- University of Colorado (Colorado Springs, CO)
- …with the Assistant Director of Business Operations leads member services including the utilization and organization of member management software and assists in ... and safety of our participants. + Assists with the review and management of incident and accident/injury...2024.** + The potential dates for interviews with the supervisor and appointing authority will be the week of… more
- University of Southern California (Los Angeles, CA)
- …Degree Nursing + Req 5 years Clinical experience + Req 2 years Ambulatory case management or utilization review experience within the last three years + ... of specific patient populations. The role integrates the functions of complex case management , utilization management , quality management , discharge… more
- STG International (Yellowstone National Park, WY)
- …in quality improvement, care management , risk management , peer review , utilization review , clinical outcomes, and health enhancement activates. ... of Quality Performance Improvement Team (QPIT) strategic initiatives. * Participate in review and improvement of clinical success in areas of responsibility. *… more
- East Boston Neighborhood Health Center (Revere, MA)
- …as it relates to timely and accurate claims payment and improvements to utilization management . + Responsible for maintaining up-to-date knowledge of fee ... Coordinating with the Manager of PACE Claims to proactively review referrals and claims-related data in an effort to...COB, MSP. + Serves as back-up for Business Services Supervisor . Expense Management /Claims + Monitors monthly expense… more
- Veterans Affairs, Veterans Health Administration (Johnson City, TN)
- …care team, or other specialty care. Coordinates with the patient care team to review the clinic utilization by using various reports (eg, Clinic Utilization ... effective and efficient communication with the patient, interdisciplinary team, management team, VA medical centers, and other agencies. Collect, scans,… more
- University of Miami (Miami, FL)
- … of oncology and non-oncology therapy. Responsibilities: + Collaborate with Utilization Review Department and providers to ensure clinically appropriate, ... faculty or staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The Reimbursement Pharmacist… more
- St. Luke's University Health Network (Allentown, PA)
- …case management duties as assigned by Supervisor . Case Management duties include individual assessments, utilization reviews, family or support ... in order to facilitate a positive outcome for patients. + Assists in the utilization management of psychiatric patients. + Maintains clinical records of all… more
- Cardinal Health (Tewksbury, MA)
- …DCOA as an objective tool to work with specific Medical Staff Departments or Utilization Management Teams to improve medication utilization + Ensures ... formulary management preferred + Prior experience as a Pharmacy Supervisor /Manager or evidence of progressive leadership responsibilities preferred + Ability to… more
- The County of Los Angeles (Los Angeles, CA)
- …and establishes goals, objectives, and standards for the effective and efficient utilization of fiscal, material and personnel resources within the objectives and ... occupational therapy programs and services; Provides for the effective and efficient utilization of resources to deliver safe and effective patient care. + Consults… 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...and document any concerns, complaints and/or issues with direct supervisor . + Demonstrates a kind, caring, sympathetic and positive… more