- Sharp HealthCare (San Diego, CA)
- …roundsReviews every patient under assigned workload initially and reviews based on review of care plan.Makes rounds and sees every patient identified per ... departmental guidelines during hospital stay beginning with the admission review of the case manager and reviews with the...quality of care issues encountered in the course of review .Serves as a resource for staff (as needed), and… more
- Prime Healthcare (Sherman Oaks, CA)
- …effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service ... Connect With Us! (https://careers-primehealthcare.icims.com/jobs/239073/case-manager- utilization -management/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilitySherman Oaks… more
- CN (Homewood, IL)
- …and employees' execution relative to train performance, crew productivity, and asset utilization while balancing costs. . Review service plan execution with ... most effective methods are used to resolve issues . Review safety tests and safety blitz data looking for...in the system to identify opportunities to improve asset utilization and service reliability . Oversee the management of… more
- BeOne Medicines (San Mateo, CA)
- …team on resource-related decisions, including prioritization, hiring, and FSP vendor utilization . + Lead cross-functional resource review forums to optimize ... Resource Management will lead the end-to-end global budget & resource management/ utilization within GCO including the development of the Annual Operating Plan… more
- Elevance Health (Indianapolis, IN)
- …documents to convey the determination. + Responsibilities exclude conducting any utilization or medical management review activities which require the ... response in clear, understandable language. + Utilizes guidelines and review tools to conduct extensive research and analyze the...summarize and route to nursing and/or medical staff for review . + The grievance and appeal work is subject… more
- ABM Industries (Benicia, CA)
- …**Financial & Administrative Responsibilities:** + Monitor service department performance, labor utilization , and profitability. + Review and approve payroll, ... Ensure work is completed safely, efficiently, and to quality standards. + Review technician work for accuracy, code compliance, and customer satisfaction. + Oversee… more
- University of Utah Health (Salt Lake City, UT)
- …Utilization :** + Continuously supports and monitors an on-going space verification and utilization process. + Leads the review of departmental space ... allocation evaluations, utilization , and metric prioritization. + Maintains and develops the space data source for record tracking. + Generates building and lease data reports, floor plans, and space data requests. **Space, Leases, and Project Cost… more
- Cuyahoga County Board of Developmental Disabilities (Cleveland, OH)
- …the Prior Authorization Review Process, implementation of AAI Administrative Review , and utilization of Medicaid State Plan Services. Deliver technical ... coaching and instruction to ensure skill acquisition, retention and utilization . Specifically provide oversight to ensure timely enrollment and redetermination… more
- Insight Global (Juno Beach, FL)
- …and understanding of proposal/projects, objectives and the most efficient and productive utilization of resources, review layouts, designs and specifications for ... their team. This person will be responsible for preparing cost estimates, review designs and specifications for cost effectiveness and suggest alternatives when… more
- UPMC (Pittsburgh, PA)
- …policies of the Health Plan. + Actively participates in the daily utilization management and quality improvement review processes, including concurrent, ... is seeking a licensed MD or DO for a fully remote Medical Director, Utilization Management role. The Medical Director, Utilization Management is responsible for… more
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