- CenterWell (Morrow, GA)
- …opportunities for education/coaching + Identifying trends and areas of opportunity in pharmacy utilization (pharmacy management ) to impact Part D per Member per ... is responsible for executing the clinical strategy through the management of their own patient panel as well as...inquiries, requests, and complaints from patients + Ongoing chart review / audit of clinical staff to ensure quality… more
- CenterWell (Anderson, SC)
- …opportunities for education/coaching + Identifying trends and areas of opportunity in pharmacy utilization (pharmacy management ) to impact Part D per Member per ... is responsible for executing the clinical strategy through the management of their own patient panel as well as...inquiries, requests, and complaints from patients + Ongoing chart review / audit of clinical staff to ensure quality… more
- Sargent Electric (Pittsburgh, PA)
- …Timely decisions and direction to ensure project profitability. + The proper utilization / management of Company-Owned and rented equipment. + Direct supervision ... office. The primary responsibility of this position is the successful supervision and management of construction activities, in the safest manner possible, up to and… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …as part of a core team. You'll collaborate cross-functionally with care management , utilization management , provider/member relations, and market-facing ... populations. **What** **you'll** **do:** + Develop oncology drug class specific management strategies including but not limited to trend forecasting & monitoring,… more
- Mohawk Valley Health System (Utica, NY)
- …of disease and patient management . Preferred: + Knowledge of Quality Management , Performance Improvement and Utilization Management requirements and ... Med/Surg, Critical Care and other acute care services that functions as a reviewer , data abstracts, supports Medical Staff committees and various departments of the… more
- Prime Healthcare (Chula Vista, CA)
- …EDUCATION, EXPERIENCE, TRAINING Required qualifications 1. Knowledge of Discharge Planning/ Utilization Management / Case Management terminology and ... development and implementations of discharge plans. Assists with case management referrals and authorizations. Maintains and coordinates Medicaid state submission… more
- Martin's Point Health Care (Portland, ME)
- …+ 3+ years of medical management experience in a managed care setting including utilization review + RN experience in a clinical setting + Leadership and/or ... The Supervisor is responsible for day-to-day operations of the utilization review clinical team, in the areas...management experience preferred + Certification in Managed Care Nursing… more
- Trinity Health (Columbus, OH)
- …5-7 years of clinical nursing experience with at least 2 years experience in utilization review , discharge planning, case management , or disease ... to common symptoms they might experience. + Coordinates with the utilization review , case management , discharge planning staff within network facilities.… more
- HCA Healthcare (Las Vegas, NV)
- …support the Supply Chain team to lead margin improvement activities, which includes inventory management and patient billing review . The VPDCO will review ... in operations, expense, clinical integration, quality, and service + Execute clinical utilization and expense management plans and ensure alignment with facility… more
- Sevita (Brockton, MA)
- …strategy to manage census, maintain occupancy, improve daily attendance, and/or maximize utilization + Financial Management + When applicable, approve purchase ... Pembroke, Marshfield **Annual Salary:** $54,000 Are you an experienced QIDP professional with management ability and the energy and focus to run a thriving Host Home… more