- Highmark Health (Pittsburgh, PA)
- …referral screening/management. **ESSENTIAL RESPONSIBILITIES** + Prior Authorization & Utilization Management: Reviews pharmacy utilization management (UM) ... for both pharmacy and medical benefits and prepares such cases for clinical review when required. Within the context of the request, applies plan-specific benefits… more
- Veterans Affairs, Veterans Health Administration (Batavia, NY)
- …determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply. ... to ensure documentation is accurate and reflective of the Resource Utilization Group (RUG) score. Responsible for providing competent, evidence-based care to… more
- University of Southern California (Los Angeles, CA)
- …to optimize staffing models, scheduling, and resource allocation to maximize chair utilization . + Support budget planning to ensure efficient use of nursing ... with executive and finance teams. + Participates in annual capital needs review ; prioritization and spending. + Other duties as assigned. Required Qualifications: +… more
- Clean Harbors (Odessa, TX)
- …to include but not limited to improving operational efficiencies through effective utilization of equipment and scheduling of personnel. Interact with Sales Team and ... services projects. * Assists in the planning and scheduling of projects. * Review status reports and modifies schedules or plans as required. * Prepares reports… more
- University of Utah (Salt Lake City, UT)
- …of Recruitment** External Posting **Pay Rate Range** $16.00 **Close Date** 02/20/2026 **Priority Review Date (Note - Posting may close at any time)** **Job Summary** ... strategies for Campus Connect to increase student and RSO utilization . + Provide support for RSOs in navigating and...RSOs in navigating and enhancing their RSOs presence and utilization of Campus Connect + Collaborate with the Student… more
- Humana (Tallahassee, FL)
- …conditions and identified medical metrics (ex. HEDIS, APT, readmissions, ED utilization , polypharmacy, etc.). In this role, you will actively engage providers, ... review of KPIs, improvement strategies and bi-directional feedback related...Medicare (Medicaid quality improvement a plus). + Proficient/ intermediate utilization of Excel and PowerPoint. + Prior experience in… more
- MyFlorida (Chattahoochee, FL)
- …or as physician orders. + Providing medical emergency and emergency pregnancy review /drills on shift assigned. + Providing immediate intervention to de-escalate a ... Ability to analyze complex reports and determine the service utilization habits of clients and to evaluate the appropriateness...of clients and to evaluate the appropriateness of that utilization . + Ability to lift, pull, and squat. +… more
- Justice, Bureau of Prisons/Federal Prison System (Tallahassee, FL)
- …of the inmate workers in the factory. Responsible for receipt, technical review and acceptance of assigned contracts and for their integration into existing ... production schedules, training programs, facility usage and for proper manpower utilization . Maintains close liaison with the UNICOR management staff at the facility… more
- The Boeing Company (Auburn, WA)
- …or repair tickets as needed to ensure safe and efficient operation. + Review work orders, blueprints, CATIA plots, setup documents, verbal orders, and handbook ... personal and tool certifications, sequence own work operations effectively, maximize machine utilization to minimize setups and machining time, and ensure full … more
- Trinity Health (Ann Arbor, MI)
- …laboratory values and pharmacokinetic parameters. 4. Manages drug therapy and utilization across the continuum of care through communication with physicians, nurses, ... Documents clinical interventions, participates in quality assurance monitors, drug utilization reviews, pharmacoeconomic analysis, and monitors medication therapy outcomes… more