- Nuvance Health (Newtown, CT)
- …the delivery of medical care and clinical services such as cost management, utilization review , quality assurance, and medical protocol development * Participate ... in various administrative and clinical staff meetings * Maintain confidentiality of all information related to participants, medical staff and employees * Demonstrate positive interpersonal relations * Oversee the activities of physicians/APPs, including the… more
- Penske (Avondale, AZ)
- …on location of accounts, volume, costs, customer requirements and private fleet utilization . Review daily orders for additional private fleet opportunities based ... on above requirements. High-level requirements -** Looking for a strong Senior Operations Supervisor Transportation leader. Critical thinker, self-motivated with growth mindset. Overseeing cdl class A drivers and equipment. Preferred DOT regulation knowledge,… more
- Garnet Health (Harris, NY)
- …Swing Bed, Acute, and Emergency Department Patients. Responsible for discharge planning, utilization review , team conferences and unit-based rounds. Acts as a ... liaison performing outreach and rounds to hospital and providers to educate on and facilitate Swing Bed admission as a bridge to home. At Garnet Health, we are committed to supporting your career growth and professional potential. We are responsive, attentive… more
- New York State Civil Service (West Haverstraw, NY)
- …care and high-quality clinical outcomes. Participation in quality improvement, utilization review , and clinical documentation integrity initiatives. Willingness ... to mentor mid-level providers, residents, or students. Familiar with electronic health record (EHR) systems. Engagement in evidence-based practice and performance improvement projects. Interest in program development and rehabilitation outcome research.… more
- Sedgwick (Miami, FL)
- …and physician filings and decisions on appropriate treatments recommended by utilization review . + Maintains professional client relationships. **ADDITIONAL ... FUNCTIONS and RESPONSIBILITIES** + Performs other duties as assigned. + Supports the organization's quality program(s). + Travels as required. **QUALIFICATIONS** **Education & Licensing** Bachelor's degree from an accredited college or university preferred. NY… more
- New York State Civil Service (West Haverstraw, NY)
- …care and high-quality clinical outcomes. Participation in quality improvement, utilization review , and clinical documentation integrity initiatives. Willingness ... to mentor mid-level provider, resident, or students. Familiar with electronic health record (EHR) systems. Engagement in evidence-based practice and performance improvement projects. Interest in program development and rehabilitation outcome research.… more
- Sedgwick (Milwaukee, WI)
- …and physician filings and decisions on appropriate treatments recommended by utilization review . + Maintains professional client relationships. **ADDITIONAL ... FUNCTIONS and RESPONSIBILITIES** + Performs other duties as assigned. + Supports the organization's quality program(s). + Travels as required. **QUALIFICATION** **Education & Licensing** Bachelor's degree from an accredited college or university preferred.… more
- Penn State Health (Reading, PA)
- …in patient, student and staff teaching programs; participating in drug utilization review activities; performing clinical pharmacy services as needed; ... and accepting on-call responsibilities. **MINIMUM QUALIFICATION(S):** + Bachelor of Science degree in Pharmacy from an accredited college of pharmacy required. + Current State Registered Pharmacist license required. **PREFERRED QUALIFICATION(S):** + Previous… more
- BriteLife Recovery (Hilton Head Island, SC)
- …Director, and BHT Supervisor to deliver excellent client care. + Works with Utilization Review Department to address billing needs. Responds to inquires from ... billing promptly. + Participates in the recruitment and interview process for clinical staff. + Completes performance appraisals for clinical staff on an annual basis and works with Human Resources on employee performance management throughout the year. +… more
- Athena Health Care Systems (Middletown, CT)
- …of MDS. + Retrieves/Prints and faxes medical records to managed care companies for utilization review purposes. + Transmits MDSs to the State database. + Prints ... and files MDS, CAAs and care plans. + Retrieves QM reports and emails to facility and Athena staff. + Reproduces care plans that have been edited by interdisciplinary team members. + Tracks and schedules all Medicare certifications and recertification. + Mails… more