- Penn Medicine (Philadelphia, PA)
- …Participants in education and delivery to internal team members in the utilization of functionality within the applications. + Coordinates with cross-functional team ... potential solutions to team members, clients, organizational administration and immediate supervisor or lead. + Researches and analyzes new functionality within the… more
- Veterans Affairs, Veterans Health Administration (Cleveland, OH)
- …will function in Patient Care Administrative Service (PCAS), Access Management & Care Coordination (AM&CC), Independence office. Responsibilities Duties of ... with the patient care team to review the clinic utilization by using various reports (eg, Clinic Utilization...Plans and organizes work with general assistance from the supervisor as to meet local and VA-wide time frames… more
- Mohawk Valley Health System (Utica, NY)
- …scheduling and staffing for Home Health services, including holidays and weekends. Keeps supervisor and HH staff updated on all scheduling changes. + Responsible for ... of coordinators who cover weekends and holidays along with a clinical supervisor . + Maintains a "refuse/cancel" log and communicates appropriately. + Triages… more
- Billings Clinic (Billings, MT)
- …care *Refers more difficult problems to higher level medical assistant, nurse, supervisor or appropriate health care provider *Practices according to Billings Clinic ... Terminology (available through LMS) *Process Improvement / Quality Assurance /Risk Management *Adheres to patient safety goals and standards *Participates in Process… more
- Mental Health Association of SCK (Wichita, KS)
- …philosophy of the program. + Ensures compliance with payer systems, including utilization review functions. + Completes quality assurance and utilization review ... meetings, agency meetings, and trainings as required. Ensures appropriate notification to supervisor for absences and ensures that work is covered. Flexible in work… more
- BJC HealthCare (St. Louis, MO)
- …daily un-fill rates for supply availability; works closely with purchasing, sourcing, utilization management , and vendors to ensure primary or alternative ... and customers across the system; provides communications to clinical department leads, supervisor and management . + Maintains subject matter expertise on current… more
- BJC HealthCare (St. Louis, MO)
- …of Patient Care Services. The CM Service is comprised of three departments: Case Management , Utilization Management , and Social Work. Through the Triad Model ... to identify and resolve issues. Performs and provides consultation regarding Utilization Management and Performance Improvement programs in order to… more
- City of Asheville (Asheville, NC)
- …have been met, etc. Respond to the needs of artists, promoters, management , contractors and venue staff. Coordinate all show related logistics. Communicate ... employee goals/objectives and communicate with each employee. Work with supervisor to monitor employee performance, and collaboratively decide on improvement… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- About The Role MagnaCare provides Utilization Review/ Case Management / Medical Management /Claims Review services to its clients. Care Coordinators facilitate ... care management and utilization review by performing data...and document any concerns, complaints and/or issues with direct supervisor . + Demonstrates a kind, caring, sympathetic and positive… more
- Banner Health (Tucson, AZ)
- …agencies, provider networks, and regulatory agencies. Must possess knowledge of case management or utilization review as normally obtained through the completion ... and communicates pertinent, timely information to payers and others to fulfill utilization and regulatory requirements. 6. Educates internal members of the health… more