- The Cigna Group (Bloomfield, CT)
- …A Medical Principal performs medical review and case management activities. The physician provides clinical insight to the organization through peer review, benefit ... will serve as a clinical educator and consultant to utilization management, case management, network, contracting, pharmacy, and service...This is an entry to mid-level position for a physician interested in a career in health care administration.… more
- Health Care Service Corporation (Chicago, IL)
- …Position Is Responsible For Provider Recruitment And Contracting Of Physicians, Physician Groups And Facilities Including Large Or Complex Groups/Facilities (Large ... calls.5.Ensure strategic objectives are being met with regard to physicians, physician groups and facilities needed for assigned territory(s). Ensure appropriate… more
- Atlantic Health System (Clark, NJ)
- …reviews patient data, history, proper two patient identifiers. + Verifies physician orders and ensures information for radiologist's interpretation is available ... charging and completes exam end procedures in and EPIC/Centricity PACS. + Proper utilization of the PenRad system. + Accurately and effectively performs QA, maintain… more
- Carle Health (Normal, IL)
- …RN >2yrs Responsibilities Act as a liaison working with patient/family and physician to determine next level of care and manage LOS.Coordinates the transition ... of care to meet patient goals and outcomes.Documents plan of care and utilization issues in appropriate locations, including but not limited to: case management/… more
- ConvaTec (Jacksonville, FL)
- …goals. Identify, prioritize, pull-through, and close opportunities. + Ensure effective utilization of the products by all trained Health Care Professionals within ... and build relationships across multiple care settings (ie OR, Nursing Units, Physician Offices, Care Coordinators, Cath Lab, L&D, etc.), and use information gathered… more
- Fallon Health (Buffalo, NY)
- …Weinberg PACE. Work is performed under the general supervision of the Clinical Physician and Center Manager. The employee also interacts with and takes direction, at ... non-compliance.* + Provides nutrition education to participants/caregivers as ordered by physician and according to ADA* + Develops and maintains department policies… more
- Carle Health (Peoria, IL)
- …for coordination of the surgical schedule to assure the most efficient utilization of the operating rooms. + Monitor case progression to identify potential ... schedule changes. + Assigns, coordinates and monitors utilization of personnel and facilities. Provides for the assignment of lunch and break relief for… more
- Henry Ford Health System (Troy, MI)
- …Manual policies and the Master Tiering Database, requests by the Utilization Management Committee and HAP code-related committees, and other issues such ... Configuration Team (BCT) and work with BCT on coding changes approved by the Utilization Management Committee or leadership. + Work with the Medical Policy Team on… more
- Trinity Health (Maywood, IL)
- …provider schedules to ensure quality patient care, customer service, and optimizes utilization of clinical resources to grow the practice. Establishes and maintains ... Duties:** **Scheduling:** + Monitor physicians' schedules daily to optimize physician scheduling. + Schedule patient appointments considering orders, urgency of… more
- ConvaTec (Phoenix, AZ)
- …Identify, prioritize, pull-through, and close opportunities. + Ensure effective utilization of the products by all trained Health Care Professionals ... and build relationships across multiple care settings (ie OR, Nursing Units, Physician Offices, Care Coordinators,Cath Lab, L&D, etc.), and use information gathered… more
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