- CDPHP (Latham, NY)
- …invites you to be a part of that experience. The clinical support specialist (CSS) provides administrative support to clinical staff within Member Health. The CSS ... (2) years experience in a health insurance related discipline required. + Utilization management experience is preferred. + Knowledge of managed care, health plan… more
- Allegan County (Allegan, MI)
- …Under the supervision of the Team Leaders, the Call-In Treatment Specialist performs responsibilities consistent with safety, and security measures, policies and ... violation in the last 12 months Click here to review entire job description (https://www.allegancounty.org/home/showpublisheddocument/13252/638979544682930000) Allegan County is an… more
- Battelle Memorial Institute (Columbus, OH)
- …make informed recommendations to the Maintenance Manager and Building Controls Specialist for reducing operational costs. + Ensure all environmental conditions meet ... by working with Controls Specialists and Maintenance Teams to review the building automation system for alarm conditions. +...programs for equal treatment of all staff and full utilization of all qualified employees at all levels within… 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 ... with patient/family and physician to determine next level of care Conducts case review presentations to educate peers on unique or challenging cases and scope of… more
- Carle Health (Normal, IL)
- … issues in appropriate locations, including but not limited to: case management/ utilization review software and the multidisciplinary plan of care document ... coordination and completion of services to meet post-hospitalization needs.Conducts case review presentations to educate peers on unique or challenging cases and… more
- Northwell Health (Manhasset, NY)
- …and research. + Develops and monitors the hospital's policies/procedures regarding utilization of medications in collaboration with the medical staff, Pharmacy, and ... Therapeutics Committee; monitors medication utilization effectively and intervenes when necessary to ensure compliance. + Ensures the safe and effective use of… more
- St. Luke's University Health Network (Lehighton, PA)
- …mental health/crisis intervention experience required. Previous experience with case management/ utilization review and managed care models preferred. Please ... may require treatment with seclusion/restraints. + Supports the function of utilization management regarding pre-certification process for all intakes and consults.… more
- Queen's Health System (Honolulu, HI)
- …* Experience with EMRs (preferably Epic), insurance verification tools, and utilization review processes. * Excellent interpersonal and communication skills. ... Provides patient access services and coordinates referral workflows and utilization tracking. Performs scheduling, registration, insurance verification, and financial… more
- Air Education and Training Command (Gunter AFB, AL)
- …policies and procedures, as well as standard space management and utilization practices, techniques, policies, instructions, and procedures, knowledge of standard ... policies and procedures. Knowledge of standard space management and utilization practices, techniques, policies, instructions, and procedures. Ability to apply… more
- Beth Israel Lahey Health (Charlestown, MA)
- …include, utilization of our ERP system to: process/enter invoices/credits, review and resolve invoice coding and statement issues, monitor and respond to ... emails received in the general departmental mailbox (apx 500-700/daily), review /obtain approvals and release vouchers on payment hold, interact with Purchasing and… more