- State of Massachusetts (Boston, MA)
- …delivery of health care services through networks of providers, or that employ utilization review systems to evaluate the medical necessity and appropriateness ... applications for licensure. Review is of carriers' operations, including utilization review , quality assurance, contracts with pharmacies and prescription… more
- Stony Brook University (Stony Brook, NY)
- … Department may include the following but are not limited to:** + Completes Utilization review screen for inpatient and observation cases. Activity includes UR ... cases for authorization for in patient stay. + Staff review short stay, long stay and complex cases to...assigned. Identifies, follows and documents Avoidable delays in Care Management Program. Reviews and documents on patients who were… more
- Missouri State University (Springfield, MO)
- …Director, Admissions - Operations and Systems provides leadership in the utilization of business intelligence, data analytics, and information systems to support ... Director, Admissions - Operations and Systems oversees client relationship management strategies across multiple platforms including print, digital, and social… more
- Palo Alto Networks (Santa Clara, CA)
- …metrics like utilization , time-off, and backlog. + Experience with Sales Management tools (eg, Salesforce) for revenue forecasting and pipeline review . + ... scale alongside our most dynamic commercial accounts. Leading a high-caliber team of management and delivery experts, you will act as the bridge between Sales,… more
- Spectrum Health and Human Services (Buffalo, NY)
- …The Care Coordinator II will apply the essential activities of case management which include assessment, planning, coordination, monitoring and evaluation with the ... core components (Comprehensive Case Management , Care Coordination & Health Promotion, Comprehensive Transitional Care, Patient and Family Support and Referral to… more
- Rubrik (Palo Alto, CA)
- …Responsibilities & Areas of Accountability** **Strategic Leadership & Global Business Management ** + **Global Strategy & Vision:** Define and execute the ... with leadership across Sales, Partner Ecosystem, Customer Success, and Product Management to ensure seamless global alignment, accurate scoping, and overall… more
- Elevance Health (Grand Prairie, TX)
- …must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US ... law._ The **Pharmacist Clinical** is responsible for managing the selection and utilization of pharmaceuticals and supports core clinical programs such as DUR, DIS… more
- The County of Los Angeles (Los Angeles, CA)
- …NICU, Burn ICU), Oncology, Parenteral Nutrition, Ambulatory Care, Drug Utilization Review , Anti-Coagulation, Purchasing Consultant, Drug Information, ... NICU, Burn ICU), Oncology, Parenteral Nutrition, Ambulatory Care, Drug Utilization Review , Anti-Coagulation, Purchasing Consultant, Drug Information,… more
- Veterans Affairs, Veterans Health Administration (Dayton, OH)
- … activities of the Medical Center and/or research projects approved by the Institutional Review Board. Day to day operation and management of the MH ... determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply.… more
- UnityPoint Health (Grinnell, IA)
- …MDS forms in a timely manner. Quality of Care * Performs Quality and Utilization Review data collection and activities as assigned. * Monitors severity of ... care nursing required * Current knowledge of discharge planning and utilization review activities preferred License(s)/Certification(s): * Current Iowa license… more
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