- Sevita (Lowell, MA)
- …+ May develop and implement crisis intervention emergency procedures, oversee Utilization Review , Quality Assurance, investigations, and internal evaluations. + ... intakes; monitor daily census and any corresponding referral sources. + Regularly review documentation to ensure program compliance with all corporate and legal… more
- Medtronic (Greenville, SC)
- …(ie., prior authorization, patient support, case management, practice operations, and utilization review ) + Demonstrated understanding of patient access ... into the patient journey + Prepare regular reports on key metrics for review with sales teams and customers, as appropriate + **Coordination & Liaison Activities**… more
- Arms Acres (Bronx, NY)
- …as identified in patient treatment plans and requested by program director. Performs utilization review , provides progress reports and develop aftercare plans in ... implementation of the multidisciplinary treatment plan; coordinates treatment plan review ; performs these activities within established time frames. Documents… more
- Travelers Insurance Company (St. Paul, MN)
- …to impacted parties. + Identify the need for and engage nurse resource for utilization review when appropriate. + File appropriate state forms. + In order ... position statements, etc.). + Coordinate medical treatment as appropriate: + Review , approve and make accurate/timely payment of appropriate medical bills and… more
- Logan Health (Cut Bank, MT)
- …practice. + As applicable to assigned area(s): performs the duties of Utilization Review , precertification, concurrent reviews, and retro reviews; completes data ... + Drug Screening + Health and Immunizations Screening + Physical Demand Review /Screening Equal Opportunity Employer Logan Health is an Equal Opportunity Employer… more
- Highmark Health (Charleston, WV)
- …cases, which may involve speaking with providers via phone.At times, build cases in Utilization Review system during high volume times. + May have responsibility ... audit issues to determine root cause of errors and recommend process improvements. Review error trends to identify training opportunities. + Other duties as assigned… more
- Bakersfield Behavioral Healthcare Hospital (Bakersfield, CA)
- …areas of risk management, infection control, environmental safety, quality control, and utilization review ; strong oral and written communication skills, current ... injury. Also, responsible for developing, implementing, and monitoring the quality review program. + Directs the collection, measurement, and presentation of data… more
- Dartmouth Health (New London, NH)
- …endeavor of improving patient care, will participate fully in quality improvement, utilization review and corporate compliance efforts of the hospital, the ... and department assignments. * Participates in quality improvement, monitoring, and peer review activities as may be assigned by department or medical committee… more
- Cedars-Sinai (Marina Del Rey, 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
- Adecco US, Inc. (Minneapolis, MN)
- …recommendations according to Medication Therapy Management and Retrospective Drug Utilization Review program protocols providing clinical recommendations ... and the 5 Core Elements of MTM Services (1) Medication Therapy Review - Comprehensive and Targeted, 2) Personal Medication List (PML), 3) Medication-Related… more