- 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
- New York State Civil Service (Newburgh, NY)
- …experimental psychology, research psychology, industrial psychology, organizational psychology, utilization review , guidance counseling, etc.Psychologist 2:You ... psychology, research psychology, industrial psychology, organizational psychology, health psychology, utilization review , guidance counseling, pastoral counseling, or… more
- Highmark Health (Pittsburgh, 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
- Sea Mar Community Health Centers (Olympia, WA)
- …Patient-Centered Medical Home processes and provide documentation demonstrating performance. + Review the medical record for quality and utilization indicators ... of services includes more than 90 medical, dental, and behavioral health clinics and a wide variety of nutritional,...team during daily huddles. Will assist patients with medication management , access to insurance, and help identify any other… more
- ChenMed (Chicago, IL)
- …explain primary care provider role. + Facilitates patient/family conferences to review treatment goals, optimize resource utilization , provide family education ... re: goals of care, palliative care and hospice. + Utilization /Financial Management -managing resource utilization and...quality of health care. + Applies skills in peer review to promote a culture of excellence. + Anticipates… more
- Sharp HealthCare (San Diego, CA)
- …Association for Healthcare Quality; Certified Professional in Healthcare Risk Management (CPHRM) - American Hospital Association; Certified Professional in Patient ... improve clinical outcomes including responsibilities relating to leading teams in the utilization of Change Acceleration Process and PI tools and providing feedback… more
- San Antonio Behavioral Health (San Antonio, TX)
- …system and treatment methods, with specific knowledge and skills in areas of risk management , infection control, and utilization review ; strong oral and ... Job Summary The Director of QI, Risk Management & PI is responsible for the development,...responsible for developing, implementing and monitoring of a quality review program. Essential Duties: + Directs the collection, measurement… more
- Magellan Health Services (Albuquerque, NM)
- …the management , direct supervision and coordination of clinical and/or nonclinical management staff, including utilization management and intensive care ... and on-going management of designated staff. + Performs care management review activities consistent with Magellan policies, procedures, and standards.… more
- Banner Health (Mesa, AZ)
- …both internal and external customers. Manages data as related to operations. Performs Utilization Management functions as required by facility CORE FUNCTIONS 1. ... and advanced technology that includes the da Vinci Surgical System. Becker's Hospital Review named Banner Desert Medical Center as one of the top 50 busiest… more