- Actalent (Sacramento, CA)
- …within 50 miles of the Sacramento area Job Duties + Perform timely utilization reviews for Medicare inpatient admissions, continued stays, and discharges + Apply CMS ... ambiguous cases to the Vivant Health Medical Director or Physician Reviewer + Ensure complete, accurate, and compliant documentation...ICU) + At least 1 year of experience in utilization review, case management, or hospital discharge planning +… more
- Veterans Affairs, Veterans Health Administration (Biloxi, MS)
- …of a primary care provider (MD, NP, PA), registered nurse care manager , clinical associate (LPN or medical assistant/health technician), and an administrative ... with the patient care team to review clinic appointment availability and utilization Ensuring clinic schedules are closely monitored to effectively support the needs… more
- BayCare Health System (Bradenton, FL)
- …bodies within the area of responsibility. + Ensure quality assurance program and utilization review is followed in accordance with Home Care protocol. + Oversees and ... investigates patient and physician concerns, risk management concerns and implements changes and...for office and agency staff. + Participates with Case Manager on initial Plan of Care review with a… more
- Pfizer (Sacramento, CA)
- …customer stakeholders. The role will report into the Area Business Manager (ABM). Amyloidosis Multi-disciplinary Specialist (AMS) will demonstrate strong business ... in local planning + Act decisively by prioritizing resource utilization to meet customer needs Professional Development + Pursue...the Sunshine Act. Therefore, if you are a licensed physician who incurs recruiting expenses as a result of… more
- UnityPoint Health (Cedar Rapids, IA)
- …population, ensuring that adequate discharge plans are in place, and completing utilization management and quality review activities. The PCC teams with Social ... across all units is an expectation. The PCC reports centrally to the Manager of Care Coordination. Why UnityPoint Health? At UnityPoint Health, you matter. We're… more
- Edwards Lifesciences (San Francisco, CA)
- …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
- Pfizer (Phoenix, AZ)
- …appropriate customer stakeholders. The role will report into the Area Business Manager (ABM). The Cardiac Account Specialist (CAS) will demonstrate strong business ... in local planning * Act decisively by prioritizing resource utilization to meet customer needs * Provide key HQ...the Sunshine Act. Therefore, if you are a licensed physician who incurs recruiting expenses as a result of… more
- Elevance Health (Metairie, LA)
- …ordering providers to discuss review determinations. + Will participate in a physician on-call weekend rotation for a 24x7 unit. **Minimum Requirements:** + Requires ... state or territory of the United States when conducting utilization review or an appeals consideration and cannot be...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Rush University Medical Center (Chicago, IL)
- …a care management team that is responsible for promoting effective resource utilization to achieve an optimal clinical outcome. The Care Management Navigator applies ... Division. The Care Management Navigator may contribute to transitional care planning, utilization review, and/or service line growth & outreach efforts for a group… more
- Veterans Affairs, Veterans Health Administration (Birmingham, AL)
- …All qualified applications received by the cut-off date and/or when the hiring manager requests for candidates will be notified at that time. Those candidates that ... Coordinates with the patient care team to review clinic appointment availability ( utilization ) to ensure that clinic schedules are closely monitored to effectively… more