- Alameda Health System (Oakland, CA)
- …Role Overview: Alameda Health System is hiring! The Director of Utilization Management holds a critical role encompassing operational oversight, strategic planning, ... to ensuring clean claims, identifying trends, and optimizing resource utilization . This role supports patient care coordination, fosters physician collaboration,… more
- Buckeye Community Health Plan (Thornville, OH)
- …for the business unit. Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities. Performs medical ... review activities pertaining to utilization review, quality assurance, and medical review of complex,...expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate,… more
- Tris Pharma (Monmouth Junction, NJ)
- …contact for IntegriChain (BPO partner), managing data file submissions, utilization reporting, rebate validation processes, and issue escalation to ensure ... timely contract payment processingOversees IntegriChain's rebate validation activities; reviews utilization data to ensure appropriate contracting coverage and manages… more
- HCA Healthcare - Chief Medical Officer (San Antonio, TX)
- …environment of quality and cost improvement and develops systems to review utilization of resources and objectively measure outcomes of care in the inpatient ... medical staff regarding clinical resource management, appropriate documents standards, utilization and quality issues, and quality improvement activities, in… more
- Cipla (Fall River, MA)
- …coordinating materials, equipment, and workforce allocation for optimal resource utilization . Identify areas for operational improvements, focusing on reducing waste ... Monitor operational metrics such as efficiency, compliance rates, and resource utilization . Identify areas for improvement in packaging activities and contribute to… more
- Christus Health (San Antonio, TX)
- …excellence in patient care, patient experience and patient outcomes. Effectively manages utilization of staff and material resources so that the most therapeutically ... to meet the needs of the unit. Assures effective and appropriate utilization of material and human resources, Reviews financial and productivity management reports… more
- Kroger (Lexington, KY)
- …in customer service, managing prescription pricing and generic utilization , controlling pharmacy inventory, and providing/implementing/participating in corporate ... and company requirements - Direct the pharmacy team to achieve warehouse utilization goals, avoid unnecessary overstock, reduce the number of fill on-arrival… more
- Christus Health (Dallas, TX)
- …plans. The RN Navigator Senior will manage the length of service, promote efficient utilization of resources, and ensure that a well-organized and safe plan of care ... analytics, and create action plans that will reduce acute and post-care utilization . Solicits/shares feedback with leaders on team-based focus with attention given… more
- University of California Agriculture and Natural Resources (Ventura, CA)
- …assist in the assembly, testing and operation of complex laboratory equipment. 10% Utilization of Excel, PowerPoint, Word and their tools to create reports and ... assist in the assembly, testing and operation of complex laboratory equipment. 10% Utilization of Excel, PowerPoint, Word and their tools to create reports and… more
- Vista Community Clinic (Vista, CA)
- …and other staff. Participate in quality assurance, quality improvement and utilization review Provide in-service training to clinic staff to increase staff ... of clinic protocols and procedures to ensure quality medical care Participate in utilization and peer review programs which evaluates the quality of the medical… more
Related Job Searches:
Registered Nurse RN Utilization,
Registered Nurse Utilization Management,
SNF Utilization Management RN,
Utilization Management Administration Coordinator,
Utilization Management Clinical Consultant,
Utilization Management Nurse,
Utilization Management Nurse Consultant,
Utilization Management Representative,
Utilization Review Coordinator,
Utilization Review Nurse