- Covenant Health Inc. (Knoxville, TN)
- …Health standards of Telephone Excellence policy. + Refers patient accounts to nurse auditor upon request by patient or insurance company, and monitors account ... until completion of audit and follow up is done. + Performs other...completing work-ensuring follow-through on assigned tasks. + Demonstrates appropriate utilization of resources, ie equipment and supplies. Qualifications Minimum… more
- CenterWell (Daytona Beach, FL)
- …+ Overseeing other clinicians which includes Physicians, Advanced Registered Nurse Practitioners (ARNP), and Physicians Assistants (PA) + Maintaining Collaborative ... and complaints from patients + Ongoing chart review / audit of clinical staff to ensure quality care and...+ Identifying trends and areas of opportunity in pharmacy utilization (pharmacy management) to impact Part D per Member… more
- Mohawk Valley Health System (Utica, NY)
- …as facilitating leadership to achieve necessary regulatory and performance excellence audit processes. Core Job Responsibilities + Actively engage in the development ... of clinical experience. Previous or current experience working in Quality Management/ Utilization Management field. + 5 years of management experience with proven… more
- Virtua Health (Marlton, NJ)
- …over 2,850 skilled and compassionate doctors, physician assistants, and nurse practitioners equipped with the latest technologies, treatments, and techniques ... Care and Hospice Team members to assure that clinical protocols, utilization review, case management, quality assurance, and compliance Programs are implemented… more
- YesCare Corp (Tallahassee, FL)
- …County in Tallahassee, FL** **Administrative** + Serve as Chairman of the Medical Audit Committee. + Consult with medical providers in the community to resolve ... of care and chart reviews as requested. Sponsors physician assistants or nurse practitioners as required. + Notifies Regional Medical Director and Site Health… more
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