including supervisory role highly preferred + Experience in Utilization Management , Case Management or Care Coordination, Managed Care ... quality assurance reviews of work performed and communicating with department manager and director the outcomes of the review and any identified issues or… more
- NexTec Group (TX)
- …skill sets and within alignment of the Statement of Work, Business Process Review (BPR) documentation, and NexTec methodology. + Maintain at least 75 percent ... utilization on an average annual basis. + Maintain Acumatica...complexity. + Proactively communicate status, issues, and concerns to director , project manager, and/or architect/lead. + Provide coaching and… more
- CommonSpirit Health (Rancho Cordova, CA)
- …responsibilities leading up to or including supervisory role + Experience in Utilization Management , Case Management or Care Coordination, Managed ... quality assurance reviews of work performed and communicating with department manager and director the outcomes of the review and any identified issues or… more
- NexTec Group (Seattle, WA)
- …to team members' skill set and within alignment of SOW, Business Process Review (BPR) documentation, and NexTec methodology. + Maintain 75 percent utilization ... status reports. + Follow Acumatica's implementation methodologies. + Achieve utilization targets while achieving high customer satisfaction. + Demonstrate expert… more