- University of Rochester (Rochester, NY)
- …directly to the Senior Manager of Student Affairs, the Student Support Specialist plays a vital role in supporting students in workforce investment programs, ... through data collection, evaluation, and stakeholder engagement. The Student Support Specialist also oversees all mandatory student compliance items for new and… more
- The County of Los Angeles (Los Angeles, CA)
- …analysis, and making recommendations to line managers on matters such as: utilization of personnel; allocation of funds; workload and workload fluctuations; and ... Accountant II Administrative Assistant I Administrative Assistant I, SC Appeals Hearing Specialist Board Specialist Employment Services Assistant I Financial … more
- Cedars-Sinai (Beverly Hills, CA)
- …of care and level of care. Use evidence based review guidelines to conduct utilization review as is appropriate to match the payor + Investigates, processes and ... + Coordinates discharge planning and alternative treatment plans with PCP/hospitalist/ specialist as appropriate. + Coordinates the patient's care with other… more
- Molina Healthcare (Salt Lake City, UT)
- …medical officer on denial decisions. * Resolves escalated complaints regarding utilization management and long-term services and supports (LTSS) issues. * Identifies ... as may be required. * Serves as a clinical resource for utilization management, chief medical officer, physicians, and member/provider inquiries/appeals. * Provides… more
- AdventHealth (Hinsdale, IL)
- …to nurses, physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge Planning and care ... documents avoidable days, and facilitates progression of care. Collaborates with Utilization Management staff for collaboration on patient status changes and medical… more
- LA Care Health Plan (Los Angeles, CA)
- …claim adjudication process through medical record review for Payment Integrity and Utilization Management projects. The position serves as a subject matter expert ... include inpatient, outpatient, and professional claims. Serves cross functionally with Utilization Management, Medical Directors, and other internal teams to assist… more
- Danaher Corporation (Houston, TX)
- …care improvement opportunities including but not limited to early id, resource utilization in high scrutiny workflows, and antibiotic stewardship. + The CSE will ... The CSE will work closely with a clinical implementation specialist (CIS) counterpart. The CSE will be accountable to...ensuring that the customer goals for test implementation and utilization are well defined and within an appropriate scope… more
- AdventHealth (Shawnee, KS)
- …to nurses, physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge Planning and care ... avoidable days, and facilitates progression of care. + Collaborates with Utilization Management staff for collaboration on patient status changes and medical… more
- CenterWell (Columbia, SC)
- …in patient experience, quality of care, clinical outcomes, and avoidable utilization + Periodically review clinician charts to identify opportunities in care, ... social determinants of health (SDOH) efforts, improving clinical outcomes and avoidable utilization + Monitor and manage daily patient care and initiatives to… more
- ChenMed (Clearwater, FL)
- …COE and HCT leaders to support improved medical costs and specialty care utilization . This individual will work closely with and consider feedback from those leaders ... leaders to support improved medical costs and specialty care utilization . This individual will work closely with and consider...CPL. + Responsible for meeting with high volume community specialist at least monthly to give them feedback on… more