- Katmai (Fort Carson, CO)
- …up in issues related to over/under utilization, high cost, high volume, quality and risk management . + Maintain regular and punctual attendance. + Perform other ... **SUMMARY** Provide a comprehensive utilization review (UR) and utilization management (UM) program for all TRICARE eligible beneficiaries within the CMHS.… more
- Carnival Cruise Line (Miami, FL)
- …International Maritime Health standards. + **Crew Medical Claims Management ** + Escalate high- risk crew cases to risk management , legal, HR, and clinical ... in developing and maintaining policies and procedures for crew health and case management . + Conduct quality assurance and patient satisfaction audits to ensure… more
- Ochsner Health (Monroe, LA)
- …of any known or suspected unethical or questionable behaviors or conduct; patient /employee safety , patient privacy, and/or other compliance-related concerns. ... innovate. We believe** **that every award earned, every record broken and every patient helped is because of the dedicated employees who fill our hallways.** **At… more
- Grifols Shared Services North America, Inc (Los Angeles, CA)
- …and regions. **Job Summary:** This position is responsible for overall project management at the Grifols Biologicals LLC (GB) manufacturing site. **Essential Job ... closure + Manage resource allocation and project prioritization of key projects. + Generate Risk Mitigation Plans and Risk Register for medium to large projects… more
- Veterans Affairs, Veterans Health Administration (Tucson, AZ)
- …possess the knowledge and competence in the area of quality, utilization, and risk management and the ability to prepare, implement and evaluate educational ... registered nurse who is accountable for the multiple facets of the SAVAHCS Quality Management , which is aligned under the Quality, Safety , an Value Service… more
- University of Colorado (Aurora, CO)
- …by the Pain Clinic annually. + Review and respond to quality improvement and risk management events that are reported through the RL system regarding ... + Manage the overall operations of the Interventional Pain Management Clinic to provide quality patient care...you work in certain research areas or perform certain safety sensitive job duties, you must enroll in the… more
- Pine Rest Christian Mental Health Services (Grand Rapids, MI)
- …for and report to the manager, attending physician, or appropriate team leader any potential risk to patient safety that could lead to an adverse outcomes. ... Cost Center 158 Case Management Scheduled Weekly Hours 20 Work Shift First...approach which includes discipline-specific interventions. You will ensure each patient receives the appropriate level of service, and will… more
- Northwell Health (Sleepy Hollow, NY)
- …of clinical goals and strategic operating plans and objectives. Promotes effective patient safety and performance improvement initiatives to improve processes ... Job Description Coordinates and manages activities related to quality management /performance improvement and safety for the quality...and outcomes of patient care. Job Responsibility + Provides strategic advice and… more
- Arnot Health (Elmira, NY)
- …Description Are you ready to join an organization where delivering high quality patient -centered care, compassion, teamwork, and integrity are the basis for how we ... Outcome Identification 3. Identifies appropriate expected outcomes individualized to the patient .** Planning 4. Formulates a goal directed plan of care, which… more
- Community Health Systems (Valparaiso, IN)
- …+ Life and disability insurance and more **Job Summary** The Manager, Care Management is responsible for the planning, coordination, and oversight of care ... management services, including utilization review, discharge planning, and transitions...ensures care is appropriate, timely, cost-effective, and aligned with patient needs and organizational goals. The Manager leads the… more