- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- About The Role MagnaCare provides Utilization Review / Case Management/ Medical Management/Claims Review services to its clients. Care Coordinators facilitate ... care management and utilization review by performing data collection &...data collection & data entry, and effectively communicating with Nurse Case Reviewers/Managers, employers and claimants in regards to… more
- University of Southern California (Los Angeles, CA)
- …+ Req 5 years Clinical experience + Req 2 years Ambulatory case management or utilization review experience within the last three years + Req Ability to work ... The role integrates the functions of complex case management, utilization management, quality management, discharge planning assessment, and coordination of… more
- East Boston Neighborhood Health Center (Revere, MA)
- …to the health and well-being of our patients and communities. Whether you're a nurse or physician providing direct care, a manager leading dedicated teams, or part ... Coordinating with the Manager of PACE Claims to proactively review referrals and claims-related data in an effort to...referrals and claims-related data in an effort to provide utilization reports to other departments. Insurance Department: * Must… more
- Mohawk Valley Health System (Utica, NY)
- …scheduling records. + Participates in agency meetings and the quality improvement and utilization review activities of the organization. + Follows all state, ... electronic scheduling of all clinical disciplines of the Visiting Nurse Association of Utica and Oneida County, Inc. (VNA)....Participates in agency meetings and the quality improvement and utilization review activities of the organization. +… more
- Veterans Affairs, Veterans Health Administration (Fargo, ND)
- …coordinated care delivery model. coordinates with the patient care team to review clinic appointment availability and utilization to ensure that clinic ... coordinated care delivery model. Coordinates with the patient care team to review clinic appointment availability ( utilization ) to ensure that clinic schedules… 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 ... 25% of the time. Plans and organizes work with general assistance from the supervisor as to meet local and VA-wide time frames to complete analysis requirements,… more
- Veterans Affairs, Veterans Health Administration (Cleveland, OH)
- …not limited to: Schedules patient appointments. Coordinates with the patient care team to review the clinic utilization by using various reports (eg, Clinic ... of the provider. Plans and organizes work with general assistance from the supervisor as to meet local and VA-wide time frames to complete analysis requirements,… more
- Pine Acres Rehabilitation & Care Center (Nebraska City, NE)
- …Administrator Reporting to this position: None Job Classification: Registered nurse with administrative duties/management Position Purpose: Conducts and coordinates ... Must possess a current, unencumbered, active license to practice as a registered nurse in Nebraska. Must have 3 years' experience as a registered nurse… more
- Albany Medical Center (Albany, NY)
- …Licensure, Certification & Registration: + Must hold a current NYS Registered Nurse license. Experience: + 7-10 years of experience in nursing, involving ... Responds to changes in work efficiently and effectively. Support implementation and utilization of clinical nursing research. Promote the use by colleges and… more
- The County of Los Angeles (Los Angeles, CA)
- …goals. + Develops and implements reporting procedures to ensure that program services utilization and revenue data are reported accurately and in a timely manner. + ... of care and establishes and modifies program monitoring and review methods as necessary. + Oversees audits and the...A valid, current license to practice as a registered nurse issued by the appropriate State of California licensing… more
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