- Merck & Co. (North Wales, PA)
- …the decision. Operate with Integrity and ensure adherence with organization policies, quality assurance and data protection processes.Conduct innovation proof of ... key architectural design patterns.Define and enforce development standards, best practices and review processes to ensure consistency of delivery quality and… more
- Daiichi Sankyo, Inc. (Bernards, NJ)
- …Tech Unit Team culture. Service as a primary contact with Legal and Quality Assurance regarding records Retention and Training Coordination. Demonstration and ... including handling internal audit. Work closely with IT regarding implementation and utilization of new software tools developed by the DS organization and/ or… more
- Exela Pharma Sciences, LLC (Lenoir, NC)
- …filled out and completed in a timely fashion, before it is handled to Quality Assurance for reviewDemonstrate the ability to set-up and operate any equipment ... and controls the production and operating activities to ensure optimum utilization of personnel, materials, and equipmentDevelop information and compiles reports… more
- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: The Utilization Review Quality Assurance Coordinator is responsible for all compliance related paperwork and ensures paperwork is completed ... Monitor open encounters and report any issues to the Business Manager. Review utilization of services in order to comply with regulatory and institutional… more
- Kelsey-Seybold Clinic (Pearland, TX)
- …center (ASC). The Utilization Review Specialist (LVN) will support the Utilization Review quality assurance initiatives including mock audits to ... **Responsibilities** The Utilization Review Specialist (LVN) is responsible...as we continue to grow, our focus is providing quality patient care by adding to our team of… more
- WMCHealth (Valhalla, NY)
- …hospital or health care agency, one of which must have been in the area of utilization review , quality assurance , risk management or discharge planning. ... the implementation or investigation of the procedures specified in the Quality Management, Utilization Review and Discharge Planning Program at Westchester… more
- WMCHealth (Valhalla, NY)
- …agency for cardiovascular services, one of which must have been in the area of utilization review , quality assurance , risk management or discharge ... the implementation or investigation of the procedures specified in the Quality Management, Utilization Review and Discharge Planning Program at Westchester… more
- Kepro (Nashville, TN)
- …travel. Preferred Qualifications/Experience: + Master's level degree in a related field. + Utilization Review / Quality Assurance and coding experience. + ... TN Medicaid contract. + Collaborate directly with Reviewers regarding review quality issues or errors within each...hearing witness training for all Reviewers + Support quarterly quality assurance activities as needed + Maintain… more
- Ellis Medicine (Schenectady, NY)
- …Participates in credentialing data and system. * Ensures the comprehensive integration of Utilization Review , Quality Assurance , and Discharge Planning ... as a RN in New York State. Experience: Previous Utilization Review , Quality Assessment, Discharge...to plan best management plan. * Ensures effective concurrent Quality Assurance . Works closely with chiefs/QA process,… more
- Centene Corporation (Jackson, MS)
- … quality improvement activities. + Performs medical review activities pertaining to utilization review , quality assurance , and medical review ... + Provides medical expertise in the operation of approved quality improvement and utilization management programs in...with respect to clinical issues and policies. + Identifies utilization review studies and evaluates adverse trends… more
- Centene Corporation (Austin, TX)
- … quality improvement activities. Performs medical review activities pertaining to utilization review , quality assurance , and medical review ... of physician education with respect to clinical issues and policies. + Identifies utilization review studies and evaluates adverse trends in utilization … more
- HCA Healthcare (El Paso, TX)
- …experience. Working knowledge of case management philosophy/process/role, needs assessment, principles of utilization review / quality assurance , use of ... review agencies including governmental and non-governmental payers and quality assurance agencies. Promotes a cooperative and supportive relationship… more
- New York State Civil Service (Tupper Lake, NY)
- …to the delivery of medical care and clinical services such as cost management, utilization review , quality assurance , and medical protocol ... to achieve optimal outcomes through a focus on appropriate treatment, clinical quality assurance and service utilization ..Provide guidance in response… more
- Stanford Health Care (Palo Alto, CA)
- …management, including the principles and practices of discharge planning, utilization review , and quality assurance /improvement + Knowledge of the ... responsibilities include coordinating all facets of a patient's admission/discharge; performing utilization review activities, including review of patient… more
- HCA Healthcare (Austin, TX)
- …You will perform concurrent analysis of patient records for purposes of utilization review and quality assurance . You will promote a cooperative and ... + Working knowledge of case management philosophy/process/role, needs assessment principles of utilization review / quality assurance , discharge planning,… more
- HCA Healthcare (El Paso, TX)
- …experience. Working knowledge of case management philosophy/process/role, needs assessment, principles of utilization review / quality assurance , use of ... review agencies including governmental and non-governmental payers and quality assurance agencies. Promotes a cooperative and supportive relationship… more
- MTC (Bryan, TX)
- …co-dependency, and related disorders. 2. Performs complex technical assistance work; implements quality assurance utilization review procedures; and ... and procedures. 3. Assists in monitoring, reviewing, interpreting, and evaluating quality of services; assists in compiling and analyzing data and preparing… more
- MTC (San Diego, TX)
- …productive life. **Essential Duties:** 1. Performs complex technical assistance work; implements quality assurance utilization review procedures; and ... policies, and procedures. 2. Assists in monitoring, reviewing, interpreting, and evaluating quality of services and success of programs; assists in compiling and… more
- University of Maryland, Baltimore (Baltimore, MD)
- …Directs activities related to the delivery of medical care and clinical services such utilization review , quality assurance , policies, procedures and ... operational, and leadership skills and experience in neonatal care, quality , and safety to lead the clinical service. The...clinical and reimbursement activity. 7. Participates in the Peer Review Program as described in the Medical Staff Bylaws… more
- Veterans Affairs, Veterans Health Administration (Lexington, KY)
- …pharmacists are responsible for detecting monitoring and reporting adverse drug events Drug Utilization Review / Quality Assurance - Staff pharmacists ... participate in conducting DUE studies and departmental quality assurance activities The staff pharmacist is responsible for the safe and appropriate distribution… more
