- CareOregon (Portland, OR)
- …non-dominant groups within Housecall Providers and our communities at large. The quadruple aim is real at Housecall Providers In home medical care for homebound ... on the satisfactory completion of a pre-employment background check, immunization review , and drug screen (including THC/Marijuana). CareOregon is a federal… more
- Sutter Health (San Francisco, CA)
- …Planning and Utilization Management throughout the acute care patient experience. The RN Case Manager works in collaboration with the Physician , Medical Social ... CPMC-California Pacific Med Center Van Ness **Position Overview:** The RN Case Manager is responsible for Care Coordination, Care Transitions, Discharge… more
- Sutter Health (San Francisco, CA)
- …Planning and Utilization Management throughout the acute care patient experience. The RN Case Manager works in collaboration with the Physician , Medical Social ... CPMC-California Pacific Med Center - Mission Bernal **Position Overview:** The RN Case Manager is responsible for Care Coordination, Care Transitions, Discharge… more
- CareOregon (Salem, OR)
- …non-dominant groups within Housecall Providers and our communities at large. The quadruple aim is real at Housecall Providers In home medical care for homebound ... on the satisfactory completion of a pre-employment background check, immunization review , and drug screen (including THC/Marijuana). CareOregon is a federal… more
- Surgery Care Affiliates (Jacksonville, FL)
- …+ Experience At least five years of clinical experience and utilization review / case management experience. Experience in determining medical necessity in ... care for 1 million patients each year and support physician specialists holistically in many aspects of patient care....systems around a common goal: delivering on the quadruple aim of high-quality outcomes and a better experience for… more
- Vanderbilt University Medical Center (Nashville, TN)
- …caregivers in the patient's own environment under the direction of the patient's physician . When you or your loved one receives care from Vanderbilt Home Care, ... a quality educator, a quality data analyst, and quality reviewer . They work closely together with clinical managers to...who come to work each day with the simple aim of changing the world. It is a place… more
- University of Colorado (Aurora, CO)
- …development of programs and processes that meet regulatory requirements, and champions case reviews. + Assists in the development and management of initiatives for ... + Models evidence-based practice and participates in the development and review of policies, protocols, and procedures. **Work Location:** Hybrid **Why Join… more
- Elevance Health (Chicago, IL)
- …state mandated policies, and CMS Coverage Determinations, as applicable. + Perform physician -level case review of utilization requests for procedures ... reviews for their board certified specialty. + Makes physician to physician calls to gather medical...necessity decisions. + Brings to their supervisors attention, any case review decisions that require Medical Director… more
- Banner Health (Mesa, AZ)
- …and advanced technology that includes the da Vinci Surgical System. Becker's Hospital Review named Banner Desert Medical Center as one of the top 50 busiest ... Emergency departments in the country. If you aim to deliver top-tier care to the most vulnerable...staff, physicians, and patient families. CORE FUNCTIONS 1. Coordinates case times for elective, urgent or emergent surgeries, cardiovascular… more
- Banner Health (Mesa, AZ)
- …Our care team includes Pediatric Hospitalists, Pediatric Surgeons, Nutritionists, Case Management, Social Services, PT/OT, Pharmacists, and Child-Life Specialists. ... that includes the da Vinci Surgical System. Becker's Hospital Review named Banner Desert Medical Center as one of...50 busiest Emergency departments in the country. If you aim to deliver top-tier care to the most vulnerable… more
- Elevance Health (Cerritos, CA)
- …evidenced based guidelines, and CMS Coverage Determinations, as applicable. + Perform physician -level case review of sleep studies, durable medical ... We are currently seeking a versatile Board Certified Physician to participate in pre-authorization reviews of high-tech diagnostic imaging, cardiac testing and sleep… more
- Banner Health (Mesa, AZ)
- …and advanced technology that includes the da Vinci Surgical System. Becker's Hospital Review named Banner Desert Medical Center as one of the top 50 busiest ... Emergency departments in the country. If you aim to deliver top-tier care to the most vulnerable...SUMMARY This position, under the direction of a qualified physician , assists in performing diagnostic and interventional cardiovascular procedures… more
- Elevance Health (Cerritos, CA)
- …state mandated policies, and CMS Coverage Determinations, as applicable. + Perform physician -level case review of utilization requests involving radiology ... of requests using applicable clinical criteria, which may include AIM Appropriateness Guidelines, client-specific health plan medical policy, well established… more
- Banner Health (Mesa, AZ)
- …participate in the interdisciplinary therapy team along with nurses, physicians, and case managers to provide evaluations and delegate tasks to the Physical ... that includes the da Vinci Surgical System. Becker's Hospital Review named Banner Desert Medical Center as one of...50 busiest Emergency departments in the country. If you aim to deliver top-tier care to the most vulnerable… more
- Ascension Health (Glendale, WI)
- …compliance with governmental and regulatory requirements. + Implement utilization review and quality improvement systems. Implement educational programs and ... + Growth + Continuum of Care development + Branding and Marketing + Physician Network Development **Experience / Knowledge / Skills:** + 5-10 years of progressive… more
- CareOregon (Portland, OR)
- …non-dominant groups within Housecall Providers and our communities at large. The quadruple aim is real at Housecall Providers In home medical care for homebound ... on the satisfactory completion of a pre-employment background check, immunization review , and drug screen (including THC/Marijuana). CareOregon is a federal… more
- Banner Health (Mesa, AZ)
- …Radiology technologist will be responsible for identifying the patient, verifying the physician orders, and obtaining high quality radiographs that will assist in ... that includes the da Vinci Surgical System. Becker's Hospital Review named Banner Desert Medical Center as one of...50 busiest Emergency departments in the country. If you aim to deliver top-tier care to the most vulnerable… more
- University of Colorado (Aurora, CO)
- …patient care and outcomes. + Will partner with PMHI leadership team to review patient satisfaction scores for the program, when applicable, and develop and implement ... for program specific needs. + Will work with CHCO Physician Relations and Pediatric Care Network to meet the...+ Provides leads and oversight of mortality and morbidity case reviews and cause analyses; recommends changes to diagnostic… more
- Trinity Health (Syracuse, NY)
- …NEW HIRE SIGN ON BONUS **Position Purpose:** The Registered Nurse Utilization Review (UR), Clinical Care Manger (CCM) actively manages the utilization review ... will do** : + Completes initial and follow up case reviews on all patients as dictated by payer...and status. + Uses Interqual and Indicia/MCG software and Physician Advisors to determine appropriate patient status/level of care… more
- Banner Health (Mesa, AZ)
- …and advanced technology that includes the da Vinci Surgical System. Becker's Hospital Review named Banner Desert Medical Center as one of the top 50 busiest ... Emergency departments in the country. If you aim to deliver top-tier care to the most vulnerable...upon admission. Orders outside records from other facilities and Physician 's offices. 3. Maintains a complete patient record with… more