- Nuvance Health (Danbury, CT)
- …inpatient level of care. If the case still does not meet, send to the Physician Advisor (PA) for a second level review. * Forward cases that require secondary ... physician review to appropriate resource (eg, Physician ...If unable to resolve, escalate to the PA and Utilization Review (UR) Leadership. * Coordinate with the care… more
- University of Southern California (Arcadia, CA)
- …outside referring physicians andmedical groups.* Communicates with insurance company utilization review and authorization personnel.* Gathers and maintains data and ... the need for and coordinates patient/family conferences as needed.* Ensures that a physician specific plan of care is in place for patients.* Proposes alternative… more
- AdventHealth (Parker, CO)
- …Maintains current understanding of regulatory environment + Encourages in network utilization of resources for continuity of care unless otherwise specifiedby ... patient or physician + Facilitate increased standardization of orthopedic and neurosurgery...current understanding of regulatory environment + Encourages in network utilization of resources for continuity of care unless otherwise… more
- BayCare Health System (Tampa, FL)
- …oversees the utilization management and daily business operations of the physician practice at the facility. + Possesses a clear understanding of the financial, ... Responsible for patient access to services, insurance contract verification, utilization management, charge entry, collections, clinical support management, quality… more
- Sharp HealthCare (San Diego, CA)
- …providers in office as well as autonomously per guidelines and written physician orders. **Required Qualifications** + California Licensed Vocational Nurse (LVN) - ... problem and routes to physicians. Returns phone calls according to physician instruction. May schedule patient appointments.In partnership with physician ,… more
- Rush University Medical Center (Chicago, IL)
- …circumstances of each case. **Summary:** The Social Work Care Mgr (CM) works with physician practices and inpatient teams to promote the effective utilization of ... reviewing plans of care, identifying barriers to effective and efficient utilization of resources, and appraising patients' psychosocial, financial and clinical… more
- University of Southern California (Los Angeles, CA)
- …populations. The RN case manager role integrates the functions of utilization management, quality management, discharge planning assessment, and coordination of ... Analyze and interpret data in collaboration with patient, family, physician , health care team to develop a plan of...Degree Nursing + Pref 1 year Case management or utilization review experience within the last three years preferred.… more
- Rush University Medical Center (Chicago, IL)
- …the circumstances of each case. **Summary:** The Nurse Care Manager 1 works with physician practices and inpatient teams to promote the effective utilization of ... reviewing plans of care, identifying barriers to effective and efficient utilization of resources, and appraising patients' psychosocial, financial and clinical… more
- US Anesthesia Partners (Denver, CO)
- …of Colorado, is actively recruiting a full-time general anesthesiologists for a physician -owned and led practice in Louisville, CO (near Boulder!). You can choose ... and relocation! Job Highlights US Anesthesia Partners Colorado is a physician -owned and led practice in Colorado with long-standing relationships spanning decades… more
- Catholic Health Services (West Islip, NY)
- …hospitals, three nursing homes, a home health service, hospice and a network of physician practices across the island. We are committed to caring for Long Island. Be ... The Associate Chief Medical Officer at Good Samaritan University Hospital is a physician who possesses a current, unrestricted license to practice medicine in the… more
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