- Covenant Health Inc. (Louisville, TN)
- Overview Utilization Review Coordinator, Quality Management Full Time, 80 Hours Per Pay Period, Day Shift Peninsula Overview: Peninsula, a division of Parkwest ... from ongoing review or retrospective utilization data. + Monitors current utilization review criteria and length of stay norms. + Assists with education… more
- Ascension Health (Manhattan, KS)
- …Provide health care services regarding admissions, case management, discharge planning and utilization review . + Review admissions and service requests ... planning needs with healthcare team members. + May prepare statistical analysis and utilization review reports as necessary. + Oversee and coordinate compliance… more
- Ascension Health (Austin, TX)
- …Provide health care services regarding admissions, case management, discharge planning and utilization review . + Review admissions and service requests ... planning needs with healthcare team members. + May prepare statistical analysis and utilization review reports as necessary. + Oversee and coordinate compliance… more
- MyFlorida (Land O' Lakes, FL)
- SENIOR LICENSED PRACTICAL NURSE - 50000034 Date: Oct 25, 2024 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... . Requisition No: 832463 Agency: Veterans Affairs Working Title: SENIOR LICENSED PRACTICAL NURSE - 50000034 Pay Plan:… more
- Magellan Health Services (San Diego, CA)
- This position is remote in California, candidates must be licensed and reside in CA. Part Time position. This position supports the clinical vision for the health ... appropriate for complex case management and timely completion of all utilization management activities. Involvement in the development of case management plans.… more
- MTC (Raymondville, TX)
- …utilize appropriate sanitation methods. 7. Practice basic cost containment and utilization management for detainee care and facility operations. 8. Maintain absolute ... and maintain narrative, statistical, summary and operational records, reports, and logs. 14. Review and process all reports and documents in a timely manner. 15.… more
- Geisinger (Danville, PA)
- …teams assistance with nursing skill mix optimization. + Assist in review of ambulatory nursing position justifications to ensure appropriate scope assignment. ... staff and members of other departments, effective communications, appropriate resource utilization and sound planning skills. + Communicates pertinent information as… more
- VNS Health (Manhattan, NY)
- …Participates and consults with team supervisor in case conferences, staff meetings, utilization review and discharge planning meetings to determine if ... symptoms to help them remain safely in the community This is a senior , master's level, licensed social services role that provides direct care as part of a team.… more
- The Cigna Group (Bloomfield, CT)
- …following release of new/existing drug products, evaluating and managing drug utilization review , and pipeline product tracking and forecasting. Affordability ... **Pharmacy Clinical Pharmacist- Clinical Program Senior Advisor** **Role Summary:** This position is responsible...at point of service, preferred drug list strategy, retrospective utilization review , risk management review … more
- Magellan Health Services (Albuquerque, NM)
- …to an assigned interdisciplinary UM team. + Responsible for the quality of utilization review determinations, including appeals. + Reviews cases, makes medical ... is remote in New Mexico, candidates must be NM licensed and reside in NM. This position supports the...effectiveness and cost of care of clinical programs through review and analysis of utilization and financial… more
- Veterans Affairs, Veterans Health Administration (Aurora, CO)
- …and internship or equivalent supervised professional experience in a specialty. Licensure/Certification. Senior social workers must be licensed or certified by a ... guidelines, and strives to meet productivity targets and clinic utilization standards. The incumbent actively participates in program planning...by the incumbent at least 25% of the time. Senior social workers & licensed or certified… more
- City and County of San Francisco (San Francisco, CA)
- …permanent 2932 positions + All City departments with open permanent positions can review your application Under direction, the 2932 Senior Behavioral Health ... Quality Improvement activities such as chart audit and compliance review . + The 2932 Senior Behavioral Health...the California Board of Behavioral Sciences (BBS) for + Licensed Clinical Social Worker (LCSW) OR + Licensed… more
- North Wind Group (Nashville, TN)
- Location: Nashville, TN Title: Civil Senior Project Manager Schedule (FT/PT): FT Travel Required: As needed "Large Firm Expertise, Small Firm Responsiveness" has ... throughout the Southeast region. POSITION PURPOSE: A Project Manager (PM) is an experienced licensed engineer who can define a project, develop a set of tasks to… more
- North Wind Group (Birmingham, AL)
- …by opening more branch offices throughout the Southeast region. POSITION PURPOSE: A Senior Project Manager (SPM) is an experienced, licensed engineer who can ... Location: Birmingham/Huntsville, AL Title: Structural Senior Project Manager Schedule (FT/PT): FT Travel Required: As Needed "Large Firm Expertise, Small Firm… more
- PruittHealth (Atlanta, GA)
- …serves as a member of the clinical and region team, to assist senior living centers in achieving clinical excellence. She/he is responsible for planning and ... clinical operations and quality improvement practices for designated centers. The senior nurse consultant provides education, mentoring and validation of required… more
- Robert Half (Atlanta, GA)
- JOB REQUISITION AI Solutions Architect Senior Manager LOCATION ATLANTA - PEACHTREE RD ADDITIONAL LOCATION(S) AUSTIN, CHARLOTTE, CHICAGO, DALLAS, DENVER, HOUSTON, ... team is looking for an AI Technical Architect - Senior Manager to help solve these challenges with Data...cloud-based infrastructure, services, and tools. + You ensure optimal utilization of cloud resources to achieve high performance and… more
- AECOM (New York, NY)
- …better world. Join us. **Job Description** **AECOM** is currently seeking a Senior Electrical Commissioning Engineer to support programs throughout the US and OCONUS ... regions. This is an onsite position. The Senior Electrical Commissioning Engineer will be responsible for leading and managing technical assignments and ensuring the… more
- Pfizer (Sacramento, CA)
- …to bring therapies to patients that significantly improve their lives. The Senior Healthcare Rep is responsible for launching new products, deciding upon best ... formulary access, and engaging in product promotion within assigned accounts. The Senior Healthcare In addition, the rep is charged with sales efforts and… more
- KPMG (Columbus, OH)
- …Mentor and coach staff + Manage resource allocation, workflow, and resource utilization Additional Responsibilities for Senior Manager: + Coordinate special ... **Business Title:** Manager or Senior Manager, Global Mobility - Expatriate Taxation **Requisition...Develop and maintain relationships with clients + Create and review tax equalization and international assignment policies + … more
- Buchanan County Health Center (Independence, IA)
- …- Understanding and experience in behavioral healthcare - Demonstrated skill in utilization management and review systems - Ability to work independently ... inform them when necessary of anything that might impact the hospital, patients or Senior Life Solutions in a timely manner - Ensure preparation for doctor's day and… more
Related Job Searches:
Licensed,
Licensed Utilization Review,
Review,
Senior,
Utilization,
Utilization Review