- Insight Global (Montgomery, AL)
- …updated configurations in virtual or physical lab environments. Monitors system utilization and circuit bandwidth then reports anomalies to Government team leads. ... modify or remove scripts to assist in automation of tasks, as possible. Review and document all workload activities per incident or change request to eliminate… more
- CenterWell (Shreveport, LA)
- …defined by Clinical Leadership. + Meets with AMD about quality of care, review of outcome data, policy, procedure and records issues. + Participates in potential ... and coordination with specialists and other care providers. Responsibility for results review (imaging, laboratory testing, specialty referral and review of and… more
- Mount Sinai Health System (New York, NY)
- …with vendors and surgical teams on equipment, monitoring OR block time utilization , and participating in process improvement projects. The PA Program Director must ... infection status. **PLANNING OF DAILY SURGICAL CASE WORKFLOW:** + Daily review of next-day cases to optimize instrumentation, material needs, and equipment.… more
- Army National Guard Units (Augusta, ME)
- …Works closely with supervisors/ managers and/or project managers in utilization of resources, resolving problems, and determining funding/resource requirements. ... support of organizational programs/activities. - Performs budget formulation work involving review and preparation of budget estimates and financial plans. Reviews… more
- Humana (Carson City, NV)
- …health insurance, other healthcare providers, clinical group practice management. + Utilization management experience in a medical management review ... this knowledge in their daily work. The Medical Director's work includes computer-based review of moderately complex to complex clinical scenarios, review of all… more
- University of Rochester (Rochester, NY)
- …+ Oversees quality improvement and quality assurance activities including peer review and client satisfaction reports. Attends and presents at quarterly UHS ... QI meetings. Leads the creationg and review of UHS and UCC policies and procedures related...including type and scope of service provision, tracking of utilization of services, and research on outcome of services.… more
- Carnival Cruise Line (Miami, FL)
- …return-to-work planning. The Manager also escalates high-risk cases, conducts utilization reviews, and represents the company in arbitration when needed. ... Communicate with seafarers and their families with professionalism and empathy. + Review clinical care plans for appropriateness and support the case management team… more
- Beth Israel Lahey Health (Burlington, MA)
- …department and must provide a detailed monthly report on any overage. 3) Review /modify min/max inventory levels. 4) Audits inventory levels not associated with Pyxis ... ordering purposes of non-Pyxis product 12) Audits daily case equipment and supply utilization sheets to ensure accuracy of billing activity as required. 13) Works… more
- InGenesis (Columbia, SC)
- …established criteria or clinical guidelines. In this role, you will provide support and review of medical claims and utilization practices. This is a REMOTE ... * Review interdepartmental requests and medical information to complete utilization process * Documents process used and decision int he appropriate system… more
- University of Rochester (Rochester, NY)
- …application of strict inclusion/exclusion criteria and protocols. Performs meticulous chart review and enters clinical data into the quality databases to identify ... for improved outcomes, reduced cost, improved LOS, and best practice utilization of resources. Performs complete and accurate collection of preoperative, operative,… more