- UCLA Health (Los Angeles, CA)
- …Licensure) Experience, Skills and Abilities: * Five years of hospital utilization management experience, with demonstrated success in quality improvement ... management , care variation management , patient flow/throughput management , ancillary services utilization and clinical documentation improvement. The… more
- ABM Industries (Washington, DC)
- …ABM's Quality Control software, ensuring the effective oversight of space utilization , asset management , maintenance, and data-driven decision-making. The CMMS ... allocation across the university's extensive infrastructure. **Key Responsibilities:** **Space Management :** + Plan and optimize space utilization , including… more
- BayCare Health System (Plant City, FL)
- …Care Clinic Supervisor** is a full-time position. **Responsibilities** + Oversee the utilization management and daily business operations of their assigned ... + Oversees maintenance and purchasing for specific clinics. + Responsible for utilization management , clinical support management , quality improvement,… more
- Bayer (Whippany, NJ)
- …Customer Operations** : Gain insights into customer operations, including PBM formulary & utilization management , Wholesaler and GPO roster management 6. ... or perceived Market Access hurdles that may impact Bayer product utilization . 7. **Improving Relationships** : Enhance mutual understanding and thereby fostering… more
- Corewell Health (Grand Rapids, MI)
- …and continued stay. Educates medical staff/other health care professionals regarding utilization management and quality requirements. Makes recommendations and ... provides financial and utilization management (UM) information to other members of the care facilitation teams for work prioritization. Works closely with… more
- Billings Clinic (Billings, MT)
- …care. * Maintains respectful and professional communication skills. Insurance and Utilization Management *Maintains working knowledge of CMS requirements and ... to learn more! RN Care Manager - Inpatient (Part-Time) CARE MANAGEMENT (Billings Clinic Main Campus) req11093 Shift: Day, Weekends Schedule: M-F… more
- Veterans Affairs, Veterans Health Administration (Baltimore, MD)
- …a service lead physician for quality and safety improvement initiatives and utilization management . Develops a high-reliability organization through direction of ... by the service. Plans, coordinates, and ensures high quality care through utilization of multiple quality measurement tools. Improves patient outcomes through the… more
- Prime Healthcare (Joliet, IL)
- …Responsible for the coordination of the various activities of the Case Management Department including utilization management , social services and ... Discharge Plan. Qualifications EDUCATION, EXPERIENCE, TRAINING 1. Knowledge of Discharge Planning/ Utilization Management / Case Management terminology and… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …to coverage decisions and final determinations regarding coverage in the BCBSMA utilization management system (MHK), so that decisions and medical reasoning ... Active clinical practice in order to process appeals + Experience in Utilization Management in a managed-care or risk contract environment (committee work, large… more
- Covenant Health Inc. (Knoxville, TN)
- …Fort Sanders Regional Medical Center Support Departments (business office, materials management , utilization management , IT, credentialing, medical records, ... capacity + Oversight of student affiliations + Operating room utilization + Oversight and management of block scheduling program + Room turnover + Collaborates… more
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