- SYSCO (Omaha, NE)
- …procurement, inventory management , asset tracking and cost control through maintenance systems . The primary work schedule will be Monday to Friday, day shift ... and security of the shop and fleet, and providing management and direction to shop staff. The position is...shifts as needed. Administers the proper selection, purchase, and utilization of Company assets in support of the fleet… more
- UNC Health (Chapel Hill, NC)
- …of care and cost effectiveness through the integrating and functions of case management , utilization review and discharge planning. The Care Manager ... discharge plan. Refer administrative tasks (eg, faxing, form processing) to Care Management Assistant. Consult Social Worker and/or Utilization Manager per… more
- Mount Auburn Hospital (Cambridge, MA)
- …physical, psychological and social problems of patients within the emergency care system . a. Obtains initial focused subjective and objective data through history ... taking, physical examination, review of records and communication with health care providers,...a manner consistent with safe, efficient and cost-effective resource utilization . a. Assigns tasks or delegates care based on… more
- Comhar Inc. (Philadelphia, PA)
- …Review and Management The Billing and Registration Specialist will review all billing and utilization within Outpatient services, ensuring accurate ... external requirements and guidelines. Work through any discrepancies immediately upon review ; making corrections where necessary. Confirm that all services provided… more
- Guthrie (Sayre, PA)
- Position Summary: The Utilization Management (UM) Reviewer , in collaboration with other internal and external offices, payors, and providers and staff, is ... responsible for the coordinates Utilization Management (UM) processes and requirements for...prior authorization/certification for reimbursement of patient care services. The Utilization Reviewer : * Secures authorization as appropriate… more
- Baptist Memorial (Memphis, TN)
- Summary Responsible for the Utilization Review Program across the system . In collaboration with system care coordination leadership ensures the strategic ... of clinical experience at least 2 of which involve Utilization Review or Case Management ...+ Employee referral program Job Summary: Position: 18373 - System Manager- Utilization Review Facility: BMHCC… more
- Sharp HealthCare (San Diego, CA)
- …time for routine, urgent and expedited referrals as outlined in SCMG's Utilization Management Plan.Decisions will be communicated to the appropriate persons ... + Knowledge of medical terminology, healthcare finances, alternative care options, utilization management , health plan criteria, established criteria such as… more
- Sharp HealthCare (San Diego, CA)
- …is appropriate for the referral request being reviewed.Document in the referral management system , according to SCMG operational processes, actions taken on ... the appropriateness of service/care.Attach corresponding documents to the referral within the referral management system in OnBase, the document management … more
- Dignity Health (Northridge, CA)
- …400 care centers. Visit dignityhealth.org/northridgehospital for more information. The RN Utilization Management Coordinator (UMC) is responsible for assessing ... and in compliance of the Behavioral Health Dignity Health Utilization Review Policy. + The UMC will...+ Current CA Registered Nurse (RN) license + Prior Utilization Management experience in a clinical or… more
- Magellan Health Services (Evanston, WY)
- Assists in processing difficult behavioral case management utilization requests in a timely manner according to company guidelines using current knowledge of the ... resource to local agencies for current behavioral health care management systems . + Attends meetings related to...to ensure accurate documentation and reporting. + May process utilization review requests received by phone, fax… more
