- CenterWell (Shreveport, LA)
- …proactive and sustained engagement in improving health outcomes, optimizing resource utilization , and ensuring effective panel management . + **Focus on ... Leadership. + Meets with AMD about quality of care, review of outcome data, policy, procedure and records issues....will require acute and chronic treatment plans and proactive management through prevention and education. + **Accountable for the… more
- Balchem (Faribault, MN)
- … management ; conducts investigations and recommends corrective action; assists management in the utilization of constructive communication, including ... business interests. Provides counsel, services, and other assistance to departments and management to assist them in the effective execution of their personnel and… more
- CVS Health (Harrisburg, PA)
- …Qualifications** + Crisis intervention skills preferred + Managed care/ utilization review experience preferred + Case management and discharge planning ... and coordination of psychosocial wraparound services to promote effective utilization of available resources and optimal, cost-effective outcomes. Assessment of… more
- University of Colorado (Colorado Springs, CO)
- …with the Assistant Director of Business Operations leads member services including the utilization and organization of member management software and assists in ... the health and safety of our participants. + Assists with the review and management of incident and accident/injury reports. + Collaborates with the facilities… more
- Army National Guard Units (Camp Dodge, IA)
- …improving the effectiveness of work methods and procedures, organizations, manpower utilization , distribution of work assignments, management controls, and ... and organizational effectiveness. Develops and administers a system of reviews, management controls, evaluations, and checklists designed to ensure conformance with… more
- HCA Healthcare (Las Vegas, NV)
- …financial reporting, performance improvement, use of technology, regulatory compliance, drug utilization , clinical education and staff development, management of ... an internal consultant on medication/patient safety and quality standards related to medication management (ie State Board of Pharmacy, TJC, CMS, NQSF, IHI, and FDA… more
- Cedars-Sinai (Beverly Hills, CA)
- …for medical necessity, appropriateness of care and level of care. Use evidence based review guidelines to conduct utilization review as is appropriate to ... reporting to the TPL carrier of all injured worker cases receiving case management services. + Ensures appropriate utilization of medical services within the… more
- St. Luke's University Health Network (East Stroudsburg, PA)
- …+ Achieves expected practice financial performance through judicious expense management , efficient resource utilization , volume growth, and execution ... operation of the Medical Office Building. JOB DUTIES AND RESPONSIBILITIES: + Management and oversite of St. Luke's Physician Group Medical Office Building +… more
- Community Hospital Corporation (Greenville, TX)
- …capital and equipment acquisitions. + Direct the development, implementation, and utilization of an appropriate productivity management system. + Responsible ... review of the annual cost reports. + Responsible for the review of management and service contracts in order to optimize the District's interests. + Organize… more
- TEKsystems (Jackson, MS)
- …8 AM-5 PM CST Quality Assurance Responsibilities: + Perform quality assurance review of peer review reports, correspondences, addendums, or supplemental reviews. ... and specifications are followed and all questions addressed. + Verify each review is supported by current clinical citations and references from reputable medical… more
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