- Howard University Hospital (Washington, DC)
- …to ensure non-interruption of services. Verifies operational status of equipment prior to daily utilization . Participates in quality improvement activities ... to ensure continuous improvement of services. Follows hospital wide and department specific safety and infection control standards. Adheres to departmental policies, procedures, standards, and protocols to ensure effective departmental operations and quality… more
- Genesis Healthcare (NM)
- …Preferred case management experience. 5. Experience in business/development preferred. 6. Prior experience in utilization review or discharge planning preferred. ... 7. Certifications: CCM, LPN or CIRS preferred. Benefits *Variable compensation plans *Tuition, Travel, and Wireless Service Discounts *Employee Assistance Program to support mental health *Employee Foundation to financially assist through unforeseen hardships… more
- Texas Health Resources (Arlington, TX)
- …obtaining PCP or specialist physician follow-up. 8. Obtain follow-up PCP appointment prior to discharge when appropriate. 9. Obtain follow-up clinic appointment ... prior to discharge when indicated. 10. Makes post-discharge follow-up...and continuity of care to prevent readmission. 35% C. Utilization Review: 1. Performs utilization review according… more
- Catholic Health Services (Port Jefferson, NY)
- …for Care Management 3+ Years acute care clinical RN experience required Prior RN experience in Utilization Management, Performance Improvement, Transition ... across the acute care continuum. Perform required activities for utilization management, PRI assessment and completion, transition planning, and identification… more
- Ventura County (Ventura, CA)
- …years of service, and to 368 hours after 15 years of service. *Credit for prior public service may be considered (Sec. 616A). + Deferred Compensation - Eligible to ... medical policy with the Health Care Agency Director and Insurance Administrator, Utilization Management staff and Quality Assurance Staff. + Participates, as a… more
- AdventHealth (Altamonte Springs, FL)
- …role you will contribute:** The Physician Advisor provides primary support for Utilization Management (UM) and secondary support for Care Management (CM) departments ... responsible for educating, informing and advising members of the Utilization Management, Care Management, Managed Care and Revenue Cycle...2 or greater experience as a Physician Advisor + Prior experience with third party payors + CHCQM -… more
- State of Minnesota (Willmar, MN)
- …treatment to some of Minnesota's most vulnerable kids? Tired of hours spent in prior authorization calls and utilization reviews? Wish you could spend time ... checks to verify job-related credentials and criminal background check prior to appointment. EDUCATION VERIFICATION - Applicants will be...are free from tuberculosis (TB) through a blood test prior to employment. DCT does not accept TB skin… more
- Pacific Seafood (Doral, FL)
- …discrepancies to Supervisor. + Perform other duties, as assigned. Qualifications + Prior experience with the utilization of food processing equipment, scales, ... in- first out). + Check each tray for quality prior to bagging. + Ensure work station, knives, and...A high school diploma or GED is preferred. + Prior experience with food safety and sanitation procedures is… more
- RWJBarnabas Health (Newark, NJ)
- …candidates must have at least 3 years of recent experience in Case Management, Utilization Review, or Discharge Planning, and a minimum of 2 years in a supervisory ... role, with prior management or leadership experience required. This role focuses...experience required. This role focuses on clinical resource management, utilization review, discharge planning, and patient advocacy. This role… more
- Ellis Medicine (Schenectady, NY)
- …function is to work with the Social Worker, Nurse Case Manager, or Utilization Management Nurse to facilitate patient discharge plans, support coordination of care ... activities, and assist in utilization management activities under the direction of a registered...discharge planning documents are provided to post-acute care facilities prior to patient return (ie. NYS Department of Health… more