- Beth Israel Lahey Health (Burlington, MA)
- …Hospital and Departmental committees. --Participate in Quality Assurance and or Utilization Review committees as assigned. 25190_LHMC_Clinical Social Worker_C200 ... departmental case conferences --Present cases as requested. --Assist with new clinician orientation. --Participate in administrative functions as defined by the… more
- Rush University Medical Center (Chicago, IL)
- …readiness to learn. * Selects and promotes optimal, cost effective resource utilization and interventions. Nursing Practice * Provides formal and informal education ... improve outcomes. * Collaborates with other departments to develop and/or review orientation, clinical competency, and additional clinical education programs. *… more
- Beth Israel Lahey Health (Burlington, MA)
- …Hospital and Departmental committees. - Participate in Quality Assurance and or Utilization Review committees as assigned. - Actively participate in child/adult ... case conferences - Present cases as requested. - Assist with new clinician orientation. - Participate in administrative functions as defined by the department… more
- Educational Alliance, Inc. (New York, NY)
- …appropriateness of the current level of treatment, corresponding with LOCADTR and utilization review instruments (Substance Use treatment track). + Coordinate ... providers. + Facilitation of individual and group-level interventions during other clinician vacations or leave + Ensure that clients' annual medical examinations… more
- UnityPoint Health (Fort Dodge, IA)
- …as well as any additional education needs identified by the assessing clinician and/or physician: oTreatment and disease management oMedications purpose, use, side ... to CMS guidance and agency policies and procedures. .Participates in clinical review of records to monitor quality and accuracy, appropriate utilization ,… more
- Prime Therapeutics (Trenton, NJ)
- …Medicaid Clinical Account Manager - Remote **Job Description** Innovative business clinician accountable for building and maintaining customer relationships as well ... fashion. + Demonstrates the value of pharmacy solutions (unit cost, utilization management & patient care enhancement). + Identifies opportunities for additional… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …MN license and with no restrictions or Behavioral Health Professional that is Clinician licensed for independent practice with one or more of the following licenses ... 1+ years of managed care experience, eg case management/health coach, utilization management and/or auditing experience. Compensation and Benefits: Pay Range:… more
- Nuvance Health (Newtown, CT)
- …the delivery of medical care and clinical services such as cost management, utilization review , quality assurance, and medical protocol development * Participate ... obligations. Nuvance Health Medical Practice (NHMP) understands the importance of clinician wellness. "Burnout" is a national phenomenon threatening many health… more
- UPMC (Harrisburg, PA)
- …nursing staff and other disciplines in area of specialty. Participate in self- review . Improve knowledge, skills and performance based on feedback or on ... design, facilitate, monitor and evaluate program improvement initiatives As the expert clinician , is accountable and responsible for sharing that expertise with the… more
- The Cigna Group (Bloomfield, CT)
- …part of Cigna Pharmacy Management, the Pharmacy Sales Advisor is a licensed clinician who serves as the primary pharmacy benefits subject matter expert supporting ... earnings. + Participate in client meetings and presentations to review client performance and sell in the suite of...teams. + Support detailed ad-hoc analysis of pharmacy claims utilization in order to provide clients with proactive consultation,… more