- 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
- Health Advocates Network (Harrisburg, PA)
- … behavioral health setting, drug and alcohol setting, managed care, quality management / utilization review or other related clinical experience; or An ... of medical assistance (MA), health care services, human services, long term care, utilization review , or knowledge of home care Knowledge of and familiarity… more
- HCA Healthcare (Corpus Christi, TX)
- …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 ... work to deliver clinical excellence behind the scenes in data science, case management or transfer centers. Unlock your potential at Corpus Christi Medical Center!… more
- Catholic Charities of WNY (Buffalo, NY)
- …and other licensed clinicians); + Arrange coverage of clients as necessary; + Attend utilization and quality assurance review meetings, peer review meetings, ... Catholic Charities of Buffalo is hiring a Psychiatric Nurse Practitioner for our Behavioral Health Program with Monsignor Carr Institute for our Clients across our… more
- Ascension Health (Jacksonville, FL)
- …areas of responsibility, to include but not limited to; + Quality and Safety + Utilization Review + Peer Review and Credentialing + Growth and Strategic ... promote and oversee patient safety, continuous performance and quality improvement, risk management and efficient resource utilization . + Provides leadership to … more
- Devereux Advanced Behavioral Health (Braddock, PA)
- …absence, including FMLA and other leave of absence types. This role will review benefits, competitor benefits, and benefit utilization and make recommendations ... dealing with things such as leave of absences, coaching employees and management through issues, benefits and workers compensation?Are you an enthusiastic go-getter,… more
- HCA Healthcare (Sanford, FL)
- …in Case Management is preferred + BSN is preferred + Certification in Case Management , Nursing or Utilization Review is preferred HCA Florida Lake Monroe ... with physicians, patients, families, hospital staff, and outside agencies + Performs utilization management reviews and communicates information to third party… more
- Ellis Medicine (Schenectady, NY)
- …plan, implement and evaluate individual healthcare needs. Integrate Discharge Planning, Utilization Review and Performance Improvement activities at the patient, ... levels. Efficiently and effectively anticipates, identifies and resolves issues through utilization review and discharge planning processes. Collaborates with… more
- HCA Healthcare (Gainesville, FL)
- …Case Management is preferred + BSN is preferred + Certification in Case Management , Nursing or Utilization Review is preferred HCA Florida North Florida ... with physicians, patients, families, hospital staff, and outside agencies + Performs utilization management reviews and communicates information to third party… more
- CareFirst (Baltimore, MD)
- …related experience working in Care Management , Discharge Coordination, Home Health, Utilization Review , Disease Management or other direct patient care ... **PURPOSE:** This position will support the Maryland government programs care management team, specifically the Medicare Advantage line of business. The Care… more
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