- Cedars-Sinai (Culver City, CA)
- …and clinical (based on scope of practice) support activities including facilities management , patient billing, utilization management , quality management ... the approved standard work. This position also assists with providing a review of clinical and administrative skills, assessing the workflow and monitoring… more
- Fairview Health Services (Edina, MN)
- …for services provided + Completes the requirements of various payers and utilization management reviewers to obtain authorization for treatment. Demonstrates the ... as an interdisciplinary team member. Responsible, as assigned, for the management of caseload. **Job Expectations:** Works collaboratively with the physician and… more
- UCLA Health (Los Angeles, CA)
- …The Home Health ICM Coordinator plays a key role in supporting our Utilization Management team to ensure safe, high-quality, and cost-effective care for ... patients enrolled in UCLA Medicare Advantage and Intensive Case Management programs. Under the supervision of the RN Assistant Director, you will coordinate… more
- CBRE (Olympia, WA)
- …adhere to company standards. + Act as a key point of contact for utilization management and coordination with outside procurement solutions. + Lead by example ... consulting, real estate services, instrumentation repair and maintenance, full asset management , and more-covering the entire spectrum of life sciences facilities.… more
- Humana (Miramar, FL)
- …referral source and provider interactions and communications. Work with Pre-Authorization, Utilization Management , Billing, Pharmacy, Home Care and DME regarding ... follow established procedures for approving request or referring request for further review . Provide referral management education to members and providers… more
- Unity Technologies (San Francisco, CA)
- …strategy. + Own the global mental health benefit, including vendor management , utilization tracking, and strategic enhancements + Data-Driven Optimization: ... Partner with People Analytics to design survey metrics and analyze program utilization data, using employee feedback and market benchmarking to identify trends and… more
- Sanford Health (Rapid City, SD)
- …community. **Job Summary** Provides expertise and leadership to ensure effective resource management for patient care delivery across the care continuum for assigned ... patient wellness through evidenced based practice, improved care outcomes, efficient utilization of health services, and appropriate level of care for patients… more
- Leidos (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 ... + Utilize an understanding of geography, research, GIS, and data conflation and management skills to produce a broad array of human geography products including… more
- Humana (Frankfort, KY)
- …and interpretation skills with prior experience leading teams focusing on quality management , utilization management , discharge planning and/or home health ... of services provided by other healthcare professionals in compliance with review policies, procedures, and performance standards. Advises executives to develop… more
- Polaris Pharmacy Services, LLC (Lebanon, OH)
- …savings using preferred drug management and formulary compliance, perform review of controlled substance utilization , reconciliation, and documentation; ... reports of these reviews, providing quarterly reports reflecting facility-level drug utilization and clinical management trends, recommendations to improve… more