- STG International (Tupelo, MS)
- …+ Design and participate in quality improvement, care management, risk management, peer review , utilization review , clinical outcomes, and health enhancement ... activities. + Ensure consistency in evidence-based practice standards across the CBOC's. + Implement and attend provider huddles to assure situational awareness of clinic operational limitations and daily work planning. + Function as a director for the CLIA… more
- Logan Health (Kalispell, 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
- Excellus BlueCross BlueShield (Rochester, NY)
- …This position is responsible for coordinating, integrating, and monitoring the utilization of physical health (PH) medical and healthcare services for members, ... regulatory and accreditation entities. Refers appropriate cases to the Medical Director for review . Refer to and work closely with Case Management to address member… more
- Fallon Health (Worcester, MA)
- …strategic leadership and oversight responsibility for the clinical and operational utilization management activities for all inpatient and outpatient care, and staff ... across all product lines. **Responsibilities** ** Utilization Management:** + Oversees all administrative, operational and clinical functions related to outpatient… more
- LifeCenter Northwest (Bellevue, WA)
- …Position Type Full Time Description and Qualifications The Manager, Organ Utilization (OUM) provides strategic leadership and operational oversight for the Organ ... Utilization Coordinator Team (OUCT), directing key aspects of abdominal...maintain compliant, high-quality processes. + Monitor donor case workflows, review allocation strategies, and ensure documentation aligns with regulatory… more
- LifeCenter Northwest (Bellevue, WA)
- …Salary Position Type Full Time Description and Qualifications The Director, Organ Utilization (Director), is responsible for overseeing the processes and teams that ... and executes strategies to improve organ allocation strategy and organ utilization , collaborates closely with transplant programs and the surgical recovery team… more
- UNC Health Care (Raleigh, NC)
- …episode through post discharge for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Clinical Care Management staff to ... are met and care delivery is coordinated across the continuum. The Utilization Manager completes admission, continued stay, and discharge reviews in accordance with… more
- Provider Solutions & Development (Mission Hills, CA)
- …of medical group management experience required + Must have working knowledge of utilization management and review essential to operations management and to ... the medical center and its physicians to improve clinical quality, resource utilization and increase value while maintaining and improving mission outcomes. You will… more
- University of Utah (Salt Lake City, UT)
- …thrombosis, addiction medicine, global/rural health, palliative care, informatics, ethics, and utilization review + Highly flexible scheduling + Extensive ... mentoring and opportunities to participate in QI and scholarship on the local, regional, and national levels + Competitive pay and excellent benefits **Minimum qualifications:** Medical degree, eligible for Utah Medical License, and ABIM eligible **Preferred… more
- Rising Medical Solutions (Los Angeles, CA)
- …nursing, medical case management, occupational health, orthopedics, home health care, utilization review , or quality assurance + Familiarity with regional ... physicians + CCM, and COHN-S/CM are optional but highly valued + Ability to drive to appointments within a 2-hour radius + Active, unencumbered registered nursing license with a minimum of 5 years' experience Benefits + Opportunity to make a difference in… more