- Burns & McDonnell (Houston, TX)
- …and guidelines to meet program management, global practice, and regional objectives. + Regularly review team utilization of staff to make sure employees have a ... clear path of development and support and those resources are adequately leveraged and empowered to their strengths and skillsets. + Oversight and management of chargeability and proper allocation of staff in the organization to meet regional KPI objectives.… more
- City of Asheville (Asheville, NC)
- …Signal Field Technician Level III certification preferred. Performance Aptitudes: Data Utilization : Requires the ability to review , classify, categorize, ... and organizations, and other individuals as needed to coordinate work activities, review status of work, exchange information, or resolve problems. Processes a… more
- Veterans Affairs, Veterans Health Administration (Reno, NV)
- …aligned care team). The Advanced MSA coordinates with the patient care team to review the clinic utilization by using various reports (eg, Clinic Utilization ... Statistical Summary). Duties of the position include, but are not limited to: Develop/maintain effective and efficient communication with the patient, interdisciplinary team, VA medical centers, and other agencies. Assist with communications during the… more
- World Insurance Associates, LLC. (Iselin, NJ)
- …care reform, HIPAA). + Lead the delivery of enrollment, benchmarking, financial and utilization data based on financial review standards and make recommendations ... knowledge of plan design alternatives, underwriting and funding concepts. + Drive utilization and ensure accuracy of all agency management system information for… more
- Humana (Santa Fe, NM)
- …of program changes and outcomes. Responsibilities include: + Oversee the development, review , and maintenance of Utilization Management (UM) policies and ... ranging from moderate to substantial. The Policy Governance Lead for Utilization Management (UM) is responsible for overseeing the development, implementation, and… more
- HCA Healthcare (Mcallen, TX)
- …activities and functions are handled in accordance with state specific peer review protections. + Coordinate utilization of the Practitioner Excellence ... model medical staff policies, and support the facility's medical staff in their review and adoption. + Read and be familiar with facility Medical Staff Governance… more
- Crown Equipment Corporation (New Castle, IN)
- …work accordingly. Monitor work for compliance with standard procedures and effective utilization of employees and equipment. Review , modify, develop, and ... with other branches to secure Rental or Used deals. Review and/or approve pricing for Used Equipment. Prepare or...pick-up of rental, used, new and shop service equipment. Review quotes and/or work orders before approving service work… more
- Centene Corporation (Denver, CO)
- …to identify and implement opportunities for improvement. + Oversees the clinical review of outcomes including creating and editing correspondence letters with the ... and NCQA standards + Provides expert insight and guidance on the clinical review process of correspondence to ensure compliance with all applicable State and Federal… more
- Centene Corporation (Carson City, NV)
- …discuss member care being delivered + Collects, documents, and maintains concurrent review findings, discharge plans, and actions taken on member medical records in ... health management systems according to utilization management policies and guidelines + Works with healthcare...or provide recommendations based on requested services and concurrent review findings + Assists with providing education to providers… more
- Gulfstream (Mesa, AZ)
- …by the RS in complying with all applicable regulatory requirements, ensure effective utilization of labor and materials. + Review /resolve quality issues with ... reviews of QA auditing results to ensure corrective actions are implemented, review corrective actions with appropriate personnel. + Ensure all work performed by… more