- Pacific Medical Centers (Renton, WA)
- …Works collaboratively and proactively with Director of Operations and USFHP Medical Director (s) to develop and implement strategic case management and ... responsible for the supervision of case management (CM) and utilization management (UM) functions of US Family Health Plan...and processed in a timely manner. It includes timely review of medical necessity and authorization for… more
- Novo Nordisk (Omaha, NE)
- … Director . Relationships Position reports to Field Director /Senior Field Director . Serves as organization spokesperson on advanced medical and technical ... About the Department The Clinical, Medical and Regulatory (CMR) department at Novo Nordisk...monthly reports on scientific support activities in region to Director including budget expenditures as directed + Records all… more
- Sharp HealthCare (San Diego, CA)
- …position requires the ability to combine clinical/quality considerations with regulatory/financial/ utilization review demands to assure patients are receiving ... medical record and provides information to the department head as indicated. + Utilization review and utilization managementThe RN CM I will:Conduct… more
- State of Colorado (Denver, CO)
- …Rights You may file an appeal with the State Personnel Board or request a review by the State Personnel Director if your application is eliminated. You will ... program delivery. This position's direct supervision is provided by the 988 Director . Job duties: Oversight and Contract Management This position works in… more
- HCA Healthcare (Manchester, NH)
- …+ Focused or ongoing professional practice evaluations (FPPE/OPPE), performance improvement, utilization patterns, peer review , or other performance information. ... membership or clinical privileges, as directed by facility leaders. Catholic Medical Center 6. Performance Improvement/Peer Review /Patient Safety Coordinate with… more
- Sharp HealthCare (La Mesa, CA)
- …position requires the ability to combine clinical/quality considerations with regulatory/financial/ utilization review demands to assure patients are receiving ... Care Management and provides information to the department head as indicated. + Utilization review and utilization managementThe RN CM will:Conduct initial… more
- Fresenius Medical Center (Teaneck, NJ)
- …+ Facilitates the application process for physician privileges and compliance with FMS Medical Staff By-Laws. + Responsible for strong Director and physician ... communicated to and implemented by the facility staff. + Maintains integrity of medical records and other FMS administrative and operational records. + Complies with… more
- Atlantic Health System (NJ)
- …patient/family assessment and multidisciplinary collaboration. 2. Ensures daily chart review , utilization reviews, coordination of discharge planning activities ... selected member populations across the continuum of illness. Ensures effective utilization and monitors health care resources. Manages the interdisciplinary team to… more
- Atlantic Health System (Newton, NJ)
- …patient/family assessment and multidisciplinary collaboration. 2. Ensures daily chart review , utilization reviews, coordination of discharge planning activities ... selected member populations across the continuum of illness. Ensures effective utilization and monitors health care resources. Manages the interdisciplinary team to… more
- Atlantic Health System (Summit, NJ)
- …assessment, including SDOH and multidisciplinary collaboration. 2. Ensures daily chart review , utilization reviews, coordination of discharge planning activities ... selected member populations across the continuum of illness. Ensures effective utilization and monitors health care resources. Manages the interdisciplinary team to… more