- University of Utah (Salt Lake City, UT)
- …Quality Improvement Spec **Working Title** Compliance and Quality Improvement Specialist **Career Progression Track** UGR **Track Level** **FLSA Code** Professional ... Rate Range** $74,425 - $95,306 **Close Date** 12/12/2025 **Priority Review Date (Note - Posting may close at any...any time)** **Job Summary** The Compliance and Quality Improvement Specialist is a member of the ambulatory operations team… more
- Carle Health (Urbana, IL)
- … issues in appropriate locations, including but not limited to: case management/ utilization review software and the multidisciplinary plan of care document ... physician to determine next level of care Conducts case review presentations to educate peers on unique or challenging...for patients and families identified from a proactive initial admission assessment, as well as through referrals from members… more
- Insight Global (Coleman, FL)
- …* Manage and document medical records for off-site referrals * Facilitate weekly Utilization Review Committee meetings * Provide general clerical support * ... we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/. Skills and… more
- Spokane County (Spokane, WA)
- …Organization Integrated Care and the Behavioral Health Administrative Services Organization Utilization Review Integrated Care. NOTE: Three (3) professional ... of hospital daily census and of the reasons for admissions and discharges or lack of movement toward discharge....or lack of movement toward discharge. + Collaborates with Utilization Review Integrated Care Coordinator regarding continued… more
- Sharp HealthCare (San Diego, CA)
- …discharge.* Complete Inpatient admission notification for urgent or planned admissions . Coordinate with the Utilization Management department to facilitate ... + Working knowledge in the functional operations of third-party payors and utilization review agencies to expeditiously coordinate follow-up. + Working knowledge… more
- Mohawk Valley Health System (Utica, NY)
- … regarding correct level of care and reimbursement. Apply knowledge of utilization review , discharge planning, patient status changes, length of stay, ... appropriateness of admission and continued stay, severity, and morbidity/mortality. + Review patient status when admission criteria is non-sufficient for … more
- STG International (Milledgeville, GA)
- …living with dementia. + Verify resident census accuracy and report new admissions , discharges, leaves of absence and bed-holds per facility policies; document census ... forms, reports, evaluations, studies, charting, etc., as necessary. + Periodically review the department's policies and procedures manuals, job descriptions, etc.,… more
- University of Rochester (Rochester, NY)
- …directly to the Senior Manager of Student Affairs, the Student Support Specialist plays a vital role in supporting students in workforce investment programs, ... through data collection, evaluation, and stakeholder engagement. The Student Support Specialist also oversees all mandatory student compliance items for new and… more
- Cedars-Sinai (Beverly Hills, CA)
- …for medical necessity, appropriateness of care and level of care. Use evidence based review guidelines to conduct utilization review as is appropriate to ... their needs, coordinating care, communicating with health plans, including concurrent review to determine the appropriateness of services rendered and to ensure… more
- University of Rochester (Rochester, NY)
- …**ESSENTIAL FUNCTIONS** Registry Abstraction: + Accurately identify all trauma admissions , transfers, and deaths, using clinical identifiers and strict ... Attend registry vendor sponsored training workshops/meetings to maximize trauma registry utilization and performance. Registry Admin Duties + Oversee the conversion,… more