- Beth Israel Lahey Health (Charlestown, MA)
- …to the accounts payable payment reporting and control function. Activities include: utilization of ERP system to: review daily payment/banking information loads, ... correct or release data into the ERP system upon verification, review payment forecasts, offset credit balances against applicable debits, review payment… more
- Mount Sinai Health System (NJ)
- …systems, which support quality of care, medical group governance, quality assurance, risk management and peer review .** + Advocate on behalf of VMG Oncology ... in and support VHS initiatives in cost containment, product standardization, resources utilization and supply chain management (HIM Queries, Coding and… more
- HCA Healthcare (Charleston, SC)
- …to include but not limited to: Clinical initiatives that impact drug utilization , clinical education and staff development, management of appropriate drug ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services...plan that ensures positive patient outcomes and appropriate drug utilization + Analyze drug spend trends to identify areas… more
- HCA Healthcare (Brooksville, FL)
- …Healthcare Quality) OR CHCQM (Diploma in American Board of Quality Assurance and Utilization Review Physicians). _Individuals without CPHQ or_ CHCQM _will be ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services...a healthcare environment + Previous experience in accreditation, quality, utilization management , or risk management … more
- HCA Healthcare (Lone Tree, CO)
- … Department operations, functions and staff in alignment with the annual Utilization Management Program Description as well as applicable regulations and ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services...the guidance and supervision of the Director of Case Management (CM), the CM Manager is responsible and accountable… more
- HCA Healthcare (Gainesville, FL)
- …oncology, transplant, and/or cellular therapy is required. + Certification in case management , nursing, or utilization review desired. + Bachelors ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services...clinical excellence behind the scenes in data science, case management or transfer centers. Unlock your potential at HCA… more
- Beth Israel Lahey Health (Burlington, MA)
- …manager. . Assists Utilization Managers with all aspects of utilization review /discharge planning/performance improvement processes. . Functions as liaison ... Rightfax, NaviHealth, Change Healthcare, Epic, etc. . Manages all utilization management work queues by researching and.... Complies with all Lahey Clinic Policies. Complies with behavioral expectations of the department and Lahey Clinic. .… more
- OptiMindHealth (Quincy, MA)
- …FLSA Status: Non-Exempt Location: Quincy, MA Join a leading clinician-led behavioral health company today! OptiMindHealth (OMH) is expanding and seeking ... compassionate professionals to join our team. Today, OMH provides superior behavioral health services to patients in Massachusetts, Colorado, and Montana. Since… more
- BrightSpring Health Services (Sacramento, CA)
- …and submit to State Health Services Director and Assigned Director, Clinical Practice* Review utilization report at least monthly to ensure adequate hours on ... all nursing personnel, and ensure care and services are coordinated with behavioral and programmatic staff in partnership with the Executive Director. The Director… more
- The County of Los Angeles (Los Angeles, CA)
- …methods include group, family, individual and conjoint therapy, clinical case management , and crisis intervention. Positions allocable to this class also provide ... problem, which may include individual, group, family or marital counseling, case management , and/or referral to another treatment source such as a psychiatrist, a… more
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