- HCA Healthcare (Tallahassee, FL)
- …throughput while supporting a balance of optimal care and appropriate resource utilization . The RN CM Care Coordinator will identify potential barriers to patient ... processes, for the appropriate level of care, patient status and resource utilization + Conducts interdisciplinary team meetings to provide a mechanism for all… more
- HCA Healthcare (Tallahassee, FL)
- …throughput while supporting a balance of optimal care and appropriate resource utilization . The RN CM Care Coordinator will identify potential barriers to patient ... processes, for the appropriate level of care, patient status and resource utilization + Conducts interdisciplinary team meetings to provide a mechanism for all… more
- HCA Healthcare (Tallahassee, FL)
- …throughput while supporting a balance of optimal care and appropriate resource utilization . The RN CM Care Coordinator will identify potential barriers to patient ... processes, for the appropriate level of care, patient status and resource utilization + Conducts interdisciplinary team meetings to provide a mechanism for all… more
- Cedars-Sinai (Beverly Hills, CA)
- …the Foundation, including patient assignment, risk and specialty network structures, and utilization management. Functions as a key resource for staff and physicians ... support the quality and timely support patient care services. Ensures appropriate physician , locum, allied health professional, technician and staff coverage for all… more
- Charter Care Health Partners (North Providence, RI)
- …Director Care Management or designee. Provides coordinated care support to Physician leadership and Clinical Manager(s) of respective services. Makes daily rounds ... specific patient population. Performs functions related to Patient Advocacy; Utilization Review; Resource Management; Continuum of Care Management (Discharge… more
- Evolent (Helena, MT)
- …approach with call center staff. Initial clinical reviewers are supported by Physician clinical review staff (MDs) in the utilization management determination ... Reviewer you will be a key member of the utilization management team. We can offer you a meaningful...cases that an approval cannot be rendered to the Physician Clinical Reviewer. In States where allowed, will make… more
- Pfizer (Atlanta, GA)
- …purchasing groups, Accountable Care Organizations (ACOs), Independent Physician Associations (IPAs), professional associations and advocacy groups/coalitions. ... ensure the implementation of the appropriate tactics to maximize utilization of Pfizer Vaccines and increase vaccination rates. This...the Sunshine Act. Therefore, if you are a licensed physician who incurs recruiting expenses as a result of… more
- University of Maryland, Baltimore (Baltimore, MD)
- …with Board Certification. They must be licensed or eligible to be licensed as a physician in the State of Maryland. *_Position Highlights_* * Level III NICU: 20 bed ... to the delivery of medical care and clinical services such utilization review, quality assurance, policies, procedures and guidelines development. 3. Participates… more
- John Muir Health (Walnut Creek, CA)
- **Job Description:** As a member of the John Muir Health Physician Practices (JMHPP) Practice Development and Innovation team, the Coordinator, Patient Access ... improvement analysis, implements solutions where necessary and assures appropriate utilization . The Coordinator PAO actively collaborates with physicians, practice… more
- Catholic Health Services (Roslyn, NY)
- …compliance with regulatory and external review agencies. + Participates in the Utilization Management Committee, reporting data on utilization trends, resource ... and denials. + Serves as a resource to physicians, physician advisors, CM department, and hospital staff. + Collaborates...resolution of issues. + Refers cases and issues to Physician Advisor in compliance with identified procedures and follow-up… more
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