- CenterWell (Kansas City, KS)
- …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
- CareFirst (Washington, DC)
- …working in Care Management , Home Health, Discharge Coordination and/or Utilization Review . **Preferred Qualifications:** + Knowledge and experience with MCG ... (RN) embedded at a partnering hospital will conduct concurrent review of inpatient level of care, managing the timely...of care. Utilizing experience and skills in both care management and utilization management , the… more
- Hartford HealthCare (Manchester, CT)
- …group and individual counseling sessions for students, providing conflict resolution, anger management and behavior management strategies to students. The School ... in Social Work (071). * Training and/or familiarity with Dialectical Behavioral Therapy (DBT), familiarity with abuse and neglect reporting mandates, duty-to-warn… more
- Pine Rest Christian Mental Health Services (Grand Rapids, MI)
- …patient needs and implements patient-centered, compassionate care. + Responsible for the utilization and continued review of patient care protocols, standards of ... substance use disorders. We are much more than just the third largest non-profit behavioral health system in the country, our 220-acre main campus, and our network… more
- HCA Healthcare (San Antonio, TX)
- …disciplinary team maintaining effective communication with Emergency Department staff, Utilization Review Staff, Admissions Staff, Attending Psychiatrists, ... 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
- Veterans Affairs, Veterans Health Administration (Columbia, SC)
- …of patient treatment goals and develops criteria to measure therapy quality management service. The Recreation Therapist works without direct supervision but is ... natural resources. Reviews hazardous materials/Material Safety Data Sheets (MSDS)/waste management . Follows Emergency Preparedness plan. The incumbent must adhere to… more
- HCA Healthcare (El Paso, TX)
- …of case management philosophy/process/role, needs assessment, principles of utilization review /quality assurance, use of InterQual(R) or other clinical ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services...review of patient medical records for purposes of utilization review , compliance with requirements of external… more
- The County of Los Angeles (Los Angeles, CA)
- …and establishes goals, objectives, and standards for the effective and efficient utilization of fiscal, material and personnel resources within the objectives and ... occupational therapy programs and services; Provides for the effective and efficient utilization of resources to deliver safe and effective patient care. + Consults… more
- HCA Healthcare (Wichita, KS)
- …or 2 years of critical care experience preferred + Certification in case management or utilization review preferred + InterQual experience preferred ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services...management regulatory guidelines per CMS. + Manages VPro utilization for case management vendors + Assists… more
- HCA Healthcare (Gainesville, FL)
- …monitor and improve the patient flow program effectiveness as it relates to utilization review , resource management , and discharge planning and care ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services...PCP's to address and resolve issues related to facility utilization and patient flow process and facilitate strong working… more