- AdventHealth (Daytona Beach, FL)
- …other conferences and training as appropriate. + Participates in Quality Assurance peer review , as a reviewer and reviewee. Timely correction of abstractions ... public reporting. The ODS-C serves as the Cancer Registry content expert to review patient diagnosis, treatment, and outcomes across the care continuum. The ODS-C is… more
- Charles River Laboratories (Stilwell, KS)
- …operations. + Serve as a model as it relates to effective time management , communication, and utilization of resources. Provide leadership and motivation to ... deliverables + Interact regularly with sponsors: send amendments and documents for review and signature, respond to sponsor-requests for information and tables, and… more
- Elevance Health (Winston Salem, NC)
- …including Prior Authorizations, Medication Therapy Management (MTM), Lock-in, and Drug Utilization Review (DUR) programs. **How you will make an impact:** + ... drug monographs, and formulary recommendations. + Develop strategies to drive formulary utilization and optimization. + Collaborate with account management teams… more
- Carnival Cruise Line (Miami, FL)
- …guests annually and employing over 160,000 crew members. **Essential Functions:** + **Case Management Oversight** + Manage and review cases, including those at ... assess fitness for duty per International Maritime Health guidelines. + **Crew Medical Claims Management ** + Review crew cases of high risk and escalate to the… more
- Dartmouth Health (Bennington, VT)
- …into a BSN program may be considered.Prior experience in utilization review , discharge planning and/or case management preferred.3-5years of recent clinical ... required. BSN preferred. Prior experience in utilization review , discharge planning and/or case management preferred....utilization review , discharge planning and/or case management preferred. VT Nursing License required by date of… more
- Oracle (San Francisco, CA)
- …with power distribution, cooling systems (including traditional air cooling), space utilization , and environmental considerations. - Project management and ... acumen. - Experience presenting and writing document for senior leadership review . - Bachelor's degree in Engineering or other related quantitative discipline.… more
- WellSpan Health (Lebanon, PA)
- …in the management of patient care between visits. + Assists in the management of patient utilization of health care system and provides patient education ... and patient has been notified. Provides related education, counseling, ongoing review , and monitoring regarding diagnostic tests (ie, INR results in Anticoagulation… more
- WellSpan Health (Chambersburg, PA)
- …in the management of patient care between visits. + Assists in the management of patient utilization of health care system and provides patient education ... and patient has been notified. Provides related education, counseling, ongoing review , and monitoring regarding diagnostic tests (ie, INR results in Anticoagulation… more
- WellSpan Health (East Earl, PA)
- …in the management of patient care between visits. + Assists in the management of patient utilization of health care system and provides patient education ... and patient has been notified. Provides related education, counseling, ongoing review , and monitoring regarding diagnostic tests (ie, INR results in Anticoagulation… more
- Spira Care, LLC (Kansas City, KS)
- …Certification + 5 years' experience, including at least three years of Care/Case/Disease Management , Health Plan, or Utilization Review experience + Thorough ... understanding of advanced primary care and the Patient Centered Medical Home (PCMH) / Primary Care First (PCF) model + Understanding of Affordable Care Act and Medicare/CMS + Thorough knowledge of URAC and NCQA guidelines and state and federal regulations +… more