- Veterans Affairs, Veterans Health Administration (Dayton, OH)
- …related services and specialized, evidence-based interventions including assessment, case management , psychotherapy, medication management , and education for ... limited to, admissions and discharges, referrals, patient demographics, equipment utilization and patient satisfaction. Develops, implements, and evaluates clinical… more
- Snapsheet (Chicago, IL)
- …tools. Ensure that issues are escalated appropriately to appropriate internal departments and management + Regularly review and analyze data identifying the most ... We leverage our expertise in virtual estimating and innovative claims management technology, transforming the end-to-end claims process - delivering faster, modern… more
- PPL Corporation (Louisville, KY)
- …for developing effective partnerships with an assigned line of business management team supporting the planning and decision-making process. This position performs ... not limited to, financial target dissemination among functions/departments, full utilization of labor resources, identification of support function labor… more
- Stony Brook University (Stony Brook, NY)
- …are followed while meeting the department's requirements. + **Purchasing & Contracts Management :** + Review , develop, negotiate, process, and administer complex ... and negotiating supplier contracts. Certified purchasing or supply chain management credentials. Experience leading contract negotiations with suppliers. Proficiency… more
- HCA Healthcare (Overland Park, KS)
- …to promote rational drug therapy and make improvements identified by drug utilization evaluations + Provide accurate and timely medication information to healthcare ... services such as drug consults, nutrition support, pharmacokinetics, anticoagulant monitoring, pain management , IV to PO, renal dosing and other programs as defined… more
- Leviton (Melville, NY)
- …costs for materials, labor, and overhead Analyze current manufacturing footprint, capacity utilization , and cost structures Identify and review opportunities for ... costs for materials, labor, and overhead Analyze current manufacturing footprint, capacity utilization , and cost structures Identify and review opportunities for… more
- New York State Civil Service (West Brentwood, NY)
- …to cases referred, to determine if referrals were appropriate, if proper case management was assigned and carried out, if individual received appropriate therapy, if ... of AOT services for high-risk/high-need individuals.Assist with data entry and data review including but not limited to AOT legal documents and statistical reports… more
- CenterWell (Atlanta, GA)
- …review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and ... the utilization of Performance Improvement principles. + Responsible for review of the appropriate number of Case Managers and clinical staff documentation… more
- City of Asheville (Asheville, NC)
- …necessary to function effectively in the position. Performance Aptitudes: Data Utilization : Requires the ability to review , classify, categorize, prioritize, ... charges, and perform certain administrative duties as they relate to contract management . Employee is required to exercise independent judgment in applying City… more
- InGenesis (Columbia, SC)
- …established criteria or clinical guidelines. In this role, you will provide support and review of medical claims and utilization practices. This is a REMOTE ... operations of assigned area. * Interfaces with the medical management on a regular basis to work more complex...Review interdepartmental requests and medical information to complete utilization process * Documents process used and decision int… more