- Elevance Health (Indianapolis, IN)
- …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 ... Pharmacist (Prior Authorization)** is responsible for managing the selection and utilization of pharmaceuticals and supports core clinical programs such as DUR,… more
- Veterans Affairs, Veterans Health Administration (Bay Pines, FL)
- …appropriate utilization of services. Performs work related to the review , monitoring, analysis, planning and assessment of the Social Work clinical internship ... activities including visits, referrals, inpatient days, patient demographics, equipment utilization and patient satisfaction; and implements and evaluates clinical… more
- Centene Corporation (Olympia, WA)
- …providers on the health plan's pharmacy process + Assist with the pharmacy utilization review and reporting process + Collaborate with Quality Improvement ... 28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national organization offering competitive… more
- LinkedIn (New York, NY)
- …review with all your key clients to understand their key company initiatives, review product utilization , provide key updates on LinkedIn and our expanding ... Services vertical, covering leading and emerging financial organizations across wealth management , insurance, and commercial banking - supporting their efforts to… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …improvement committees and projects as needed. Supports Medical Staff Quality and Peer Review . **Primary focus will be on Diabetes education and care with active ... tracking of high risk patients to decrease utilization .** Essential Functions: + Collaborates and acts as a...staff bylaws. Includes support of the Medical Staff Quality/Peer Review function. + Collects quality indicator data and provides… more
- Atlantic Health System (Newton, NJ)
- …patient/family assessment and multidisciplinary collaboration. 2. Ensures daily chart review , utilization reviews, coordination of discharge planning activities ... selected member populations across the continuum of illness. Ensures effective utilization and monitors health care resources. Manages the interdisciplinary team to… more
- Georgetown Univerisity (Washington, DC)
- …and competitive renewal documents, required tables shared resource utilization , publications, intra-institutional and inter-institutional collaborations and impact, ... renewal and competitive renewal documents, required tables shared resource utilization , publications, intra-institutional and inter-institutional collaborations and impact, NCI… more
- Fair Haven Community Health Care (New Haven, CT)
- …reports, as well as the managing the daily triage schedule, template utilization , and workflow adherence. Duties and responsibilities Reporting to the Director of ... include but are not limited to: + Monitor staff schedules to ensure optimal utilization , manage and adjust triage schedules as needed, assign referrals in Epic, and… more
- Novant Health (Winston Salem, NC)
- …Clinical Pharmacist, to join our oncology pharmacy team, to deliver optimal medication management across all dimensions of care, every time. In this clinical role, ... their journey to health and wellness. Essential functions include: + Clinical review , entry and modification of heme/TCT treatment plans. + Oncology order… more
- HCA Healthcare (San Antonio, TX)
- …and actively participating in daily multidisciplinary and bedside rounds, completing drug utilization review to promote rational drug therapy, leading and ... to promote rational drug therapy and make improvements identified by drug utilization evaluations. + You will provide accurate and timely medication information to… more
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