- Point32Health (MA)
- … management and care management principles. Health Plan experience performing utilization review activities. Experience with McKesson's InterQual Clinical ... Point32Health (https://www.point32health.org/) . **Job Summary** Under the supervision of the Utilization Management Supervisor , the Behavioral Health (BH) … 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
- Sharp HealthCare (La Mesa, CA)
- …with 0-2 errors; Have the ability to proof work.Knowledge of insurance, utilization review , scheduling requirements and support of front desk ... adequate alternatives. Maintains attendance records on staff and notifies Patient Care Supervisor or Manager of attendance and overtime compliance. Monitors level or… more
- Mohawk Valley Health System (Utica, NY)
- …scheduling records. + Participates in agency meetings and the quality improvement and utilization review activities of the organization. + Follows all state, ... Home Health Scheduler - Full Time - Days Department: CLINICAL OFFICE SUPPORT...Participates in agency meetings and the quality improvement and utilization review activities of the organization. +… more
- Cabinet Peaks Medical Center (Libby, MT)
- …Services, Laboratory Services, Nutrition and Diabetes Education, Quality Risk Management, Utilization Review and Risk Management, Employee Health Education, ... nursing service activities to assure quality patient care and appropriate utilization of personnel. Reviews nursing staffing patterns, checks attendance, and revises… more
- St. Luke's University Health Network (Allentown, PA)
- …or extended absences. + Provides case management duties as assigned by Supervisor . Case Management duties include individual assessments, utilization reviews, ... number of patients under the supervision of the physician and/or Clinical Supervisor . JOB DUTIES AND RESPONSIBILITIES + Facilitate clinically focused music therapy… more
- The County of Los Angeles (Los Angeles, CA)
- …Salary $94,477.20 - $127,316.88 Annually Location Los Angeles County, CA Job Type Full time Job Number PH1762B-EA Department PUBLIC HEALTH Opening Date 07/15/2025 + ... to this class work under the immediate supervision of a Data Scientist Supervisor , or supervisor or manager responsible for the data analytics, research,… more
- Texas Health Resources (Arlington, TX)
- …or chemical dependency experience Required and * 6 Months in case management or utilization review Required * Prior experience with EPIC EMR Licenses and ... in Medicare, federal and state regulatory requirements are reported to supervisor and Administrative leaders as appropriate. Potential utilization management… more
- Bassett Healthcare (Oneonta, NY)
- …Department in absence of supervisor , manager and director + Assists in full utilization of staff working time, based on individual staff capabilities, ... to staff regarding "new" therapeutic modalities and medications (measured by leadership review ) + Assists supervisor , manager and director in training of… more
- The County of Los Angeles (Los Angeles, CA)
- …division to manage and track the number of departmental contracts requiring the Board of Supervisor 's review and approval. + Oversees the review and tracking ... $220,694.40 Annually Location Los Angeles County, CA Job Type Full time Job Number Y4626B Department HEALTH SERVICES Opening...and projected timelines for submission to executive staff for review . + Develops new or modified policies and procedures… more