- ChenMed (Tampa, FL)
- …+ LCSWs will manage complex behavioral health patient issues by providing casework, utilization management and discharge planning services to promote the highest ... patients to improve coordination of services and information flow. + Provides self- management support and ongoing phone contact with patients. + Coordinates, reviews… more
- FLACRA (Penn Yan, NY)
- …progress notes and other documentation required for the client medical record and utilization management within the timelines outlined by FLACRA. + Participates ... + Monitors, support, and mentors clinicians in their practice management to meet expectations for excellent client care. +...in quality initiatives and utilization review activities as requested. + Strives… more
- Cedars-Sinai (Los Angeles, CA)
- …the Foundation, including patient assignment, risk and specialty network structures, and utilization management . Functions as key resource for staff and ... and managing of assigned areas. Works closely with leadership and physician management in the centralized infrastructure development and operations for a specific… more
- Summit Medical Consultants LLC (Pueblo, CO)
- …care, and actively participates in medical staff duties. Participates in quality assurance, utilization management , and peer review programs to ensure high ... Supports practice budgetary targets while maintaining standards of care. Participates in utilization and care management processes to ensure high quality,… more
- ChenMed (Cleveland, OH)
- …of care and cost effectiveness through the integrating and functions of case management , utilization review and discharge planning. The incumbent in ... assist in achieving desired clinical outcomes within specific timeframe. + Conducts review for appropriate utilization of services from admission through… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …cost per test for both in-house and referral tests. + Develop and chair a utilization management review committee and partner with the prior authorization ... team. + Review high-cost and high-volume referral tests for clinical appropriateness...and problem-solving skills. + Excellent communication, collaboration, and project management skills. + Proven ability to influence physician behavior… more
- CommonSpirit Health (Rancho Cordova, CA)
- …responsibilities leading up to or including supervisory role + Experience in Utilization Management , Case Management or Care Coordination, Managed ... performed and communicating with department manager and director the outcomes of the review and any identified issues or barriers. **Core Duties:** + Compiles data… more
- St. Luke's University Health Network (Bethlehem, PA)
- …clinical mental health/crisis intervention experience required. Previous experience with case management / utilization review and managed care models ... who may require treatment with seclusion/restraints. + Supports the function of utilization management regarding pre-certification process for all intakes and… more
- CommonSpirit Health (Rancho Cordova, CA)
- …responsibilities leading up to or including supervisory role + Experience in Utilization Management , Case Management or Care Coordination, Managed ... performed and communicating with department manager and director the outcomes of the review and any identified issues or barriers. **Core Duties:** + Compiles data… more
- Banner Health (Mesa, AZ)
- …both internal and external customers. Manages data as related to operations. Performs Utilization Management functions as required by facility CORE FUNCTIONS 1. ... and advanced technology that includes the da Vinci Surgical System. Becker's Hospital Review named Banner Desert Medical Center as one of the top 50 busiest… more
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