- Excellus BlueCross BlueShield (Buffalo, NY)
- …coordinates and is accountable for the daily work of employees who provide utilization management , clinical and medical necessity claim related services and ... PT, NP, PA, or Dietician) with a minimum of three years of utilization management /quality improvement experience or equivalent required. + Must possess a… more
- Access Dubuque (Dubuque, IA)
- …**Area of Interest:** Nursing + **FTE/Hours per pay period:** .60 + **Department:** SN Visits- Home Care + **Shift:** Part-time: variable daytime hours, for 48 hours ... review of records to monitor quality and accuracy, appropriate utilization , appropriate involvement of interdisciplinary team members, appropriate referrals and… more