- Stony Brook University (Stony Brook, NY)
- …Department may include the following but are not limited to:** + Completes Utilization review screen for inpatient and observation cases. Activity includes UR ... cases for authorization for in patient stay. + Staff review short stay, long stay and complex cases to...patients who were readmitted within thirty days. Documents over utilization of resources and services. + All Medicare cases… more
- Geisinger (Scranton, PA)
- …new skills focused on the specialized practice setting Free Princeton NCLEX Review Questions (on-line, self paced)! Temporary Practice Permit reimbursement + ability ... and handling of equipment. Participates in unit-based decision-making regarding the utilization of evidence based practice. Actively participates as a team member… more
- Johns Hopkins University (Baltimore, MD)
- …group. Implement network configuration and security measures to assure effective utilization of resources. Understand HPC technical needs. Work closely with the ... access, authorization and authentication. Generate periodic reports on resource utilization . Maintain resource inventory using best practice applications. Advanced… more
- The Friedkin Group (Dallas, TX)
- …planning. Conduct in-dealership consultations to assess service processes, technician utilization , and overall operational performance. Analyze key metrics (ELR, ... developing action items to improve inventory health and system utilization PartsEye familiarity is a plus What We Need...refers to the ability to gather, organize, research, and review information in order to draw conclusions and solve… more
- Universal Health Services, Inc. (Chino, CA)
- …given their specific needs. Responsible for providing quality case management, utilization review activities and psychotherapeutic services to psychiatric ... inpatient setting preferred; Written and oral communication skills, knowledge of utilization management & skills in case management, time management, discharge… more
- Old National Bank (Evansville, IN)
- …This position will work with the Card product management team to review program performance, partnering with Treasury Management sales representatives to provide ... Analyzes current card portfolio to identify opportunities to increase card utilization . Partners with Treasury Management sales to propose strategies to increase… more
- Spectraforce Technologies (Salt Lake City, UT)
- …providers on the health plan's pharmacy process Assist with the pharmacy utilization review and reporting process Collaborate with Quality Improvement department ... and pharmacy calls regarding the prior authorization and formulary process Perform review of pharmacy and override process in compliance with pharmaceutical related… more
- UnitedHealth Group (Dallas, TX)
- …and reimbursement policies within the claim adjudication process through medical records review Serve as a Subject Matter Expert (SME), performing medical record ... and cost avoidance development Serves cross-functionally with Medical Directors, and sometimes Utilization Management, as well as other internal teams to assist in… more
- State of Vermont (Rutland, VT)
- …care services & supports in the setting of their choice. The Nurse Case Manager/ Utilization Review Nurse I's role is to perform in- person/virtual clinical ... eligibility assessments and Utilization Review for Vermont's Long-Term Care Medicaid Choices for Care (CFC) Program, Brain Injury Program (BIP), Attendant… more
- Christian Park Healthcare Center (Escanaba, MI)
- …team Assesses resident through physical assessment, interview and chart review . Discusses resident care needs with care givers, including physician, ... schedule and maintains PPS board for monitoring of Medicare days and RUGs utilization in the absence of the Care Management Coordinator Remains current with American… more
