- Banner Health (Phoenix, AZ)
- …and regulatory agencies. MINIMUM QUALIFICATIONS Must possess knowledge of case management or utilization review as normally obtained through the completion of a ... and communicates pertinent, timely information to payers and others to fulfill utilization and regulatory requirements. 6. Educates internal members of the health… more
- Banner Health (Tucson, AZ)
- …provider networks, and regulatory agencies. Must possess knowledge of case management or utilization review as normally obtained through the completion of a ... and communicates pertinent, timely information to payers and others to fulfill utilization and regulatory requirements. 6. Educates internal members of the health… more
- East Boston Neighborhood Health Center (MA)
- …the preparation and monitoring of the departmental budget; BHC productivity/ utilization review , and documentation/coding/billing practices and improvements. ... clinical programs assigned. 18.Provides programmatic management and oversight of access and utilization data to the entire integrated Care Team while holding teams… more
- University of Utah Health (Salt Lake City, UT)
- …of time and attendance of direct reports. + Functions as Case Manager and/or Utilization Review Nurse as necessary. + Tracks and analyzes Case Manager quality ... of service and utilization statistics. + Works collaboratively with information systems personnel as needed to implement case management system improvements. +… more
- Corewell Health (Dearborn, MI)
- …sessions with eligible inpatients and Partial program patients and also may perform utilization review for this patient population + Provides discharge planning ... and utilization approvals for post inpatient care. + This document represents the major duties, responsibilities, and authorities of this job, and is not intended to… more
- Rochester Regional Health (Rochester, NY)
- …+ Practices according to Agency and community standards + Participates in utilization review and/or continuous quality improvement activities as requested. + ... health. + Manages more complex assignments and larger caseloads with appropriate utilization of services. REQUIRED QUALIFICATIONS: + Level I - Diploma or Associate's… more
- Penn Medicine (Philadelphia, PA)
- …leadership responsibilities. + Strong knowledge of formulary management, drug utilization review , and cost-containment strategies. + Excellent communication, ... to improve patient outcomes and operational efficiency. + Monitor drug utilization and implement cost-saving initiatives without compromising quality of care.… more
- Sharp HealthCare (San Diego, CA)
- …with 0-2 errors; Have the ability to proof work.Knowledge of insurance, utilization review , scheduling requirements and support of front desk ... meet service standards. Follows policy and procedure for entering of OCM and utilization of IDX. Completes work within assigned hours.Able to respond to changing… more
- St. Bernard's Medical Center (Jonesboro, AR)
- …appropriateness by collaborating with MD, Patient Placement Coordinator, and Utilization Review Coordinator. Complies with guidelines, institutional policies ... and procedures, and other information to determine appropriate transfers and admissions into Medical Center, Emergency Department, and St. Bernards Behavioral Health. more
- St. Luke's University Health Network (Quakertown, PA)
- …mental health/crisis intervention experience required. Previous experience with case management/ utilization review and managed care models preferred. Please ... may require treatment with seclusion/restraints. + Supports the function of utilization management regarding pre-certification process for all intakes and consults.… more