- Prime Therapeutics (Providence, RI)
- …specific clinical programs and drug strategy recommendations including drug formulary, Utilization Management programs, and other drug therapy related products ... stakeholders through effective consultative services. **Responsibilities** + Coordinate formulary management for the client including, client specific Pharmacy &Therapeutics… more
- Masego (St. Louis, MO)
- …ArcGIS Pro software tools in the creation, attribution, schema development and utilization , management , and geo-referencing of data. + Experience in geo-enabling ... + Use an understanding of geography, research, GIS, and data conflation and management skills to produce the broad array of human geography products including… more
- Ochsner Health (Shreveport, LA)
- …Develops, implements, and monitors strategies for supply costs reduction and utilization management . Manages the supply/inventory control information system. To ... availability). **Job Duties** + Manages the delivery of optimal supply management services. + Establishes and interprets regulatory, departmental and quality… more
- Integra Partners (Troy, MI)
- …is responsible for coordinating and maintaining accreditation activities for the Utilization Management (UM) and Credentialing departments. This includes ... high-quality outcomes. The position will report to the Director of Medical Management and work closely with other departments to ensure program effectiveness and… more
- Providence (Orange, CA)
- …or medical office/clinic setting. **Preferred Qualifications:** + 3 years of experience in utilization management or case management . + Psychiatric chemical ... (ANCC), which recognizes organizations that provide the highest-quality ca Care Management is a collaborative practice model including the patients, nurses, social… more
- MTC (Raymondville, TX)
- …the use of appropriate sanitation methods. + Practice basic cost containment and utilization management for detainee care and facility operations. + Maintain ... of Texas with an acceptable driving record required, unless waived by management . Management & Training Corporation (MTC) is an Equal Opportunity Employer. All… more
- Cedars-Sinai (Pasadena, CA)
- …workflows. + As liaison coordinates administrative support activities including facilities management , patient billing, utilization management , quality ... staff, insurance plans and other departments. + Actively participate in lean management processes by detailing, monitoring and updating department specific data. +… more
- Luke Staffing (Agana Heights, GU)
- …Government and professional clinical standards and clinical protocols. . Participate in Utilization Management /Case Management meetings to review and ... Manager(s) in the development and implementation of the Case Management Program (CMP). . Develop local strategies that use...of both nursing and social work to accomplish case management . Provide assistance in the development and implementation of… more
- Catholic Health (Buffalo, NY)
- …Health. This role also has secondary oversight for inpatient clinical denials, Utilization Management and vendor performance of Healthcare Solutions WNY as ... sections of the revenue cycle: + Patient Access + Health Information Management + Coding and Coding Education + Inpatient, Outpatient and Ambulatory Clinical… more
- ABBTECH Professional Resources, Inc. (Washington, DC)
- …protocols such as TCP/IP, Dynamic Host Configuration, Domain Name System (DNS), bandwidth/ utilization management and directory services. + Measure, analyze and ... SOC team members regarding procedures, schedules, training, event & tools management , and performance requirements. + Develop and implement best-practice network… more