- Commonwealth Care Alliance (Boston, MA)
- …understanding of CCA's mission, value-based approach, and expectations for quality, utilization , and member experience. * Address provider inquiries related to care ... coordination, utilization management, and program participation, collaborating with internal teams...BH and Health Home providers. * Participate in case review meetings and rounds as needed to enhance coordination… more
- Sandia National Laboratories (Albuquerque, NM)
- …(6377). This is a unique opportunity to shape the future of space-based remote sensing systems and guide a high-performing team of scientists and engineers at ... areas: advancing flexible, extensible, and robust end-to-end simulations of remote -sensing satellite systems, and simulation-influenced performance analysis for system-level… more
- Battelle Memorial Institute (Norfolk, VA)
- …strength and conditioning equipment + Participate in periodic meetings to review and evaluate physical training programs and identify opportunities for improvement. ... + Perform administrative duties such as maintaining records of utilization , workload, conducting or participating in education programs, and...model allows you to work 60% in-office and 40% remote , with Monday and Tuesday as common in-office days,… more
- Takeda Pharmaceuticals (Boston, MA)
- …training program for standards. + Provides senior oversight to vendor/CROs for utilization of Takeda standards. + Conducts ongoing review and development ... vision. + Responsible for end-to-end Standards Governance to ensure proper utilization , adherence to standards governance and processes, and the ongoing, thorough… more
- CenterWell (Columbia, SC)
- …medical guidance and expertise. . Develop, implement and monitor the outcomes of utilization review and disease management programs to meet the quality and ... care being provided meets appropriate standards and to ensure cost-effective utilization practices. . Oversee the development, revision, and implementation of… more
- Palo Alto Networks (Washington, DC)
- …the future of cybersecurity as we are. **Who We Are** This role is remote , but distance is no barrier to impact. Our hybrid teams collaborate across geographies ... the following business and operational objectives:** + Maintain consistently high utilization of PS consultants through optimal planning and backlog management. +… more
- CommonSpirit Health (Salt Lake City, UT)
- …State of Utah + Certification by American Board of Quality Assurance & Utilization Review Physicians (ABQAURP), preferred. Physical Requirements Medium Work - ... position is a hybrid role requiring a mix of remote and on-site work at the five CommonSpirit Hospitals...assigned sites. This position provides support to the facility Utilization Management Committees, medical staff, UM Hub, and care… more
- Veterans Affairs, Veterans Health Administration (Battle Creek, MI)
- …performance bonus, regular salary increases Responsibilities THIS IS NOT A REMOTE POSITION The Assistant Chief of Psychiatry Service provides administrative, ... to improve processes to meet the performance measure goals and improve utilization management; serving as a liaison to outside facilities when to coordinate… more
- CenterWell (Raleigh, NC)
- …review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and ... the utilization of Performance Improvement principles. + Responsible for review of the appropriate number of Case Managers and clinical staff documentation… more
- Humana (Carson City, NV)
- …health insurance, other healthcare providers, clinical group practice management. + Utilization management experience in a medical management review ... this knowledge in their daily work. The Medical Director's work includes computer-based review of moderately complex to complex clinical scenarios, review of all… more