- Fairview Health Services (Bloomington, MN)
- …may include prior authorizations, vacation supplies, dose changes, price check and drug utilization review . + Process new and refill prescriptions in the ... computer system quickly and accurately; including entering refill authorization requests and entering and calculating complex prescriptions such as compounds and injectables. + Demonstrate comprehensive knowledge of the computer system. Utilize the reporting… more
- Genesis Healthcare (NM)
- …experience. 5. Experience in business/development preferred. 6. Prior experience in utilization review or discharge planning preferred. 7. Certifications: CCM, ... LPN or CIRS preferred. Benefits *Variable compensation plans *Tuition, Travel, and Wireless Service Discounts *Employee Assistance Program to support mental health *Employee Foundation to financially assist through unforeseen hardships *Diverse, Equitable, and… more
- Prime Healthcare (Boonton Township, NJ)
- …meetings as required to ensure continuity of care. Completes all required utilization review tasks as assigned. For Outpatient and Residential services/programs ... transportation to client residence and/or transportation of clients may be required. Qualifications EDUCATION, EXPERIENCE, TRAINING 1. A master's degree from an accredited college or university in counseling, psychology, social work, or other health-related… more
- Northwell Health (Staten Island, NY)
- …promote adherence, and decrease adverse drugs events. + * Complies with Utilization Review Accreditation Commission (URAC) accreditation to complete and document ... Initial Assessments, Re-Assessments, Care Plans, and Clinical Interventions. + * Maintains records and inventory of medications.Maintains records of transactions and delivery. + * Provides clinical pharmacy services, including immunizations, etc to… more
- Virginia Mason Franciscan Health (Seattle, WA)
- …located within hospital + Ability to pass annual Inter-rater reliability test for Utilization Review product(s) used We deliver inspired people to do meaningful ... work. We are an equal opportunity/affirmative action employer. **Where You'll Work** Virginia Mason Franciscan Health brings together two award-winning health systems in Washington state CHI Franciscan and Virginia Mason. As one integrated health system with… more
- BriteLife Recovery (West Kill, NY)
- …Maintain compliance with regulatory, licensing, and accreditation standards (eg, audits, utilization review , quality assurance). + Participate in performance ... improvement, quality assurance, and compliance activities. + Special Projects, on call and other duties as assigned. What we need from you? + Complete all annual education requirements. + Maintain active state Physician Assistant license and DEA registration… more
- Beth Israel Lahey Health (Burlington, MA)
- …Hospital and Departmental committees. - Participate in Quality Assurance and or Utilization Review committees as assigned. - Actively participate in child/adult ... treatment team meetings. - Willingly participate in special projects as defined by the department administration. 11) Incorporates Lahey Clinic Guiding Principles , Mission Statement and Goals into daily activities. 12) Complies with all Lahey Clinic Policies.… more
- Cleveland Clinic (Cleveland, OH)
- …of eligibility (CTM, ACM, CCM or AHA) + Two years of recent experience in utilization review , quality or care management + Knowledge of acute care and ... accreditation requirements + Discharge planning and/or Quality Improvement experience + Prior bedside experience as an RN + Med/Surg and critical care experience **Physical Requirements:** + Requires normal or corrected hearing and vision to normal range. +… more
- Avera (Sioux Falls, SD)
- …as needed by the Pharmacy Department and applicable accreditations such as Utilization Review Accreditation Commission, Joint Commission, NIOSH, OSHA, or other ... accreditations as may be required by law, practice standards, or departmental policy to maintain compliance with accreditation entities. + May be responsible for assisting customers on the phone or in person. + May run reports and use the automated dispensing… more
- Educational Alliance, Inc. (New York, NY)
- …appropriateness of the current level of treatment, corresponding with LOCADTR and utilization review instruments (Substance Use treatment track). + Coordinate ... integrated services with medical, mental health, vocational, recovery services, and other social service providers. + Complete detailed progress notes, comprehensive treatment plans, intake/admission assessments, psychosocial assessments, discharge plans, and… more