- Evolent (Trenton, NJ)
- …review roles that emphasize volume throughput, this position integrates utilization management with collaborative engagement and innovation. **Core ... Responsibilities** + **Clinical Review & Peer Collaboration** + Serve as the physician reviewer for oncology cases that do not initially meet medical necessity… more
- Cabinet Peaks Medical Center (Libby, MT)
- …Services, Imaging Services, Laboratory Services, Nutrition and Diabetes Education, Quality Risk Management , Utilization Review and Risk Management , ... utilization of personnel. Experience 5+ years' experience in management and supervisory nursing role required. Experience in Obstetrics, Emergency, Acute… more
- Beth Israel Lahey Health (Burlington, MA)
- …the medical necessity of the hospital care. Using the concepts of utilization review , clinical documentation improvement and revenue integrity, these specialized ... Analyst works with physicians, the payers and inpatient case management team to validate the medical necessity of the...necessity of the hospital care. Using the concepts of utilization review , clinical documentation improvement and revenue… more
- ManpowerGroup (Georgetown, KY)
- …package handling, and piece price and inventory levels. + Daily measurement of Truckload Utilization Management ( TUMS ) and report out to highlight potential ... **Summary:** The Materials Manager works with the Plant Manager for the management of material, transportation and inventory needs of the plant. Ensure team is… more
- Luke Staffing (Agana Heights, GU)
- …professional clinical standards and clinical protocols. . Participate in Utilization Management /Case Management meetings to review and identify . ... of newly assigned unit personnel. . Collaborate in the review of unit standing operating procedures. . If directed,...Manager(s) in the development and implementation of the Case Management Program (CMP). . Develop local strategies that use… more
- HCA Healthcare (Salt Lake City, UT)
- …to Patient in Bed by facility by floor to identify opportunities + Assesses utilization of Bed Management technology for optimal use + Analyzes all aspects ... key role in division and facility Emergency Department and Bed Management process improvement projects by performing operational assessments and analyses,… more
- Prime Therapeutics (Lansing, MI)
- …community settings and Pharmacy benefit management (PBM) experience in clinical utilization management Every employee must understand, comply with and attest ... result + Demonstrated verbal, written communication, facilitation skills, conflict management , consensus building, problem solving, analytical skills, and creative… more
- MTC (Calexico, CA)
- …+ Monitor all potential catastrophic illnesses. + Implement basic cost containment and utilization management for patient care and facility operations. + Comply ... clinical impressions. + Inspect, complete and analyze medical records, assign review and update medical classifications; complete admission notes, progress notes,… more
- MTC (Graceville, FL)
- …record or other forms as appropriate. + Practice basic cost containment and utilization management for inmate care and facility operations. + Maintain absolute ... HIPAA rules. + Accurately and promptly chart medical care. Review medical files to determine all provided services are...with an acceptable driving record required, unless waived by management . Management & Training Corporation (MTC) is… more
- MTC (Graceville, FL)
- …record or other forms as appropriate. + Practice basic cost containment and utilization management for inmate care and facility operations. + Maintain absolute ... HIPAA rules. + Accurately and promptly chart medical care. Review medical files to determine all provided services are...with an acceptable driving record required, unless waived by management . Management & Training Corporation (MTC) is… more