- Penn Medicine (Princeton, NJ)
- …Effective and timely completion of pre-certifications as well as coordination of utilization reviews with utilization management reviewer . Timely and ... accurate completion of UM forms Performance Improvement Participate in hospital and performance improvement initiatives and goals (eg, completion of patient satisfaction surveys, positive patient satisfaction scores, participate in outcome measurements.)… 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 ... nursing experience or case management experience. + 3 Years case management, utilization review , care coordination experience. + California Registered Nurse (RN)… more
- Eastern Connecticut Health Network (Manchester, CT)
- POSITION SUMMARY: The Utilization Review Case Manager (UR CM) works in collaboration with the physician and interdisciplinary team to support the underlying ... of care in the acute-care setting. + Minimum of 1 year Utilization Review experience preferred via industry clinical standards, ie, InterQual, Milliman Care… more
- Dartmouth Health (Lebanon, NH)
- …a per diem, day-shift position. Responsibilities * Perform cytologic analyses * Review and assure correct specimen identification and fixation. * Operate cytology ... cytologic findings with pertinent clinical and statistical data. * Review cases as requested by the Pathologist or when...improvement initiatives in the department. * Act as a reviewer in Policy Tech for policies, procedures, and guidelines… more
- SAIC (El Segundo, CA)
- …engineering and/or technical problems regarding operations, staffing, and equipment utilization on a specific project or projects. Provides technical assistance ... other engineers and technical personnel, with completed assignments subject to minimum review of overall results. Trains, directs, and assists the efforts of other… more
- Veterans Affairs, Veterans Health Administration (San Antonio, TX)
- …section, service or facility level committees/boards, when assigned. Serve as Peer Reviewer for the Protected Peer Review Committee, when assigned. Demonstrate ... process. Adheres to employee health requirements. Timely participates in peer review process. Clinical Management: Includes indirect patient care. Adheres to CPRS… more
- Johns Hopkins University (Baltimore, MD)
- …including abstracts at national and international conferences, and articles for peer- review specialty and general medical journals. 7. Present findings at Grand ... chosen area of research specialty. 9. Serve as a reviewer for one or more emergency medicine journals. D....resident physicians with the basic skills required for critical review of the literature. 3. Present research results at… more
- UPMC (Pittsburgh, PA)
- …for various clinical and non-clinical disciplines across UPMC, including regular utilization review , spend analysis, product introductions and trials. + ... Supports clinical specialty committees focused on product introductions, value analysis and utilization review consistent with UPMC policies and procedures. +… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …and experience, while fostering standardization and reduction in cost and utilization . + Leads and manages cross functional Value Analysis teams/clinical specialty ... committees responsible for product/service introductions, supporting quality improvement initiatives, utilization and cost containment initiatives, and giving strategic sourcing… more
- Evolent (Trenton, NJ)
- …focus on **value-based strategy and transformation** . Unlike traditional medical review roles that emphasize volume throughput, this position integrates ... utilization management with collaborative engagement and innovation. **Core Responsibilities**...with collaborative engagement and innovation. **Core Responsibilities** + **Clinical Review & Peer Collaboration** + Serve as the physician… more
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