- GCI Communication Corp (Anchorage, AK)
- …and utilization to meet business and operational needs. + Facilities Utilization & Performance: Regularly review network facilities utilization and ... the software and firmware upgrade/patch process, minimizing operational disruption. + Review and analyze the effectiveness of implemented network and service… more
- Bon Secours Mercy Health (Mechanicsville, VA)
- …cardiac wellness programs (rehab, nutritional counseling, etc.) Participate in quality assurance/ utilization review of programs. Familiar with computer programs ... effective interviewing methods to collect and validate appropriate data. Access and review relevant medical records, through online databases or by request to… more
- Sharp HealthCare (La Mesa, CA)
- …with 0-2 errors; Have the ability to proof work.Knowledge of insurance, utilization review , scheduling requirements and support of front desk ... distributes and collects pre-evaluation paperwork. Prepares evaluation for Patient Care Managers review and presents to Patient Care Manager before due date in the… more
- New York State Civil Service (Claverack, NY)
- …research psychology, industrial psychology, organizational psychology, health psychology, utilization review , guidance counseling, pastoral counseling, or ... health and substance use screens, youth and collateral interviews, and record review to develop a psychosocial assessment and subsequent mental health treatment… more
- PruittHealth (Greenville, SC)
- …19. Supervises and participates in the development and implementation of Performance Improvement, utilization Review , and Peer Review Program of the agency. ... 20. Performs other administrative tasks as assigned by the Governing Body. Personnel Administration 1. Employs professional administrative and other qualified staff to meet the needs of the patients admitted. 2. Supervises and evaluates all professional and… more
- CVS Health (Baton Rouge, LA)
- …Medicaid experience. + Waiver experience + Crisis intervention skills + Managed care/ utilization review experience + Familiarity with QuickBase + Case management ... and objectives. + Presents cases at case conferences to obtain a multidisciplinary review in order to achieve optimal outcomes. + Identifies and escalates quality of… more
- Beth Israel Lahey Health (Cambridge, MA)
- …drugs in clinical studies. + Participates in the department Quality Assurance and Utilization Review Programs. + Conducts monthly Joint Commission nursing unit ... repetitive hand movement and visual concentration at video display terminal in order to review and enter data. **Pay Range:** $55.00 - $69.75 The pay range listed… more
- Northern Light Health (Bangor, ME)
- …dates, and times of conversations with businesses, insurances, managed care organizations, Utilization Review , and patients are documented, if appropriate. + ... understanding of benefit coverage and precertification/authorization, if appropriate. + Quality review procedures are followed to ensure accounts are brought to a… more
- Wellpath (Fayette County, PA)
- …staff and ensure adherence to clinical protocols + Oversee chronic care clinics, utilization review , and quality improvement initiatives + Collaborate with the ... key role in chronic care clinic oversight, pharmacy monitoring, and medical program review . **What you bring to the table** EDUCATION + Medical school graduate… more
- Cedars-Sinai (CA)
- …the established/communicated timeframe + Documents appropriate reviews for assigned patients using utilization review tool. + Provides telephonic review for ... identified contracted/private patients collaborates with on-site and/or outside reviewers. + Keeps patients informed of progress and provides information related to disease progression. + Collaborates with discharge planner to make orders and arranges for home… more