- Sevita (FL)
- …states to increase census, maintain occupancy, improve daily attendance, and maximize utilization . + **Financial Management :** + Oversee billing to ensure ... opportunity to grow with a mission-driven organization** Do you have substantial management experience in human services? Are you looking for rewarding work in… more
- Highmark Health (Jefferson Hills, PA)
- …including but not limited to: appropriateness of care, documentation requirements, utilization review principles and criteria, insurance benefits and ... utilization . Serves as key team members in the management of readmissions, length of stay, ED utilization...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- Sharp HealthCare (La Mesa, CA)
- …for Professionals in Patient Safety; Certified Professional in Healthcare Risk Management (CPHRM) - American Hospital Association; Master's Degree; Bachelor's Degree ... improve clinical outcomes including responsibilities relating to leading teams in the utilization of Change Acceleration Process and PI tools and providing feedback… 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
- Community Based Care of Brevard, Inc. (Orlando, FL)
- …Clinical Review - Essential Function: In partnership with the Behavioral Health and MDT coordinators, jointly reviews clinical service intervention, participates ... partner with various stakeholders and agency staff and train community stakeholders. Utilization and Fiscal Management : This is preferred to effectively evaluate… more
- Commonwealth Care Alliance (Boston, MA)
- …Community Health Workers (CHWs) are key supports to interdisciplinary care management teams and complement and support enrollees' needs, goals, and preferences. ... coaching skills to improve CCA enrollee outcomes by impacting care access and utilization , closing care quality gaps, and optimizing member connection to medical, … 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
- Sea Mar Community Health Centers (Lynnwood, 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,...interventions at point of care to assist patients with management of their chronic illness, address any social needs… more
- UnityPoint Health (Des Moines, IA)
- …8-hour days from 8-4:30pm + Job ID: 168665 Overview As a member of the behavioral health care management team, this position integrates the care of the ... + Area of Interest: Behavioral Health Services + FTE/Hours per pay period:...+ Facilitates and/or participates in interdisciplinary team meetings to review and revise the patient plan of care. .… 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