- HCA Healthcare (Las Vegas, NV)
- …and enhance clinical effectiveness. Manages operating expenses, including the utilization of supplies and equipment. Identifies cost reduction opportunities and ... position control, scheduling excellence, productivity management, and premium pay utilization . Maintains staffing to ensure appropriate patientcare. Other + Performs… more
- Packing Corp of America (Omaha, NE)
- …and expediting plant production processes to assure coordinated manufacturing, machine utilization , and delivery of customer orders on requested due dates. PRINCIPLE ... customer needs with plant/machine production to optimize the effective utilization of workforce, materials and machinery. Communicates production planning status… more
- Veterans Affairs, Veterans Health Administration (Phoenix, AZ)
- …orientation, competencies and providing quality improvement and outcomes utilization consultation. Demonstrates leadership in delivering and improving holistic ... of sitting or standing. Transferring patients and objects may be required. Utilization of safe patient handling and mobility protocols using mechanical lifts that… more
- AnMed Health (Anderson, SC)
- …here. Summary Responsible for the resolution of disputes on escalated claims, utilization management, or other denials. Reviews any changes to health plans policy ... field (required) 2-4 years experience in managed care, appeals, grievances, utilization management, or revenue cycle Proficiency in Microsoft Office (Excel and… more
- BJC HealthCare (St. Louis, MO)
- …Care Services. The CM Service is comprised of three departments: Case Management, Utilization Management, and Social Work. Through the Triad Model of Care Delivery, ... to identify and resolve issues. Performs and provides consultation regarding Utilization Management and Performance Improvement programs in order to obtain optimum… more
- Granville Medical Center (Oxford, NC)
- …and accountability for a group of patients, providing care through the continued utilization of the nursing process in collaboration with other health team members. ... and accountability for a group of patients, providing care through the continued utilization of the nursing process in collaboration with other health team members.… more
- Veterans Affairs, Veterans Health Administration (Bay Pines, FL)
- …referral of patients, development and operation of quality assurance and utilization programs including peer reviews, open and closed medical record reviews ... and utilization reviews. Provides consultative services to other health care professionals at Bay Pines for geriatric medicine including Geriatric Evaluation,… more
- Elevance Health (FL)
- …must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military ... Qualifications:** + Internal Medicine, or Family Medicine specialties preferred. + Utilization Management or Appeals experience preferred. For candidates working in… more
- Elevance Health (Washington, DC)
- …regarding case and determines appropriate area to refer or assign case ( utilization management, case management, QI, Med Review). + Provides information regarding ... and documents all actions. + Responsibilities exclude conducting any utilization management review activities which require interpretation of clinical information.… more
- BriteLife Recovery (Englewd Clfs, NJ)
- …be key in establishing effective and timely payment plans, coordinating with utilization review and discharge planning to minimize non-payment risk, and ensuring ... and coordinating financial arrangements with collection personnel. . Collaborate with utilization review and discharge planning to limit non-payment risk. . Provide… more
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