- Beth Israel Lahey Health (Burlington, MA)
- …weekends. This position is on-site at Lahey Hospital and Medical Center. The Utilization Analyst works with physicians, the payers and inpatient case management ... medical necessity of the hospital care. Using the concepts of utilization review, clinical documentation improvement and revenue integrity, these specialized case… more
- Elevance Health (GA)
- …equity and promote culturally responsive care. + Assists with development of utilization /care management policies and procedures, chairs and schedules meetings, ... Manager Senior - Field Nurse** is responsible for care management within the scope of licensure for members with...assessments to identify individual needs and a specific care management plan to address objectives and goals as identified… more
- Three Saints Bay (Port Hueneme, CA)
- …or managerial functions + Two (2) years of experience directly related with utilization of Content Management Systems, learning Management Systems, and/or ... or Analysis of Alternatives for DMSMS case resolutions. + Demonstrated experience in utilization in one or more the following Navy Databases: Configuration Data … more
- Celestica (Richardson, TX)
- …customer delivery expectations. + **Systems Utilization :** Drive the effective utilization of Transportation Management Systems (TMS) and other logistics ... (3PL) providers and carriers. **Key Responsibilities** + **Global Freight Management :** Oversee and manage all freight operations, including carrier selection,… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- About The Role Brighton Health Plan Solutions (BHPS) provides Utilization Review/Medical and Case Management services for Workers' Compensation. The Workers' ... and disability services for timely return to work. + Provides case management , utilization review, continued stay reviews, and based on clinical judgment and… more
- Oglethorpe Power (Tucker, GA)
- …the plants' monitoring of PDM corrective action,s including effective Maximo work management utilization . PDM Tool Administration + Lead Fleet PDM software ... Engineer, Technology Owners, Plant Operators, Technical Services Engineers, and Management to identify reliability issues and determine appropriate solutions. +… more
- Banner Health (Phoenix, AZ)
- …networks, and regulatory agencies. MINIMUM QUALIFICATIONS Must possess knowledge of case management or utilization review as normally obtained through the ... and communicates pertinent, timely information to payers and others to fulfill utilization and regulatory requirements. 6. Educates internal members of the health… more
- Ochsner Health (Jefferson, LA)
- …This job manages expense management , vendor relationships, contract management , standardization and consolidation processes and utilization analysis. ... supply utilization improvements. + Good judgment, organizational and time management skills. + Consulting and group presentation skills. + Ability to travel… more
- Devereux Advanced Behavioral Health (Viera, FL)
- **Description** Are you looking to advance your career in Admissions & Utilization Review? If you answered yes, then consider joining our team where you can take ... your career to the next level. **Being the Utilization Review Coordinator at Devereux has its Advantages!** Devereux Florida is a nonprofit behavioral health… more
- BayCare Health System (Tampa, FL)
- …of trust, dignity, respect, responsibility and clinical excellence. **The Utilization Review Specialist Senior/RN responsibilities include:** + Functions as the ... review for medical necessity of outpatient observation and inpatient stays and the utilization of ancillary services + Perform other duties as assigned by the… more