- SUNY Upstate Medical University (Syracuse, NY)
- …accurate attendance and therapy records. Interfaces with nursing, medical staff, utilization review social services, discharge planner, therapy team to ... assist in successful treatment plan and patient discharge. Assess and recommends and requisitions purchases for equipment and supplies that pertain to therapeutic recreation. Abides by department policies and procedures and operational guidelines. Supervises… more
- Intermountain Health (Billings, MT)
- …experience and all aspects of the Intermountain Operating Model. Participates in utilization review audits. + **Program Development and Marketing** : Contributes ... to program development and marketing strategies to grow the physical therapy program and achieve department goals. **Skills** + Quality Improvement + Verbal and Written Communication + Patient Engagement + Critical Thinking + Time Management + Care Planning +… more
- Washington County Mental Health Services (Barre, VT)
- …education programs across the organization. + Oversee internal auditing processes, utilization review procedures, and data tracking systems that inform ... quality and reporting requirements while coordinating with senior leadership on performance goals for each division. + Identify and mitigate compliance and quality risks through proactive measures, manage Grievances and Appeals processes, and conduct routine… more
- ERP International (Camp Lejeune, NC)
- …providers for 90% of all referrals. + Provides timely, descriptive feedback regarding utilization review issues. + Reviews and enters first right of refusal ... referrals into CHCS and database within one (1) business day of the date of the referral. + Submits referrals to non-network providers to TRICARE Service Center (TSC) for processing. + Receives and makes patient telephone calls and computer/written… more
- 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
- 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
- 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
- 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 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