- Highmark Health (Little Rock, AR)
- …and education or if necessary involve Special Investigation Unit or the Utilization Management area. **ESSENTIAL RESPONSIBILITIES** + Implement the pre-payment ... and the proper action to complete the retrospective claim review with the goal of proper and timely payment...data to assure appropriate level of payment and resource utilization . It is also used to identify issues which… more
- Animal Care Centers of NYC (New York, NY)
- …in supervisory or team lead roles with direct reports, performance management responsibility, and staff development accountability required. + Proven customer ... + Lead and develop admissions staff through daily coaching, performance management , and real-time support during client interactions. + Manage intake operations… more
- Washington Metropolitan Area Transit Authority (Greenbelt, MD)
- …a maintenance role which includes experience performing administrative maintenance management activities, understanding and utilization of maintenance ... principles, or utilization of Computerized Maintenance Management Systems (CMMS) (ie, practical experience as a Maintenance Planner and/or Scheduler) +… more
- Sevita (Eureka, CA)
- …strategy to manage census, maintain occupancy, improve daily attendance, and/or maximize utilization + Financial Management + When applicable, approve purchase ... Home** **Salary - $68,640 per year** Are you an experienced QIDP professional with management ability and the energy and focus to run a thriving Host Home program?… more
- University of Rochester (Rochester, NY)
- …+ Provides intake assessments, clinical triage, and mental health crisis management services for students. Provides careful diagnosis, assessment, and evaluation ... + Oversees quality improvement and quality assurance activities including peer review and client satisfaction reports. Attends and presents at quarterly UHS… more
- HCA Healthcare (Dallas, 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 ... participates in daily multidisciplinary and bedside rounds + Completes drug utilization reviews to promote rational drug therapy and implement improvements… more
- UPMC (Pittsburgh, PA)
- …the CMA's collaborations, practical comprehension and hands-on experience in clinical care/ utilization management will result by collecting and assisting with ... + Assist clinical team with scheduling transportation, scheduling appointments, and tracking utilization . + Refer members to appropriate case management , health … more
- Cedars-Sinai (Los Angeles, CA)
- …and financial management skills, including effective expense reduction, utilization management , budget control and revenue generation. Compensation Range ... and promote patient safety, continuous performance and quality improvement, risk management , and efficient resource utilization , all linked to evidence-based… more
- UPMC (Cumberland, MD)
- …quality of care concerns and never events and refers to Health Plan Quality Management Department. + Complete an overall review of medical record to determine ... + Responsible for identification of appropriate patients for case management , behavioral health referrals, health management...management to identify possible solutions. + A daily review of the medications will be conducted to identify… more
- Monte Nido (Waltham, MA)
- …regulatory agencies. + Conduct psychosocial assessments, participate in treatment planning, utilization review , and discharge planning. + Conduct individual, ... the opportunity for people to realize their healthy selves. **Family Therapist** **Walden Behavioral Care** **Waltham, MA** Walden Behavioral Care is one of the… more