- Monte Nido (Eugene, OR)
- …continuous care. + Communicate with insurance companies for pre-certification and ongoing utilization management needs. + Participate in discharge planning and ... of care + Communicate with insurance providers for **pre-certification and utilization review** + Collaborate on **discharge and aftercare planning** + Provide… more
- Highmark Health (Little Rock, AR)
- …and education or if necessary involve Special Investigation Unit or the Utilization Management area. **ESSENTIAL RESPONSIBILITIES** + Implement the pre-payment ... itemized bills, and claims data to assure appropriate level of payment and resource utilization . It is also used to identify issues which can be used for education… more
- Essentia Health (Brainerd, MN)
- …timely and accurate information to payers. The role integrates and coordinates utilization management , care facilitation and discharge planning functions. This ... meet patient needs, manage length of stay, and promote efficient utilization of resources for a designated caseload. **Education Qualifications:** Educational… more
- Veterans Affairs, Veterans Health Administration (Gainesville, FL)
- …tools to monitor the success of those efforts. Work with the VA Utilization Management (UM) department staff to monitor the preadmission screening process ... its success in impacting InterQual appropriate inpatient admission/observation status utilization performance measures. Monitoring overall performance of all providers… more
- University of Rochester (Brighton, NY)
- …results received and acted upon as needed + Document plan of care, patient utilization , care management activities and other required information in state and ... and internal equity considerations._ **Responsibilities:** Provides professional comprehensive care management services to patients of the Strong Memorial Hospital,… more
- Colorado State University (Fort Collins, CO)
- …procedures, and systems to increase overall effectiveness of facilities utilization and management . + Conduct negotiations with college/departmental/divisional ... spokesperson for university development. Percentage Of Time15% Job Duty CategorySpace Management Duty/Responsibility + Oversees space utilization and requests… more
- Carle Health (Champaign, IL)
- …for improving patient care outcomes. The incumbent will have a deep understanding of utilization review and case management principles, case management best ... management experience 2+ years Responsibilities Maintain current knowledge of case management and utilization review trends including the entire continuum of… more
- Dollar Tree (Berwick, PA)
- …meet or exceed outbound key performance metrics including but not limited to fleet utilization , on time service, backhauls, and cost management . + Assists in the ... measuring, and improving key performance metrics in store service, carrier utilization , trailer management . + Manage third-party onsite Carrier Managers… more
- Trinity Health (Boise, ID)
- …Shift **Description:** **GENERAL SUMMARY AND PURPOSE:** Provides hospital case management / utilization review and discharge planning collaboratively determining ... care as appropriate. Coordinates the hospital activities concerned with case management / utilization review and discharge planning. Adheres to departmental goals,… more
- Horizon Services, Inc. (Hayward, CA)
- …of front-line support and milieu staff to ensure full census and efficient utilization management at assigned program(s). Engages in marketing, client retention, ... youth prevention, youth and adult outpatient, sobering programs, withdrawal management , and co-occurring capable residential programs to support the well-being… more
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