- Stanford Health Care (Palo Alto, CA)
- …for changes in process and operations to include standardization and utilization of resources (supplies, equipment, services, people, etc.). The Category Manager ... of the SHC & LPCH Value Based Selection group, which is a physician led multi-specialty committee that evaluates all requests for new products and technology.… more
- HCA Healthcare (Austin, TX)
- …Administers respiratory care to patients as ordered by the attending physician . Conducts diagnostic procedures to evaluate the need for, and response ... service coordination. + Actively participates in the Performance Improvement and Utilization Review programs. + Assumes a role in the maintenance of… more
- Regeneron Pharmaceuticals (Columbus, OH)
- …challenging for HCPs and Patients. Payer Formularies and restrictive Utilization Management Criteria including Prior Authorization Processes, Step Edits, Appeals, ... in concert with District Managers/Medical Specialists (field sales), to educate physician offices regarding coverage of alliance products, in efforts to streamline… more
- HCA Healthcare (El Paso, TX)
- …and retrospective review of patient medical records for purposes of utilization review, compliance with requirements of external review agencies including ... knowledge of case management philosophy/process/role, needs assessment, principles of utilization review/quality assurance, use of InterQual(R) or other clinical… more
- Edwards Lifesciences (Las Vegas, NV)
- …training and educational material during training sessions in order to drive utilization of the Edwards's THV product portfolio. + Utilizing acquired knowledge to ... training and educational material during training sessions in order to drive utilization of the Edwards's THV product portfolio. + Utilizing acquired knowledge to… more
- Carle Health (Champaign, IL)
- …patient care outcomes. The incumbent will have a deep understanding of utilization review and case management principles, case management best practices, policies, ... experience 2+ years Responsibilities Maintain current knowledge of case management and utilization review trends including the entire continuum of care within and… more
- UNC Health Care (Kinston, NC)
- …family and patient involvement to enhance awareness of length of stay, resource utilization and principles of patient care. Functions on a highly interactive level, ... of care management, clinical expertise, understanding of community resources, and resource utilization parameters. Has an awareness of legal and ethical issues, and… more
- Access Dubuque (Dubuque, IA)
- …available remotely. **Key Responsibilities:** + Provide telephonic case management and utilization review for assigned consumers. + Develop, implement, and monitor ... Minimum 2 years of clinical practice. Case management or utilization review experience strongly preferred. + **Skills:** Strong communication, problem-solving,… more
- Albany Medical Center (Albany, NY)
- …administrative, financial and operational responsibilities of fellow Nurse Practitioners and Physician Assistants in the delivery of specialized patient care. They ... wage and hour laws, and hospital policies. + Provides for effective distribution and utilization of personnel based on unit needs by collecting and analyzing data to… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …+ Develop and monitor key performance indicators (KPIs) related to test utilization , productivity, turnaround time, and cost per test for both in-house and ... referral tests. + Develop and chair a utilization management review committee and partner with the prior authorization team. + Review high-cost and high-volume… more
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