- Carle Health (Urbana, IL)
- …Management Services as defined in the Illinois Pharmacy Practice Act. Performs utilization management reviews. Serves as drug information resource for other ... departments. Conduct medication reconciliation, perform clinical interventions, uncover adverse drug reactions, and refer patients to pertinent clinics (ie anticoagulation). About Us **Find it here.** Discover the job, the career, the purpose you were meant… more
- Zelis (St. Petersburg, FL)
- …experience in a healthcare setting, with a strong background in clinical review, utilization management , or quality assurance. + Extensive knowledge of clinical ... present reports on clinical review outcomes, trends, and performance metrics to management and other stakeholders. + Contribute to the development of clinical review… more
- UTMB Health (Huntsville, TX)
- …system data entry of information such as referral requests, drug utilization management information, prepacking information, drug purchasing information, or ... medications + Participates in the operations of medication therapy management + Initiates medication reconciliation + Assists with screening, documentation,… more
- Spira Care, LLC (Kansas City, KS)
- …Medical Policies re: coverage and medical necessity + participation in key utilization management activities (ex: peer-to-peer consultations with health plan ... practices. + Clear, complete, and timely clinical documentation in EMR per risk management and Spira Care policy. + Participation in activities aligned to reducing… more
- BJC HealthCare (O'Fallon, MO)
- …to identify and resolve issues. Performs and provides consultation regarding Utilization Management and Performance Improvement programs in order to ... Holiday rotation **Additional Preferred Requirements** + BSN + Prior Case Management experience + Computer/typing skills **Overview** Opened in 2007, **Progress West… more
- UPMC (Seven Fields, PA)
- …establish patients' plans of care in collaboration with physicians, patients, and utilization management (UM) professionals to meet physicians' orders and ... patients' needs. + RN will coordinate case management activities across a multi-disciplinary health care team to ensure appropriate, quality patient care. +… more
- UPMC (Seven Fields, PA)
- …establish patients' plans of care in collaboration with physicians, patients, and utilization management (UM) professionals to meet physicians' orders and ... patients' needs. + RN will coordinate case management activities across a multi-disciplinary health care team to ensure appropriate, quality patient care. +… more
- UPMC (Seven Fields, PA)
- …establish patients' plans of care in collaboration with physicians, patients, and utilization management (UM) professionals to meet physicians' orders and ... patients' needs. + RN will coordinate case management activities across a multi-disciplinary health care team to ensure appropriate, quality patient care. +… more
- Sutter Health (Alameda, CA)
- …of care within an interdisciplinary team and participating in effective utilization management and control of patient supplies. Consistently provides ... manner. + Excellent collaborative and problem solving skills with customers and management . + Ability to exercise independent sound judgment in planning and… more
- UPMC (Seven Fields, PA)
- …establish patients' plans of care in collaboration with physicians, patients, and utilization management (UM) professionals to meet physicians' orders and ... patients' needs. + RN will coordinate case management activities across a multi-disciplinary health care team to ensure appropriate, quality patient care. +… more
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