- Ventura County (Ventura, CA)
- …in-services and staff development programs; + May participate in quality assurance/ utilization review or other non-direct patient care nursing assignments; ... + May interpret and monitor cardiac rhythms depending on area of assignment; and + Performs other related duties as required. Typical Qualifications These are entrance requirements to the examination process and assure neither continuance in the process nor… 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. **Sign-On Bonus of $7,000 for 2-year commitment** Qualifications EDUCATION, EXPERIENCE, TRAINING 1. Master's degree from an accredited college or university in counseling,… more
- St. Bernard's Medical Center (Jonesboro, AR)
- …care and cost effectiveness through the integration and functions of case management and utilization review . The person in this position is self-directed, has a ... positive attitude, has the ability to motivate others toward achieving goals, and has a strong sense of and respect for confidentiality involving both patients and fellow employees. more
- Wellpath (Coal Township, PA)
- …and procedures for infirmary admissions, emergency room transfers, and the utilization review process for specialty referrals while maintaining responsibility ... for individual judgments and actions. + Maintains patient confidentiality and privacy in accordance with accepted practices for incarcerated individuals and participates in facility committees, such as Pharmacy and Therapeutics and Medical Audit Committee, as… more
- Ventura County (Ventura, CA)
- …and patient care as indicated and required. + May participate in quality assurance/ utilization review or other non-direct patient care nursing assignments. + ... Engages in ongoing education and training to stay current with best practices in emergency nursing care. + Performs other related duties as required. Typical Qualifications These are entrance requirements to the exam process and assure neither continuance in… more
- Veterans Affairs, Veterans Health Administration (Clarksburg, WV)
- …national committees. In addition, coordinate and promote service level Quality Improvement and Utilization Review and ensure that the primary focus is the ... provision of the highest quality of health care to the Veteran. Ensure adequate medical record documentation, for staff organize in-service programs and encourage continuing medical education to staff. Ensure adequate patient safety and care by reviewing… more
- WestCare Foundation (Richmond, CA)
- …staff development, education, and training activities. + Implement Quality Assurance and Utilization Review systems that monitor the effectiveness of the ... treatment system. + Assist in the development of program fiscal and budgetary systems and implementation as well as providing the oversight and management of operating budget and program fiscal expenditures. + Monitor compliance with all required standards,… more
- University of Utah Health (Salt Lake City, UT)
- …authorization/notification trail. + Drives critical dependent workflows such as for case managers/ utilization review to ensure length of stay authorization is ... secured. + Ability to work on other tasks while on long hold times with payer for authorization for another patient. **Knowledge / Skills / Abilities** + Demonstrated ability to provide clear and professional written/verbal communication skills. + Ability to… more
- University of Rochester (Albany, NY)
- …as required by third-party payors. Refers cases appropriately to physicians and Utilization Review for additional follow-up on medical information needed. + ... Interviews responsible parties to determine credit status as a tool for securing patient accounts. Verifies information collected. Maintains confidentiality of all patient information. + Exercises knowledge of sponsorship programs available to patients.… more
- UTMB Health (Galveston, TX)
- …Prevention and Antimicrobial Stewardship -** hospital epidemiology services, antimicrobial utilization review , and quality improvement initiatives across the ... health system Consultative Infectious Diseases Services - i** npatient and outpatient consultation for complex infections including endocarditis, osteomyelitis, device-related infections, and immunocompromised host infections The division operates an… more