- Community Health Network (Indianapolis, IN)
- Peer Review Manager Job Ref 2406965 Category Professional & Business Support Department Quality and Safety Acute Schedule Full-time Facility Network ... care, simply delivered - and we couldn't do it without you. Make a Difference The Peer Review Manager (PRM) serves as a program manager of the Acute… more
- St. Luke's Health System (Boise, ID)
- …including organizing and conducting programs and establishing procedures for medical staff peer review functions across the health system. + Liaison and ... resource for medical staff peer review committees and the committee chairs across the St. Luke's Health System for peer review process compliance,… more
- NJ Transit (Newark, NJ)
- …polices, standards, goals, and objectives; quality assurance and quality control protocols (Eg, Peer Review , Manager /Director signoff) are in place for the ... Manager , Compliance Operation Civil Rights & Diversity Job...audits, field investigations at job sites, contract meeting minute review ). + Develops, implements. manages and enhances OBD operating… more
- Colorado State University (Fort Collins, CO)
- …deliverables, publishing data packages to datastore and coordinating report publication + Act as peer - review manager , facilitating peer review of ... can thrive, grow, and make a lasting impact. + Review our detailed benefits information here. (https://hr.colostate.edu/wp-content/uploads/sites/25/2021/01/benefits-summary-afap.pdf) + Explore… more
- NJ Transit (Newark, NJ)
- …PNB project. + Develops and implements quality assurance and quality controls (eg Peer review , Manager /Director signoff.) for key OBD processes applicable ... contractor, DBEs and/or NJ TRANSIT. + Provides direction/guidance in the review , research, evaluation and contract resolution of related DBE issues. Recommends… more
- NJ Transit (Newark, NJ)
- …special projects. + Develops and implements quality assurance and quality controls (eg Peer review , Manager /Director signoff.) for key OBD processes ... contractors, DBEs/SBEs/DVOBs and/or NJ TRANSIT. + Provides direction/guidance in the review , research, evaluation and contract resolution of related DBE issues. +… more
- YMCA of Greater Seattle (Seattle, WA)
- …in a culturally versatile and respectful manner. Job Summary The Certified Peer Counselor Outreach Community Safety Case Manger will serve youth and families ... Document all a ssessment and s afety p lan activities in Credible. + Review Credible notes daily to ensure progress toward Safety Plan Goals and accurate… more
- University of Colorado (Aurora, CO)
- …Specialist supports the intake and admissions department as well as supports the case manager team in providing peer support for adult males residing in the ... ** Peer Recovery Specialist (I II)** **Description** **University of...prior to being hired. Required background checks include a review with the Colorado Bureau of Investigation (CBI), the… more
- Glade Run Lutheran Services (Greensburg, PA)
- The role of the Forensic Peer Support Specialist - Forensic Services Support Program is to provide re-entry peer support as part of a multidisciplinary team ... independence as they transition back into the community. The Peer Support Specialist will serve as a mentor and...for the client to identify appropriate resources and supports. Review the Individualized Plan with clients on a weekly… more
- Glade Run Lutheran Services (Greensburg, PA)
- The role of the Forensic Peer Support Specialist - Forensic Services Support Program is to provide re-entry peer support as part of a multidisciplinary team ... independence as they transition back into the community. The Peer Support Specialist will serve as a mentor and...for the client to identify appropriate resources and supports. Review the Individualized Plan with clients on a weekly… more
- Northern Rivers Family Services (Albany, NY)
- …School Diploma or GED + Complete and obtain the NYCPS-Provisional certification for review by the New York Peer Specialist Certification Board (NYPSCB) within ... Peer Support Spec Job Details Job Location Albany-Academy...also be a resource to the clinicians and case manager , through sharing their knowledge of common challenges individuals… more
- Covenant Health (Nashua, NH)
- …+ Maintains/enhances professional development/skills required to function as a Utilization Review Case Manager + Completes all mandatory learning assignments ... in the most appropriate setting and in a timely manner. + Seeks peer assistance and/or provides consultation regarding complex cases and/or cases that have deviated… more
- Corning Incorporated (Fairport, NY)
- …document project results through internal and external reporting means (design reviews, peer reviews, customer presentations, manager review , technical ... + Decision Making and Problem Solving - able to review data and facts and weigh options using a...you start your career at Corning. + Our monetary peer -to- peer recognition program is tied to ourand… more
- Billings Clinic (Billings, MT)
- …inpatient denials Proactively communicates with payer UM representatives on denials and coordinate peer to peer review with payer's medical director ... Initiates and coordinates peer to peer reviews on all concurrent denials Understands payer requirements...Priority 5: Escalation Refers cases that require second level review to Physician Advisor, Manager , and Director… more
- Hackensack Meridian Health (Hackensack, NJ)
- **Overview** The Senior Utilization Review Specialist collaborates with the healthcare team in the management and resolution of activities that assure the integrity ... UMC. These include but are not limited to utilization review , hospital reimbursement, clinical compliance, case management, and transitions...documentation iv. Target DRGs Reviews v. Use of case manager as a resource 4. Uses guidelines to evaluate… more
- Virginia Mason Franciscan Health (Bremerton, WA)
- …of utilization review , hospital policies and external regulatory agencies, Peer Review Organization (PRO), Joint Commission, and payer defined criteria ... more! **Responsibilities** Job Summary: This role is responsible for the review of medical records for appropriate admission status and continued hospitalization.… more
- Hackensack Meridian Health (Hackensack, NJ)
- **Overview** **The Senior Utilization Review Specialist collaborates with the healthcare team in the management and resolution of activities that assure the ... and HackensackUMC. These include but are not limited to utilization review , hospital reimbursement, clinical compliance, case management, and transitions of care,… more
- Houston Methodist (Houston, TX)
- …towards improvement of department scores for employee engagement, ie, peer -to- peer accountability. **SERVICE ESSENTIAL FUNCTIONS** + Performs review for ... Case Manager -PRN + 18 shifts in a 6 week...continuous improvement and expedite care/facilitate discharge. + Performs post-discharge review by analyzing the inpatient record to ensure that… more