- Actalent (Palo Alto, CA)
- …Care Coordinator assists patients in obtaining services promptly, ensures efficient utilization of the physician 's schedule, and coordinates patient care. ... and procedures to support the delivery of care and to optimize the physician 's time. In addition, the position requires completing all clerical duties necessary for… more
- Beth Israel Lahey Health (Exeter, NH)
- …patient situations by having appropriate equipment selected and prepared for urgent utilization by the physician . 8. Participates in organizational and ... staff members, other department staff members, physicians and anesthesiologists. Assists physician with various procedures including but not limited to: EGD,… more
- Beth Israel Lahey Health (Exeter, NH)
- …patient situations by having appropriate equipment selected and prepared for urgent utilization by the physician . 8. Participates in organizational and ... departmental performance improvement activities. May be an active member of the Unit Based Council, quality committees, RBC team etc. 9. Serves as a preceptor to train all new staff, including new Endo techs and RNs. May assist in training MDs with new… more
- BJC HealthCare (St. Louis, MO)
- …department leadership. + Analyzes financial performance including profitability, market share, utilization of resources and physician practice patterns, and ... rank in the top 25 of all 10 specialties. The hospital's academic and physician partner, Washington University School of Medicine, is one of the top-ranked medical… more
- McLaren Health Care (Auburn Hills, MI)
- …care or related field. + Experience in a health plan or Physician Organization environment with Care Coordination, Utilization Management, disease management, ... committed to the highest levels of patient care. McLaren Physician Partners is a joint venture partnership between the...venture partnership between the McLaren Healthcare System and our Physician members. Our focus is to support physician… more
- Ventura County (Ventura, CA)
- …other community providers. VCHCP also provided insurance coverage for employees of physician groups through the end of December 2022. Medical Director, Ventura ... medical policy with the Health Care Agency Director and Insurance Administrator, Utilization Management staff and Quality Assurance Staff. + Participates, as a… more
- Hartford HealthCare (Manchester, CT)
- …Region serves a region of 300,000 people in 19 towns. POSITION SUMMARY: The Utilization Review Case Manager (UR CM) works in collaboration with the physician ... timely and accurate information to payers. The role integrates and coordinates utilization management and denial prevention by focusing on identifying and removing… more
- Covenant Health Inc. (Knoxville, TN)
- …manages charges, standardize equipment/supplies as possible and appropriate. + Develops physician profiles to share comparative cost, utilization , and ... in Surgical/Outpatient Services, which includes recognition of patient, staffing, and physician issues related to the schedules. + Collaborate with clinical… more
- Centene Corporation (Jefferson City, MO)
- …Lead a team of medical directors and supervise MD's responsible for utilization management and appeals functions to ensure members receive medically necessary, ... across the enterprise. + Provide medical leadership for all utilization management (appeals), pharmacy, case management, disease management, cost containment,… more
- Nuvance Health (Danbury, CT)
- …serve as a pivotal force in optimizing patient care and resource utilization across Nuvance Health. This leader is responsible for providing strategic leadership ... and operational oversight for a team of utilization review staff, denials and appeals specialists, non-clinical support staff while partnering with local case… more
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