- Huron Consulting Group (Chicago, IL)
- …clinical outcomes, create a more consumer-centric healthcare experience, and drive physician , patient and employee engagement across the enterprise. Join our team ... providing feedback through performance management + Employees are required to follow utilization set by practice and expectations and it is the employees'… more
- Garnet Health (Harris, NY)
- …to emergency evaluations and case management. Close collaboration with ED physician and other staff members, psychiatrist on-call, and Behavioral Health inpatient ... Manager for the detox patient on the medical floor assuring discharge planning, utilization review, and insurance approval. At Garnet Health, we are committed to… more
- UPMC (Hanover, PA)
- …in alignment with Mammographer Multi-skilled, or Mammography Specialist. + Monitors supply utilization , ordering and restocking as needed and required. + Serves as a ... manufacturer. + May be required to administer PO, and IV contrast per physician orders/department policy and assess patients for potential risk factors prior to the… more
- Cedars-Sinai (Los Angeles, CA)
- …services, adhering to best practices, evidence-based medicine, and appropriate resource utilization . Evaluate patients in the Emergency Department in a timely manner ... with ED physicians to reduce unnecessary admissions. Work closely with physician colleagues and Advanced Practice Providers (APPs) Engage in regular communication… more
- HCA Healthcare (Nashville, TN)
- …the adoption of optimized workflows across clinical domains such as nursing, physician /APP, pharmacy, and lab operations. This role will work closely with ... improvement + Research, develop and apply possible AI opportunities and their utilization within the healthcare framework. + Proactively identify and mitigate risks… more
- Rochester Regional Health (Rochester, NY)
- …benchmarking data to highlight opportunities. *Utilizes case volume to estimate utilization . *Verifies spend data with natural owners to create buy-in. *Leads ... Any physical requirements reported by a prospective employee and/or employee's physician or delegate will be considered for accommodations. PAY RANGE: $69,000.00… more
- UPMC (Harrisburg, PA)
- …with the patient care team. + Leadership: Promotes effective planning and utilization anesthesia resources for efficient and cost-effective delivery of quality care. ... to enhance delivery of care. Promotes open communication, positive physician /staff interactions and the timely resolution of inter/intradepartmental issues. Assesses… more
- Rochester Regional Health (Rochester, NY)
- …and updates documentation appropriately. . Completes at least one clinical research utilization (CRU) form for submission to Nursing Research Department utilizing a ... Any physical requirements reported by a prospective employee and/or employee's physician or delegate will be considered for accommodations. PAY RANGE: $35.34… more
- Intermountain Health (Billings, MT)
- …and treatments according to professional standards, considering diagnosis, history, and physician referrals, and develops care plans with specific goals based on ... and all aspects of the Intermountain Operating Model. Participates in utilization review audits. + Meetings: Participates in patient care conferences,… more
- University of Rochester (Rochester, NY)
- …Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 500009 Utilization Management Work Shift: UR - Day (United States of America) Range: UR ... in payer denials. + Ensures validity of data for reporting and measuring physician and hospital outcomes using computer software and analysis of data. + Audits… more