- STG International (Watertown, NY)
- …in quality improvement, care management , risk management , peer review , utilization review , clinical outcomes, and health enhancement activities. ... an active, full and unrestricted medical license in New York. * Formal management and leadership courses and certifications are highly desired. * Experience in… more
- STG International (Pottsville, PA)
- …in quality improvement, care management , risk management , peer review , utilization review , clinical outcomes, and health enhancement activities. ... an active, full and unrestricted medical license in Pennsylvania. *Formal management and leadership courses and certifications are highly desired. *Experience in… more
- STG International (Tupelo, MS)
- …in quality improvement, care management , risk management , peer review , utilization review , clinical outcomes, and health enhancement activities. ... an active, full and unrestricted medical license in Mississippi . + Formal management and leadership courses and certifications are highly desired. + Experience in… more
- Customs and Border Protection (Clint, TX)
- …for planning purposes. Assisting in coordinating and monitoring the organization's property management and space utilization program. NOTE: Your resume must ... and maintaining a variety of records and generating various management reports; assisting users in the organization with basic...or conflict with performance of your official duties. Please review further details via the following link. DHS uses… more
- Providence (WA)
- …+ Dual RN License: Oregon and Washington + 1 year Quality management /quality improvement/ utilization review auditing experience, including experience in ... Healthcare Effectiveness and Data Information Set (HEDIS) program. Audits include review of outpatient medical records, hospital records, clinical lab and pharmacy… more
- CVS Health (Downers Grove, IL)
- …analysis and corrective action oversight + Outstanding time management and project management + Proficient in utilization of information systems + Mastery of ... relationships with regulators + Leads and/or supports numerous external regulatory review and audit activities, including the preparation for and management… more
- Cardinal Health (Salt Lake City, UT)
- …risk assessments to define audit priorities based on previous audit findings, management priorities, coding utilization patterns, national normative data, CMS ... and recommendations; presents to appropriate stakeholders; evaluates the adequacy of management corrective action to improve deficiencies; maintains audit records. +… more
- HCA Healthcare (Las Vegas, NV)
- …to include but not limited to: Clinical initiatives that impact drug utilization , clinical education and staff development, management of appropriate drug ... plan that ensures positive patient outcomes and appropriate drug utilization + Analyze drug spend trends to identify areas...departments are meeting market share goals + Facilitate the review of division ADE/ADR reports to identify trends and… more
- Erickson Living (Springfield, VA)
- …clinical leadership meetings such as Wound Rounds, Clinical Operations Meeting, Utilization Review , and Performance Improvement/Risk Management /Safety ... clinical practice and processes in accordance with the Erickson Senior Living Management Policies and Procedures and nursing standards of practice. + Ownership of… more
- Commonwealth of Pennsylvania (PA)
- …calls, personal visits, and review of treatment progress reports; conduct utilization review . Orient clients to the program, policies, procedures, and ... Drug & Alcohol Case Management Specialist (Local Government) - Delaware County D&A...clients or discharge planning via telephone, personal visits, or review of treatment progress reports; conducting utilization … more