- Tufts Medicine (Boston, MA)
- …the system, including F&A assessment and allocation. 14. Oversee sundry fund management and philanthropic fund compliance, ensuring optimal utilization and ... Campus, MelroseWakefield Hospital, Lawrence Memorial Hospital of Medford, Tufts Medicine Behavioral Health Hospital (opening Fall 2025), Tufts Medicine Care at Home,… more
- Louisiana Department of State Civil Service (Houma, LA)
- …issues impacting care in a succinct and timely manner. + Consistently meets Utilization Management and billable services expectations + Maintain knowledge of ... Services Authority and will be located at the Terrebonne Behavioral Health Clinic. This position may be filled as...who present with mental health and addictive disorders + Review diagnosis, evaluation and treatment plans in collaboration with… more
- WellSpan Health (Lebanon, PA)
- …in the management of patient care between visits. + Assists in the management of patient utilization of health care system and provides patient education ... and patient has been notified. Provides related education, counseling, ongoing review , and monitoring regarding diagnostic tests (ie, INR results in Anticoagulation… more
- Sevita (Stillwater, MN)
- …**,** **a part of the Sevita family** , provides center-based Applied Behavioral Analysis (ABA) services to individuals with Autism Spectrum Disorder and related ... Provide administrative supervision and guidance of the Behavior Analysts and Behavioral Intervention Therapy Department. + Supervision of assigned staff includes… more
- HCA Healthcare (Salem, VA)
- …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 ... and physicians. Coaches and manages staff performance. Uses the Performance Management Plan (PMP) process to communicate, educate, and set performance expectations.… more
- HCA Healthcare (Ocala, FL)
- …of day as assigned by Manager/Director. + First line resource to Case Managers, Utilization Review , and Medical Social Workers. Elevates issues as appropriate. + ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services...The Social Worker is part of the integrated Case Management Team who collaborates patients and their families to… more
- HCA Healthcare (Ogden, UT)
- …Life Support Course (BLS or BCLS) and Certification.** + **Certification in case management or utilization review preferred.** + **InterQual experience ... for a low copay. Plans include prescription drug and behavioral health coverage as well as telemedicine services and...stay, managing the length of stay, ensuring appropriate resource management and developing a safe appropriate discharge plan in… more
- Catholic Health Initiatives (Chattanooga, TN)
- …market Medical Staff Office director to lead credentialing, privileging, and peer review . + The MCMO sets strategic direction for the above-mentioned areas, which ... to conduct the work of clinical operations, clinical integration, and population health management . Collect and share group trend data on resource utilization … more
- HCA Healthcare (Salt Lake City, UT)
- …sessions as well as conduct psychotherapy process groups. SW-MSW also perform utilization review functions, including conducting InterQual reviews and obtaining ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services...more years of clinical experience preferred. + Knowledge of Utilization Review , DRG review , and… more
- US Tech Solutions (Atchison, KS)
- …advantage for Aetna. Health Services strategies, policies, and programs are comprised of utilization management , quality management , network management ... Utilizes critical thinking and judgment to collaborate and inform the case management process, in order to facilitate appropriate healthcare outcomes for members by… more