- Munson Healthcare (Traverse City, MI)
- …and human resource data to support decision-making, which maximizes resource utilization . + Facilitates and empowers registered nurses to assume accountability for ... plan of care is safe, timely and appropriate. + Coordinates resources for maximum utilization of daily systems. + Evaluation + Evaluates patient care in relation to… more
- Catholic Health Initiatives (Bismarck, ND)
- …+ **Clinical Acumen:** Leverage your medical expertise to guide utilization management, focusing on accurate level-of-care determinations and efficient patient ... on medical necessity, documentation, regulatory compliance, and effective resource utilization . + **Impactful Contribution:** Drive initiatives in denial prevention,… more
- Texas Health Resources (Plano, TX)
- …RCAs and reviews of clinical cases with quality concerns. d. Support Utilization efficient and effective throughput in the on-going monitoring of physician ... with Medical Staff on matters related to supply chain, product utilization , and hospital resource utilization to ensure THP is aligned with the established goals… more
- Hartford HealthCare (Farmington, CT)
- …between service/program level management and system support functions including Finance, Utilization Management, Revenue Cycle and Compliance. Works in support of ... areas under Revenue Cycle including financial clearance, benefit verification, utilization management, billing/follow-up, denial management and compliance. This includes… more
- CareFirst (Baltimore, MD)
- …will focus specifically on optimizing end-to-end business processes within Utilization Management. **ESSENTIAL FUNCTIONS:** + Provide deep subject matter expertise ... in all areas of Utilization Management (UM), including pre-service, concurrent review, and inpatient management, with a specific focus on optimizing end-to-end… more
- Trinity Health (Fresno, CA)
- **Employment Type:** Part time **Shift:** **Description:** This position coordinates utilization review service for defined patient populations across the acute care ... continuum. This includes discharge planning, utilization management, care coordination collaboration, and support for resource utilization . This position works… more
- HCA Healthcare (St. Petersburg, FL)
- …PI labor and facility leaders and executives to ensure optimal utilization to support staffing requirements/expectations. This individual should possess excellent ... other Financial Resiliency initiatives to include but not limited to PRN utilization , overtime, weekend commitment, and under/over commitment. + Responsible for the… more
- Ascension Health (Austin, TX)
- …(Adult Medicine Hospitialist experience preferred), preferably with some Physician Advisory/ Utilization Management work experience. If you are ready to join a ... talented group of physicians apply today! **Responsibilities:** Work in areas of utilization management and denial mitigation, including but not limited to: + Review… more
- UCLA Health (Los Angeles, CA)
- Description At UCLA Health, the Utilization Management (UM) Review Nurse plays a vital role in ensuring the delivery of high-quality, evidence-based care. This ... and interdisciplinary teams to support appropriate care coordination and efficient utilization of resources. Key Responsibilities: + Conducts clinical reviews of… more
- Florida Atlantic University (Boca Raton, FL)
- …Mapping and Documentation Coordinator reports directly to the Director of Space Utilization or designee and serves all University sites and campuses. This position ... of infrastructure drawings, specifications and as-built records. + Space Planning and Utilization : + Collect relevant data for space utilization studies to… more