- Atlantic Health System (Summit, NJ)
- …Physician in Management course), or CPUR (Certification Program in Utilization Review ), Institute for Healthcare Improvement courses, or physician advisor ... training from ABQAURP (The American Board of Quality Assurance and Utilization Review Physicians), AAPL (American Association for Physician Leadership's… more
- Intermountain Health (Salt Lake City, UT)
- …+ Care Management Certification + Demonstrated experience in case management , utilization review , or discharge planning. **Physical Requirements** ... and advocate for patient rights. Educates patients about their medical/ behavioral health conditions and self- management . + **Multidisciplinary Collaboration**… more
- CenterWell (Columbia, SC)
- …performance in patient experience, quality of care, clinical outcomes, and avoidable utilization + Periodically review clinician charts to identify opportunities ... our primary care team, combining clinical practice with leadership and operational management to ensure high-quality patient care and alignment with Value-Based Care… more
- Highmark Health (Trenton, NJ)
- …business relationships, the impact of Highmark's business decisions on Informatics, personnel utilization , and the use and planning of technology. The role involves ... executing all facets of the Informatics project management process, leading multiple project managers, and potentially guiding,...in the resolution of issues or problems. + Access, review , utilize, contribute content to and participate in the… more
- Marrakech, Inc. (Woodbridge, CT)
- … Review Committee (PRC), Human Rights Committee (HRC), and Utilization Review & Resource (URR). Contract & Vendor Management + Oversee contracts related ... This position provides direct supervision to ancillary service departments and behavioral health teams, ensuring that all services are integrated, high-quality, and… more
- Hartford HealthCare (Danielson, CT)
- …which may include staff scheduling, scheduling clinical activities, program development, utilization review , case load assignment, and attending meetings as ... We offers a variety of programs including inpatient and outpatient behavioral health, residential treatment for court-involved teenage girls, geriatric services,… more
- Outreach Development Corporation (Ridgewood, NY)
- …that helps people address the issues stemming from substance use and behavioral health disorders by providing the highest quality, life-changing treatment, training ... unlimited potential by developing and delivering the highest quality evidence-based behavioral health services and training. For more information, please visit… more
- City of Durham (Durham, NC)
- …clinical coverage policies (NC Service Definitions, ie ACT, CST IOP, SACOT, Innovation Wavier), utilization review , and data management . + Knowledge of: + ... needs of people in crisis with compassionate care and behavioral health expertise. (Interested applicants can visit our website...Service Definitions, ie ACT, CST IOP, SACOT, Innovation Wavier), utilization review , and data management ?… more
- HCA Healthcare (Las Vegas, NV)
- …financial reporting, performance improvement, use of technology, regulatory compliance, drug utilization , clinical education and staff development, management of ... at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical… more
- CenterWell (Phoenix, AZ)
- …providing medical guidance and expertise. + Develop, implement and monitor the outcomes of utilization review and disease management programs to meet the ... care being provided meets appropriate standards and to ensure cost-effective utilization practices. + Oversee the development, revision, and implementation of… more
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