- CommonSpirit Health (Englewood, CO)
- …and Responsibilities** **This is a remote position** As the Utilization Management Physician Advisor (PA), the PA conducts clinical case reviews referred ... and options/alternatives for care. The PA acts as a consultant to, and resource for, attending physicians regarding their...Management Teams: Makes telephonic/electronic contacts with case and utilization management to discuss clinical … more
- Nuvance Health (Danbury, CT)
- …of hospitalization, LOC status, LOS management , continued stay decisions, clinical review of patients, utilization review activities, resource utilization ... , quality, and administrative facets of the healthcare industry. * Strong clinical acumen; Knowledge of Care Management / Utilization Review principles,… more
- NHS Management, LLC (Tuscaloosa, AL)
- …of Nursing, Regional Administrator, Director of Medicare and Rehabilitation and MDS/ Clinical Information Consultant . + Conducts audits to ensure accurate ... Director of Nursing, Regional Administrator, Director of Medicare and Rehabilitation, and MDS/ Clinical Information Consultant . + Conducts an observation of the… more
- Immigration and Customs Enforcement (Los Fresnos, TX)
- …Behavioral Health Unit (BHU). The incumbent will report directly to the Clinical Director (CD) and/or Regional Behavioral Health Consultant . The Supervisory ... under the general supervision of the Clinical Director and receives Clinical supervision from the Regional Behavioral Health Consultant . Assignments are… more
- University of Southern California (Alhambra, CA)
- …Nursing + Req 5 years Clinical experience + Req 2 years Ambulatory case management or utilization review experience within the last three years + Req Ability ... populations. The role integrates the functions of complex case management , utilization management , quality ...12. Completes disposition form for medicare patients timely. + Consultant 1. Demonstrates sound clinical knowledge base… more
- Sutter Health (Oakland, CA)
- …Advisor will work closely with the medical staff, including house staff, and all utilization management (UM) personnel, Care Management (CM) personnel to ... quality regulations. The PA will act as a liaison between the CDI ( Clinical Documentation Improvement) professional, HIM (Health Information Management ) ,and… more
- Albany Medical Center (Albany, NY)
- …works proactively with the Quality Improvement Teams, patient care standards, and utilization management to coordinate the appropriate use of resources to ... achieve maximum clinical and financial outcomes. The Case Manager participates in...assigned service - required + Recent experience in case management , utilization management and/or discharge… more
- The County of Los Angeles (Los Angeles, CA)
- …Analyst, Health experience is defined as: serving as technical expert and consultant to management by researching, analyzing, and making recommendations for ... medical specialty and subspecialty. In addition, to its direct clinical services, DHS also runs the Emergency Medical Services...experience is defined as: serving as technical expert and consultant to management by researching, analyzing, and… more
- Sutter Health (Oakland, CA)
- …Advisor will work closely with the medical staff, including house staff, and all utilization management (UM) personnel, Care Management (CM) personnel to ... meeting the organization's goals and objectives for ensuring the effective, efficient utilization of health care services. The PA will develop expertise on matters… more
- LA Care Health Plan (Los Angeles, CA)
- …of HEDIS, HIE, Health Analytics required. Functional knowledge of Utilization Management , Care Management , Clinical Case Management , Disease ... Care Advance, ZeOmega, Altruista, Thrasys) required. Functional knowledge of Utilization Management , Care Management , Clinical Case Management ,… more