- The University of Vermont Health Network (Plattsburgh, NY)
- Unit Description: The Utilization Review Team monitors, collects and analyzes data and evaluates variances of resource utilization , complications and overall ... and promotes the efficient and effective use of patient services. The Utilization Review Team's role in data collection, analysis and summarization supports the… more
- Lourdes Health (Pasco, WA)
- …Acute care or community social agency case management experience preferred. Utilization Review experience, preferred. Must possess good assessment, intervention, and ... implementation of case management strategies pursuant to the Case Management Plan Utilization Review: review charts for appropriate levels of care and or continued… more
- UNC Health (Chapel Hill, NC)
- …and cost effectiveness through the integrating and functions of case management, utilization review and discharge planning. The Care Manager must be highly organized ... date (EDD). Complete follow-up from CAPP as appropriate. As necessary meet with the Utilization Manager (UM) and SW after the meeting to discuss updates and action… more
- Inland Empire Health Plan (Rancho Cucamonga, CA)
- …the coordination, implementation, and oversight of the IEHP's overall Utilization Management Out-Patient Operations departmental clinical and operational compliance ... with regulatory requirements and quality assurance initiatives related to utilization management out-patient activities (eg, Prior Authorization, UM Call Center… more
- Inland Empire Health Plan (Rancho Cucamonga, CA)
- …productivity, and regulatory compliance for Prior Authorization process within Utilization Management Out-Patient Services. You lead quality audits, provide clinical ... Conduct quality audits and review final recommendations provided by Utilization Management nurses and review reconsiderations submitted by Utilization… more
- Canyon Vista Medical Center (Sierra Vista, AZ)
- …Provides hospital case management services, including but not limited to utilization management and discharge planning, to assigned patients to assure efficient, ... and federal regulatory guidelines and adheres to Canyon Vista Medical Center Utilization Management Plan. Serves as a patient advocate. Enhances a collaborative… more
- Inland Empire Health Plan (Rancho Cucamonga, CA)
- …forecasting, statistical analyses, trending, regression analyses, risk assessment, and utilization assessment. Identifies key issues and trends and brings them ... forecasting, statistical analyses, trending, regression analyses, risk assessment, and utilization assessment. Identifies key issues and trends and brings them… more
- Presbyterian Healthcare Services (Albuquerque, NM)
- …Central module for hospital leadership.Works to integrate disparate datasets involving utilization , bed management and patient flow metrics from Clarity and ... in hospital setting such as patient flow, bed management, and inpatient utilization management.Subject matter expertise and experience developing EPIC RWB and EPIC… more
- Wilson Medical Center (Wilson, NC)
- …delivery of healthcare services. The Case Manager integrates the roles of Utilization Management, Case Management, and Discharge Planning. The Case Manager is ... 7. The Case Manager independently performs clinical reviews based on the Utilization Review Plan with follow-up actions identified for medical necessity and level… more
- Harris Regional Hospital (Sylva, NC)
- …to facilitate timely, efficient and appropriate care coordination plans and utilization of resources. Collecting and evaluating benefit systems and cost benefit ... or obtain within 2 years of employment.(Either through CCMC or ACMA) Utilization Management Certification is preferred but not required. BLS Certification PHYSICAL… more
- VCA Animal Hospitals (Westbury, NY)
- …MRI, and hyperbaric oxygen chamber (HBOT). We support full technician skill utilization and are dedicated to provide gold standard medicine and exceptional patient ... Duties:Procedural anesthesia monitoringAbility to calculate drug dosesFull Technician Skill Utilization , bronchoscopy, endoscopes, and more!Collecting patient histories & thorough… more
- UT Health Tyler (Tyler, TX)
- …The Manager of Case Management has overall responsibility for hospital utilization management, transition management and operational management of the Case ... Management Department to promote effective utilization of hospital resources, timely and accurate revenue cycle processes, denial prevention, safe and timely patient… more
- Dana-Farber Cancer Institute (Boston, MA)
- …quality patient experience while maximizing provider time and space utilization . The Nurse Director uses extensive theoretical, evidence-based, and experiential ... knowledge to advance clinical practice, provides clinical leadership and direction, and promotes professional growth for self and staff. The Nurse Director acknowledges the inherent value of nursing collegiality to the advancement of professional practice, and… more
- Comerica (Houston, TX)
- …increase bank outreach and foster new business relationships.Effective utilization of converge for customer relationship management.Operational Risk:Ensure ... compliance with applicable federal, state, and local laws and regulations, and Comerica's policies and procedures.Ensure compliance and completion of necessary compliance related training.Impact the operational and risk activities and related results for the… more
- Matrix Providers (Kittery, ME)
- …Health Care, Inc. (AAAHC) standards as appropriate.Facilitate medical staff drug utilization reviews (DUR) as deemed necessary.We support our employees with an ... accessible dedicated representative to assist you throughout the duration of your contract. We firmly believe that a healthy work/life balance enables you to perform at your best. Our mission is to serve America's military family by aligning exceptional… more
- Harris Regional Hospital (Sylva, NC)
- …Nurse holds shift accountability to provide direct care to the patients by utilization of the nursing process in accordance with the established policies and ... procedures of Harris Regional Hospital. Abides by the standards of care set by state board of nursing, state nurse practice act, and other governing agency regulations. Maintains clinical competencies through continuing education. Delegates patient care… more
- VCA Animal Hospitals (Bedford Hills, NY)
- …personal career development. At Katonah Bedford we support full technician skill utilization , and our specialty hospital services support the case load and practices ... the advanced skills required to complete your VTS in multiple disciplines. By joining our hybrid specialty hospital, you also gain access to the people, hospitals, and financial resources of a large veterinary community to assist you in achieving your… more
- G-Research (Dallas, TX)
- …and forecastingIdentifying opportunities for Reserved Instance purchases, Spot Instance utilization , and other cost-saving mechanismsConducting regular audits of AWS ... accounts to identify unused or underutilized resources, recommending decommissioning or rightsizing as necessaryStaying informed about AWS pricing updates, service offerings, and cost management best practices to continuously improve FinOps processesWho are we… more
- Cambridge Health Alliance (Everett, MA)
- …kitchen duties including sanitation and set-up and completing temperature logs. * Utilization of an automated tablet to record and transfer meal selections to ... the main computer. Qualifications * Technical, trade or vocational degree in related fields, or 2 years of functional experience. * Requires verbal and written communication skills and ability to convey information that may be complex to those who may have… more
- Healthcare Recruitment Counselors (Galloway, NJ)
- …We predominantly utilize Diversified and Flexion Distraction techniques, with additional utilization of the Activator technique. Duties: Perform initial exams and ... re-exams (medical history, focused physical exam, review pertinent imaging/documents/reports) Take and review Diagnostic imaging/X-rays Evaluate findings and determine diagnosis Develop and prepare appropriate treatment plans Patient education as to diagnosis,… more
