- Novo Nordisk Inc. (San Francisco, CA)
- …in sales meetings, training programs, conventions and displays as directed by management which may require work/travel on weekends, in addition to normal working ... hours. Provide input into the design and content of regional...out of office across multiple account types: academic institutions, physician offices, and alternate site locations Routinely report territory-level… more
- Cambia Health Solutions, Inc (Portland, OR)
- …and lives better. As a member of the Behavioral Health team, our Clinicians provide utilization management (such as prospective concurrent and retrospective ... Behavioral Health Utilization Management Clinician Work from home...and evidence-based criteria to make informed determinations, consulting with physician advisors as necessary to ensure accuracy.Fosters collaboration with… more
- Careers Integrated Resources Inc (Albuquerque, NM)
- Job Title: Provider Network Consultant Job Location: Albuquerque, NM 87113 Job Duration: 2 years+ Shift: HYBRID - 2 days WFH and 3 days onsite / Monday to Friday ... 8:00am - 5:00pm Job Description : . Provide information and assistance needed to resolve problems experienced...education on all facets of operations of Client to provider staff and others as needed. . Conduct … more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …optimal outcomes.Maintains positive attitude, and communicates appropriately with patients/families, Physician , management and other staff; responds positively ... of individual patient needs; Works collaborate with the Physicians, patient/family, nursing, utilization review and other members of the healthcare team to assure… more
- Cambia Health Solutions, Inc (Lewiston, ID)
- …(for behavioral health care management ) or related field3 years of case management , utilization management , disease management , or behavioral health ... easier and lives better. As a member of the Clinical Services team, our Care Management Clinicians provide clinical care management (such as case … more
- Cambia Health Solutions, Inc (Lewiston, ID)
- …Associates or Bachelor's Degree in Nursing or related field3 years of case management , utilization management , disease management , or behavioral ... easier and lives better. As a member of the Clinical Services team, our Care Management RN's provide clinical care management (such as case management… more
- Blanchard Valley Hospital (Findlay, OH)
- …Manager is to develop, implement and evaluate an organized inpatient case management service for pediatric and adult hospitalized patients under the direction of ... the attending provider . The RN Case Manager will assist in identifying...meetings to contribute information regarding transitions of care and utilization of care resources for the purpose of improving… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …all campuses operated by NGHS. Collaborates with the physicians, patients, families, nursing, utilization review and other members of the health care team to ensure ... patient management that efficiently and effectively aligns with patient needs...to the National Patient Safety Guidelines. This position will provide cross coverage for all Case Managers as required… more
- Northeast Georgia Health System, Inc (Demorest, GA)
- …designs proactive discharge plans utilizing a team approach as demonstrated by cost management of patient stay and utilization for outside resources. Contributes ... and AbilitiesHas skills as determined by accredited educational institutes requirements to provide patient care that meets developmental needs across the life span… more
- Northeast Georgia Health System, Inc (Braselton, GA)
- …provided. Proactively address potential customer service issues. Engage directly with Physician and staff. Monitor staff performance/competency and provide ... nursing unit on 24-7 basis by monitoring all activities necessary to provide consistent high quality patient care, including staffing, equipment, supplies and… more
- Roseland Community Hospital (Chicago, IL)
- Under direct supervision of the Director of Health Information Management and Care Transitions and as a part of a multidisciplinary team, the Clinical Social Worker ... will provide therapeutic services to patients, including assessments, treatment plans...patient's admission to the unit. 4. Assist the Psychiatrist, Physician and other unit staff members to understand significant… more
- Veterans Affairs, Veterans Health Administration (Durham, NC)
- …to promote quality improvement for the facility; this includes participation as a physician utilization management advisor. Participate in VISN 6 Hospital ... Summary The Durham VA Medical Center is recruiting for a full-time Physician (Hospitalist - Section Chief). Applicants must be currently working as a Hospitalist… more
- Randstad US (Boston, MA)
- …Center, Hospital, Insurance Company, Physician office) + Knowledge of Utilization Management regulations and standards + Experience with Medicare, Medicaid, ... Provide support to UM Care Managers to ensure provider and member customer satisfaction. + Process authorizations and...+ Referrals + Medical Billing + medical coding + utilization management + medicare/medicaid + Spanish Qualifications… more
- AdventHealth (Maitland, FL)
- …our contracted managed care payers. The Medical Director is responsible for providing physician review of utilization , claims management , and quality ... On Site position** **The role you'll contribute:** As the physician advisor, the Executive Medical Director of Revenue Cycle...Care Management ..Serves as a member of the Utilization Management (UM) Committee by ensuring committee… more
- Kepro (AR)
- …being a vital partner for health solutions in the public sector. The Dental Physician Reviewer will oversee utilization / management (UM) activities to ... contract for Arkansas. + Responsible for the clinical oversight of the Dental Utilization Management program. + Collaborate with Medical Director on case… more
- WMCHealth (Valhalla, NY)
- …role in ensuring physician support and execution of for Utilization Management and Documentation strategies and processes. Responsibilities: + Reviews ... on UM Committee .Provides Physician administrative support and leadership to the utilization and resource management areas of Integrated Case Management … more
- Dartmouth Health (Lebanon, NH)
- …Keene is seeking a Physician Advisor (PA) with expertise in Utilization Management , Care Management , and Clinical Documentation. The PA ... supports Utilization Management by performing concurrent, evidence-based second-level medical necessity reviews, educating physicians on medical necessity for… more
- Kepro (AR)
- …looking for a to join our growing team. Job Summary: The Dental Physician Reviewer-Orthodontist will oversee utilization review/ management activities to ... Dental Physician Reviewers on case consultations s needed. + Discuss complicated Utilization Management reviews or clinical scenarios with + Utilization … more
- Hackensack Meridian Health (Hackensack, NJ)
- …to support, and provide assistance and support in overall medical management effectiveness, benchmarked utilization and cost management (UM) goals ... a. Provides direction and support regarding CMS & NJDOH regulations governing Utilization Management & Clinical documentation. b. Oversight for accurate patient… more
- Stanford Health Care (Palo Alto, CA)
- …**This is an onsite Stanford Health Care job.** **A Brief Overview** The Utilization Management Registered Nurse (UM RN) will be responsible for ensuring ... the institution, navigating the complexities of patient care and resource utilization management , and education. Primary responsibilities include: 1.… more
