- 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
- 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
- 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
- CDPHP (Latham, NY)
- …+ Ability to demonstrate an understanding at a detailed level claims processing, utilization review processes and procedures. + General knowledge of insurance ... and participates in regular developmental activities. + Compiles and provides Independent Review Entity (IRE) case files to external reviewer and member… 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
- Safran (Gainesville, TX)
- …accordance with the defining processes. The role does not involve the direct management of other employees, primarily it involves the effective independent review ... necessary, must be ready to explain those findings to management as part of the process to agree to...of new product/feature development). B) Act as an independent reviewer of both Master Engineering Reviews and Part Design… 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
- McKinstry (Seattle, WA)
- …in **Seattle, Washington** . In this role, you will deliver facility management services supporting employees and tenants, as well as corporate portfolio comprised ... scope and service quality to meet objectives and align with budgets. + Review (and/or ensure team reviews) invoices for services rendered by vendor companies,… 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
- Fluor (Spartanburg, SC)
- …the contract. + Achievement of high profit levels through effective contract management , ensuring efficient utilization of labor resources at all skill ... States, Spartanburg, South Carolina 1. **Job skills** Electrical, Construction Management and Commissioning, Civil, Structural and Architectural, Engineering and… more