- MTC (Quincy, 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
- 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 (Raymondville, TX)
- …the use of appropriate sanitation methods. + Practice basic cost containment and utilization management for detainee care and facility operations. + Maintain ... of all medical records. Observe applicable HIPAA rules. + 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
- Emory Healthcare/Emory University (Atlanta, GA)
- …at least 5 years in a leadership role focused on pre-certification or utilization management . + Extensive knowledge of insurance verification and healthcare ... care and streamline operational processes. **Key Responsibilities:** 1. Leadership and Management : + Lead, mentor, and develop a high-performing team of… more
- Catholic Health Services (Melville, NY)
- …initiated within 24 hours of admission / arrival. + Coordinate with onsite Case Management and Utilization Management to guarantee payer requirements are met ... Responsibilities: + Utilize work queues/work drivers and reports as assigned by management , to complete daily tasks. + Confirm that a patient's health insurance(s)… more
- Prime Therapeutics (Providence, RI)
- …specific clinical programs and drug strategy recommendations including drug formulary, Utilization Management programs, and other drug therapy related products ... stakeholders through effective consultative services. **Responsibilities** + Coordinate formulary management for the client including, client specific Pharmacy &Therapeutics… more
- Masego (St. Louis, MO)
- …ArcGIS Pro software tools in the creation, attribution, schema development and utilization , management , and geo-referencing of data. + Experience in geo-enabling ... + Use an understanding of geography, research, GIS, and data conflation and management skills to produce the broad array of human geography products including… more
- Bausch + Lomb (Bridgewater, NJ)
- …supporting Field Reimbursement Manager teams is a plus. + Familiarity with utilization management practices across Pharmacy and Medical Benefit products. + ... and requires strong teamwork across Brand Marketing, Pricing/Contracting, Account Management , HEOR, Field Sales, and other commercial operations teams. **Key… more
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