- Elevance Health (Miami, FL)
- …to members and providers. **How you will make an impact:** + Perform physician -level case review, following initial nurse review, of Medical Oncology regimens and ... supportive care. + Perform physician -level case review, following initial nurse review, of chemotherapy...and other staff in understanding the principles behind appropriate utilization of covered treatments and genetic testing. + Participate… more
- Cedars-Sinai (Los Angeles, CA)
- …the nationally recognized Cedars-Sinai Medical Center (Cedars-Sinai) and its affiliated physician network, major programs in physician and health professions ... Marina del Rey Hospital; Torrance Memorial Medical Center and its affiliated physician network, the leading healthcare organization serving Torrance and the beach… more
- HCA Healthcare (San Antonio, TX)
- …corporate/division/facility projects related to clinical informatics, including: * standardization * utilization * integration * optimization The CIC is the critical ... implementation of and providing ongoing support for corporate/division/facility-wide standardization, utilization , integration, and optimization activities related to the electronic… more
- Houston Methodist (The Woodlands, TX)
- …most clinically appropriate care to patients while promoting the most cost-effective utilization of the hospital's resources. The Director Case Mgmt Social Svcs ... quality and length of stay. + Address patient complaints, conducts physician education regarding discharge planning, progression of care, documentation of… more
- Evolent (Phoenix, AZ)
- …Medical Director, Physical Medicine and Rehab you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in ... interacts with leadership and management staff, other Physicians, and staff whenever a physician `s input is needed or required. **What You Will Be Doing:** + Serve… more
- Trinity Health (Boise, ID)
- …**Description:** **GENERAL SUMMARY AND PURPOSE:** Provides hospital case management/ utilization review and discharge planning collaboratively determining level of ... as appropriate. Coordinates the hospital activities concerned with case management/ utilization review and discharge planning. Adheres to departmental goals,… more
- Veterans Affairs, Veterans Health Administration (Lubbock, TX)
- …schedules for one or more outpatient clinics. He/she must review the clinic utilization by using various reports (eg, Clinic Utilization Statistical Summary) and ... with third party insurance. The incumbent promotes veteran registration for and utilization of My HealtheVet (MHV). When records are received, the incumbent will… more
- Evolent (Helena, MT)
- …As a Field Medical Director, Oncology, you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in ... interacts with leadership and management staff, other Physicians, and staff whenever a physician `s input is needed or required. **What You Will Be Doing:** . Serve… more
- Rochester Regional Health (Rochester, NY)
- …optimal patient outcomes in the expected time frame and with most efficient utilization of resources. Carries out activities related to utilization management, ... base to support the clinical review process. + Concurrently monitors resources utilization , performing continued stay reviews and assists with managing the length of… more
- Evolent (St. Paul, MN)
- …As a Vascular Surgery, Field Medical Director you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in ... interacts with leadership and management staff, other Physicians, and staff whenever a physician `s input is needed or required. **What You Will Be Doing:** + Serve… more
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