- Highmark Health (Buffalo, NY)
- …review and make determinations regarding physician reviewer assignments for medical management decisions. Cases requiring physician review are provider and member ... requests, received from Medical Management & Policy (MM&P) and Member Grievance Departments. * Responsible for management of Peer to Peer telephone line. Will… more
- Veterans Affairs, Veterans Health Administration (Parma, OH)
- …evidence-based practice/research to improve quality of care and resource utilization . Expectations: 1. Applies evidence-based practice/research to patient care. 2. ... as appropriate the Veteran's family, caregiver and/or significant other, the Veteran's representative , visitors to VA facilities, all VA staff and other customers… more
- Veterans Affairs, Veterans Health Administration (Washington, DC)
- …with clinical expertise to improve quality of care and resource utilization with improved outcomes for the immediate practice setting. The incumbent ... as appropriate the Veteran's family, caregiver and/or significant other, the Veteran's representative , visitors to VA facilities, all VA staff and other customers… more
- Ellis Medicine (Schenectady, NY)
- …Services discharge planning guidelines and departmental/organizational policies and processes + Utilization Management : + Ensures order in chart/EMR coincides ... the Case Manager include, but are not limited to, utilization review, case management , care transition, collaboration...care, payer, or other experience will be considered. SECTION III PHYSICAL REQUIREMENTS: The position is located indoors and… more
- Veterans Affairs, Veterans Health Administration (Philadelphia, PA)
- …contracts with oversight of several contracts as the contracting officer representative (COR). Performs dosimetry calculations for and consults with patients ... and establishment of priorities in relation to the total mission and management direction of the safety program is performed independently. Work results submitted… more
- TekSynap (Springfield, VA)
- …and ensuring that incidents are managed and reported in accordance with the Incident Management process. Is the representative for the first stage of escalation ... recommendations to the Incident Manager for the on-going improvement of Incident Management Process. **REQUIRED QUALIFICATIONS** + Experience: At least Ten (10) Plus… more
- Stanford Health Care (Palo Alto, CA)
- …area. + Knowledge of basic business aspects of position, such as utilization management , charging practices and regulatory practice compliance. + Knowledge ... who is fully competent with OT I, II, and III job duties and has a broad clinical skill...which they are assigned + Functions as Rehab Department's representative at Specialty Quality Meetings or Process Improvement Initiatives… more
- TekSynap (Ashburn, VA)
- …follow the organization's established policies and procedures. Provides configuration management planning. Provides support to the configuration change Operational ... and approval process. Supports the quality assurance process audits. Provide management reports on release progress. Responsible for service roll out planning… more
- TekSynap (Washington, DC)
- …implementation recommendations. + As the NET Lead for CNIC, provide CNIC Echelon III CTRs with NET accounts and appropriate tool rights necessary for their roles. ... + Offer ongoing support and guidance to ensure effective utilization of the NET tool within the CNIC community....a related field is preferred. Relevant certifications in project management or IT governance are a plus. + Minimum… more
- TekSynap (Springfield, VA)
- …IT alternatives in support of strategic modernization efforts. Responsible for the management of network performance and end-to-end service quality for the Network ... the assessment and selection of the network performance and management tools/systems for existing and new network technologies and...+ Certifications preferred include: CCNP Routing and Switching Level III , CCDP, or CCIE + A minimum of Ten… more