- 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
- Highmark Health (Monroeville, PA)
- …advisor and third party payers. + Maintains a working knowledge of care management , care coordination changes, utilization review changes, authorization ... in accordance with recognized standards of practice for Care Management . Professional role model utilizing expertise in care ...as an educational resource to all AHN staff regarding utilization review practice and governmental commercial payer… more
- Quanta Services (Spokane Valley, WA)
- …CO creation to closeout during invoicing. + Manage Diversified Business Enterprise (DBE) Utilization Reporting. + Work with Project Management to prepare project ... engineers with experienced drillers, construction managers, geologists, and quality management specialists. About this Role The Project Controls Coordinator at… more
- Alaka'ina Foundation Family of Companies (Washington, DC)
- Portfolio Management and Strategy Support Services Location DC - NCR-National Capitol Region-Washington Job Code 13590 # of openings 1 Apply Now ... Foundation Family of Companies (FOCs) is possibly looking for Various Portfolio Management and Strategy Support Services positions to provide support for our… more
- United States Fleet Forces Command (Fort Meade, MD)
- … management , and facility maintenance control. You will conduct professional management analysis services, such as manpower planning, utilization and control, ... CORPS SPECTRUM CENTER. Responsibilities You will formulate, evaluate, and review all resource requirements, including personnel ceiling, organization alignment,… more
- AmeriHealth Caritas (Newtown Square, PA)
- …+ Strong understanding of how shifting project schedules can affect resource management capacity and utilization . + Exceptional organization skills and attention ... a strategic thinker with a deep understanding of creative project management methodology, exceptional organizational skills, and the ability to navigate uncertainty.… more
- Saint Francis Health System (Tulsa, OK)
- …of quality and cost improvement that is data driven and develops systems to review utilization of resources and objectively measure outcomes of care in the ... and outpatient settings. Leads educational sessions regarding clinical resource management , appropriate document standards, utilization and quality issues… more