- Intermountain Health (Grand Junction, CO)
- …experience, and all aspects of the Intermountain Operating Model. Participating in utilization review audits. + **Meetings:** Participating in patient care ... conferences, interdisciplinary meetings, staff meetings, and necessary professional and work groups in collaboration/consensus with leaders. + **Program Development and Marketing:** Contributing to program development and marketing strategies to grow the… more
- City of New York (New York, NY)
- …vetting energy savings calculators and reviewing supporting audits, as needed; (2) utilization and review of existing tools, such as energy calculators, ... entities to identify and develop energy efficiency projects through the review of Energy Efficiency Reports (EERs), Energy Master Plans, electrification… more
- AnMed Health (Anderson, SC)
- …necessity review , continued stay/concurrent review , retrospective review , bed status management, resource utilization management, regulatory compliance, ... assigned utilization management functions daily: initial, concurrent and retrospective review of the medical record with speed and accuracy for all required… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full ... the safety net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II facilitates, coordinates, and approves medically… more
- Evolent (Annapolis, MD)
- …mission. Stay for the culture. **What You'll Be Doing:** The **Coordinator, Intake Utilization Management** at Evolent will serve as a point of contact for ... and client contractual agreements. **Collaboration Opportunities** : The Coordinator, Intake Utilization Management reports directly to the Manager, Utilization … more
- CVS Health (Baton Rouge, LA)
- … Utilization Management Nurse Consultant (UMNC) for NICU Concurrent Review conducts high-acuity, timely, and comprehensive clinical reviews for neonatal intensive ... ensuring data integrity and compliance. * Participate in quality improvement, policy review , and education related to NICU and special populations utilization … more
- Ochsner Health (Jefferson, LA)
- …relationships, contract management, standardization and consolidation processes and utilization analysis. Reviews, analyzes, negotiates, and develops contractual ... product change and serves as an internal advocate of product standardization/ utilization initiatives; coordinates new product introduction and overall product change… more
- Hartford HealthCare (Southington, CT)
- …patient care decisions to support optimal clinical and operational outcomes. They review visit utilization for care appropriateness and collaborate with ... providing recommendations to ensure quality and reliability. Reviews visit utilization for appropriate patient care, collaborates and consults clinicians on… more
- Hartford HealthCare (Southington, CT)
- …patient care decisions to support optimal clinical and operational outcomes. They review visit utilization for care appropriateness and collaborate with ... quality and reliability. * Guides staff on clinical, documentation, and utilization decisions to improve OASIS accuracy and care quality, recommending cost-effective… more
- DePaul (Rochester, NY)
- …trends for reporting and follow-up consultation and training. + Responsible for Utilization Record Review functions to include Individual record audits, ... Management Plan within the corporation. + Incident Management - review incident reports and provide feedback and recommendations(site-specific). Responsible for… more