- MTC (Panama City, 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 (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
- 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
- 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
- Montrose Memorial Hospital (Montrose, CO)
- …preferred. + Minimum work experience: Three (3) years' experience working within case management , utilization management or denial management . Experience ... Denial Analyst is a key contributor within the interdisciplinary Denial Management Program and is responsible for completing, tracking, and reporting clinical… 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
- 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
- Hawaii Pacific Health (Lihue, HI)
- …(CDI) certification. Experience with InterQual, Milliman or other nationally recognized Utilization Management criteria. Experience with DRGs or inpatient ... and programs, including cardiology, emergency, family practice, gastroenterology, health management , internal medicine, neurology, OB-GYN, oncology, orthopedics, pediatrics and… 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
- Cabinet Peaks Medical Center (Libby, MT)
- …Coordination of peer review data with HIM, Medical Staff Services office, and Utilization Review . Enters risk management event reports into the risk ... Cabinet Peaks Medical Center is looking for a Peer Review Coordinator to join our Risk Management ...Nurse, or Certified Medical Assistant preferred. Certified Professional in Utilization Review (CPUR) not required, but encouraged… more