- Avera (Sibley, IA)
- …to coordinate cares with ancillary staff, and to communicate effectively with the physician to ensure patient care **EDUCATION and/or EXPERIENCE:** + Graduate from a ... services executed by nursing staff through appropriate and accurate documentation and utilization of the electronic medical record. + Checks crash cart and… more
- Elevance Health (Richmond, VA)
- …plan and modifies as necessary. + Interfaces with Medical Directors and Physician Advisors on the development of care management treatment plans. + Negotiates ... preferred. **Preferred Skills, Capabilities and Experiences:** + Background in utilization review, prior authorization, specialty pharmacy, or infusion therapy… more
- Guthrie (Cortland, NY)
- …charging of supplies; performing other division-specific tasks, and appropriate utilization of available resources. + Participates in performance improvement ... Equal Opportunity Employer. The Guthrie Clinic is a non-profit, integrated, practicing physician -led organization in the Twin Tiers of New York and Pennsylvania. Our… more
- Houston Methodist (Houston, TX)
- …analysis methodology and data implications to facilitate understanding and efficient utilization of report findings. This position identifies areas for improvement ... a comprehensive residency program, a global business division, numerous physician practices and several free-standing emergency rooms and outpatient facilities.… more
- New York State Civil Service (Claverack, NY)
- …supervision of a doctoral level psychologist, licensed psychologist, licensed physician , licensed psychiatrist, psychiatric nurse practitioner, or licensed clinical ... psychology, research psychology, industrial psychology, organizational psychology, health psychology, utilization review, guidance counseling, pastoral counseling, or as a… more
- Sedgwick (Irving, TX)
- …lifetime medical and/or defined period medical claims which include state and physician filings and decisions on appropriate treatments recommended by utilization ... review. + Maintains professional client relationships **QUALIFICATIONS** Education and Licensing Bachelor's degree from an accredited college or university preferred. Licenses as required. Professional certifications as applicable to line of business… more
- LA Care Health Plan (Los Angeles, CA)
- …quality, and regulatory interpretation. The role ensures strong collaboration with Utilization Management, the UM Medical Director, physician reviewers, ... Compliance, Member Services, Provider Network Management, claims teams, and the Center of Quality & Excellence to support compliant, timely, and high-quality case handling. The Senior Manager manages all aspects of running an efficient team, including hiring,… more
- Houston Methodist (The Woodlands, TX)
- …overtime, and prioritize daily tasks. Provides input into the unit resource utilization including unit capital and operational budget needs. + Contributes towards ... services; wellness services; an outpatient laboratory; and several other multispecialty physician practices. In January 2022, Houston Methodist The Woodlands opened… more
- Carle Health (Urbana, IL)
- …a designated time frame and provides care to these patients via the utilization of the nursing process, nursing trends, technology, financial and human resources ... a healthcare system with nearly 16,600 team members in its eight hospitals, physician groups and a variety of healthcare businesses. Carle BroMenn Medical Center,… more
- US Anesthesia Partners (Nashville, TN)
- …Company Information US Anesthesia Partners (USAP) is a network of physician -owned-and-led local anesthesia practices backed by nationwide support. Our physicians ... practices supported by structured leadership development, proprietary OR staffing and utilization tools, and localized business experts. The focus stays on providing… more
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