- Bon Secours Mercy Health (Greenville, SC)
- …therapy and rehabilitation. As necessary, facilitates communication among patient/family, physician and interdisciplinary team through utilization of regular ... and rehabilitation following rescue in collaboration with the transplant physician , Mid-level practitioners and nursing staff. Provides psycho-social support to… more
- Lundbeck (Kansas, IL)
- …control mechanisms employed by MCO/PBMs and how they impact patients and physician 's utilization + Resourcefulness in getting access to decision makers, ... guidelines. **ESSENTIAL FUNCTIONS** + Engages in account portfolio planning using utilization data, and knowledge of therapeutic class management behavior by… more
- CareFirst (Baltimore, MD)
- …**Experience:** 8 years clinical practice experience. **Preferred Qualifications:** + Experience in utilization management or served as physician advisor for ... & Qualifications** **PURPOSE:** The Medical Director oversees all activities of utilization review, care management and quality to determine the medical… more
- Sutter Health (Oakland, CA)
- …health care services. The PA will develop expertise on matters regarding physician practice patterns, over- and under- utilization of resources, medical ... Sutter Health! **Organization:** SHSO-Sutter Health System Office-Bay **Position Overview:** The Physician Advisor (PA) is a key member of the hospital's leadership… more
- Tufts Medicine (Boston, MA)
- …procedures for the scheduling of patient treatment visits for the most efficient utilization physician time, clinic space, and for efficient patient flow. 17. ... information, billing support, and co-pay collection procedures for the billing of all physician services as well as hospital charges in clinic(s). 4. Develops and… more
- Community Health Systems (Hattiesburg, MS)
- …and discharge planning. + Refers cases not meeting criteria to the Physician Advisor or Utilization Management Committee and ensures appropriate follow-up. ... nursing experience required + 3-5 years of experience in care management or utilization review required + 1-3 years of leadership experience in a healthcare setting… more
- Elevance Health (Phoenix, AZ)
- …to formulary and prescription benefits. + Generates reports relating to rebates, physician utilization , Beers Criteria, Reliance members, and other ad hoc ... reports. + Maintains record keeping of prior authorizations, rebates, and monthly reports. **Minimum Requirments:** + Requires HS diploma or equivalent and minimum of 1 year of pharmacy experience; or any combination of education and experience, which would… more
- Elevance Health (San Juan, PR)
- …to formulary and prescription benefits. + Generates reports relating to rebates, physician utilization , Beers Criteria, Reliance members, and other ad hoc ... reports. + Maintains record keeping of prior authorizations, rebates, and monthly reports. **Minimum Requirements:** + Requires an active, professional license, if required by state law, State Pharmacy Technician Certification or National Certification based… more
- Elevance Health (Altamonte Springs, FL)
- …to formulary and prescription benefits. + Generates reports relating to rebates, physician utilization , Beers Criteria, Reliance members, and other ad hoc ... reports. + Maintains record keeping of prior authorizations, rebates, and monthly reports. **Minimum Requirements:** + Requires HS diploma or equivalent and minimum of 2 years of pharmacy experience; or any combination of education and experience, which would… more
- Elevance Health (Indianapolis, IN)
- …to formulary and prescription benefits. + Generates reports relating to rebates, physician utilization , Beers Criteria, Reliance members, and other ad hoc ... reports. + Maintains record keeping of prior authorizations, rebates, and monthly reports. **Minimum Requirements:** + Requires an active, professional license, if required by state law, State Pharmacy Technician Certification or National Certification based… more