- Covenant Health Inc. (Knoxville, TN)
- …and financial data to various audiences as necessary. + Completes daily work lists for utilization review meeting the time frames set forth by Covenant Health. + ... Overview Utilization Management Specialist , Revenue Integrity and...ensure timely follow through for status placement. The UM Specialist collaborates with attending physician if ambiguous… more
- SUNY Upstate Medical University (Syracuse, NY)
- …including PC, Windows, Microsoft applications, Zoom/WebEx platforms, etc. Preferred Qualifications: Utilization management or utilization review experience, ... Job Summary: The UR-CR Specialist I is primarily responsible for ensuring that...reimbursement entities. This is achieved through a thorough chart review and utilization of first-level screening criteria… more
- Mohawk Valley Health System (Utica, NY)
- … regarding correct level of care and reimbursement. Apply knowledge of utilization review , discharge planning, patient status changes, length of stay, ... billing status, and potential barriers to patient discharge. The Physician Advisor (PA) conducts clinical review of...and quality patient care while ensuring effective and efficient utilization of resources. The Physician Advisor guides… more
- UPMC (Pittsburgh, PA)
- UPMC Health Plan is looking for Pharmacy Clinical Review Specialist I positions in the Pharmacy Services department. This is a full time position working Monday ... through Friday 11:30am to 8:00pm and weekend rotations. The Clinical Review Specialist will oversee administrative and system processes that relate to pharmacy… more
- UPMC (Bridgeville, PA)
- UPMC Rx Partners is looking for a full time Pharmacy Clinical Review Specialist to join their dedicated team! This position provides prescription data entry and ... provides customer service to Rx Partners Skilled nursing and Hospice clients. The clinical review specialist at Rx Partners works hand in hand with a licensed… more
- HCA Healthcare (Asheville, NC)
- …and personal growth, we encourage you to apply for our Provider Solutions Specialist opening. We promptly review all applications. Highly qualified candidates ... We care like family! Jump-start your career as a Provider Solutions Specialist today with Mission Hospital. **Benefits** Mission Hospital offers a total rewards… more
- Veterans Affairs, Veterans Health Administration (Cape Coral, FL)
- …Primary Care Service is seeking an experienced and dynamic Primary Care Pain Physician . Ideal applicants are those who want to contribute to the achievement of ... by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. VA offers a comprehensive total rewards package.… more
- HCA Healthcare (Dallas, TX)
- …staff performance evaluations. + Acts as manager in charge as assigned. + Provides review and guidance on physician order sets and other evidenced based ... in daily multidisciplinary and bedside rounds + Completes drug utilization reviews to promote rational drug therapy and implement...we encourage you to apply for our Clinical Pharmacist Specialist BMT opening. We promptly review all… more
- State of Connecticut, Department of Administrative Services (Suffield, CT)
- …+ Prepares and/or reviews reports, medical records and correspondence; + Perform utilization review and management functions; + Attends court hearings as ... Principal Physician (40 Hour) Recruitment # 251208-4661RQ-001 Location Suffield,...training are most aligned with the role. To prepare, review this helpful Interview Preparation Guide to make the… more
- Houston Methodist (Baytown, TX)
- At Houston Methodist, the Business Development Specialist position is responsible for increasing outpatient and inpatient utilization of hospital services by ... educating and informing stakeholders, to include physicians, physician office staff, other health care entities, employers and the community, as applicable, about… more