- Alameda Health System (Oakland, CA)
- …for patients, improve the quality of patient care and maximize the efficient utilization of physician and hospital resources. Report to departmental leadership ... Emergency Medicine Physician + Oakland, CA + Highland General Hospital...Equity, and Inclusion in the recruitment and training of physician workforce who reflect our community. Participate as a… more
- Lundbeck (Kansas, IL)
- …control mechanisms employed by MCO/PBMs and how they impact patients and physician 's utilization + Resourcefulness in getting access to decision makers, ... guidelines. **ESSENTIAL FUNCTIONS** + Engages in account portfolio planning using utilization data, and knowledge of therapeutic class management behavior by… more
- Alameda Health System (Oakland, CA)
- … utilization . This role supports patient care coordination, fosters physician collaboration, and aligns with organizational objectives while adapting to ad ... Role Overview: Alameda Health System is hiring! The Director of Utilization Management holds a critical role encompassing operational oversight, strategic planning,… more
- Christus Health (Mcqueeney, TX)
- …criteria Prioritizes appointments in a manner that fosters optimum patient care, efficient utilization of physician 's clinical staff, as well as equipment and ... needs. Responsibilities: Receives and directs phone calls from patients and physician offices Schedules patients for treatment by multiple providers and treatment… more
- Christus Health (Helotes, TX)
- …criteria Prioritizes appointments in a manner that fosters optimum patient care, efficient utilization of physician 's clinical staff, as well as equipment and ... needs. Responsibilities: Receives and directs phone calls from patients and physician offices Schedules patients for treatment by multiple providers and treatment… more
- Christus Health (Geronimo, TX)
- …criteria Prioritizes appointments in a manner that fosters optimum patient care, efficient utilization of physician 's clinical staff, as well as equipment and ... needs. Responsibilities: Receives and directs phone calls from patients and physician offices Schedules patients for treatment by multiple providers and treatment… more
- One Medical (Mill Valley, CA)
- …thrive. Position Overview: One Medical is seeking a full-time Senior Health Primary Care Physician . The Senior Health Primary Care Physician will manage a panel ... and well visits. As a Senior Health Primary Care Physician you will engage patients in their care, and...daily huddles, as well as with virtual clinical teams Utilization of your specific clinical training and opportunities to… more
- One Medical (San Francisco, CA)
- …We are currently seeking a certified, or soon to be certified, Family Medicine Physician who is interested in joining an employer-based One Medical clinic that is ... teammates via daily huddles, as well as with virtual clinical teams Utilization of your specific clinical training and opportunities to perform in-office procedures… more
- Moses/Weitzman Health System (Meriden, CT)
- …licensure as appropriate. Fully established practice standards for productivity and appropriate utilization of care. Position is designed to support evening and or ... optimal clinical performance and organizational goals for productivity and utilization . **QUALITFICATIONS AND PREFERRED SKILLS** APRN: Graduate of an accredited… more
- One Medical (New York, NY)
- …collaboration with both virtual and in-office teammates via daily huddles Utilization of your specific clinical training and opportunities to give exceptional ... care to patients virtually Education, licenses, and experiences required for this role: Completed an accredited PA program with a national certification In the past 5 years, practiced as an Advanced Practitioner for at least: 2 years in an outpatient primary… more
- One Medical (Purchase, NY)
- …teammates via daily huddles, as well as with virtual clinical teams Utilization of your specific clinical training and opportunities to perform in-office procedures ... Supervising one or more NP or PA colleagues Education, licenses, and experiences required for this role: Enrolled in, or have completed, an accredited Internal or Family Medicine residency program Practiced at least 2 of the last 5 years in an outpatient… more
- One Medical (Oakland, CA)
- …teammates via daily huddles, as well as with virtual clinical teams Utilization of your specific clinical training and opportunities to perform in-office procedures ... Education, licenses, and experiences required for this role: Enrolled in, or have completed, an accredited Family Medicine or Medicine/Pediatrics residency program Practiced at least 2 of the last 5 years in an outpatient primary care setting seeing all ages… more
- University Health (Pleasanton, TX)
- …Health, a nationally recognized academic health system, is seeking a transformational physician leader to serve as the Vice President, Associate Chief Medical ... as a key liaison to the Medical-Dental Staff on quality, safety, and utilization matters. * Partner with clinical and operational leadership to improve access,… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …procedure and diagnosis codes, and support business decisions regarding utilization management activities and guidelines. + Support medical policy development ... and diagnosis codes for company medical policies and UM ( Utilization Management) guidelines that reflect medical necessity, experimental/investigational or other… more
- University Health (San Antonio, TX)
- …Health, a nationally recognized academic health system, is seeking a transformational physician leader to serve as the Vice President, Associate Chief Medical ... a key liaison to the Medical-Dental Staff on quality, safety, and utilization matters. Partner with clinical and operational leadership to improve access,… more
- Stanford Health Care (Palo Alto, CA)
- …provides clinical direction and education, works closely with operational and physician leaders, and has oversight of hiring, termination, and professional growth ... Nurse Specialist (CNS), Certified Registered Nurse Anesthetist (CRNA), or the Physician Assistant (PA) Job Description approved by the Interdisciplinary Practice… more
- Stanford Health Care (Palo Alto, CA)
- …Provides clinical direction and education, works closely with operational and physician leaders, and has oversight of hiring, termination, and professional growth ... Nurse Specialist (CNS), Certified Registered Nurse Anesthetist (CRNA), or the Physician Assistant (PA) Job Description approved by the Interdisciplinary Practice… more
- Stanford Health Care (Newark, CA)
- …clinical practice leadership to and manages APPs (Nurse Practitioners, Physician Assistants, Clinical Nurse Specialists, and Certified Registered Nurse Anesthetists) ... OTHER HEALTHCARE-RELATED FIELD FROM AN ACCREDITED UNIVERSITY + Bachelor's Degree PHYSICIAN ASSISTANT: BACHELORS DEGREE IN SCIENCE, PHYSICIAN ASSISTANT STUDIES,… more
- BroadPath Healthcare Solutions (Tucson, AZ)
- …Coordinator.** This role collaborates with clinical review staff, medical directors/ physician reviewers, network physicians, and network facilities to ensure ... with HHSC and other regulatory entities + Collaborate: Partners with the physician team to identify strategies for action and determine appropriate guideline… more
- Stony Brook University (Stony Brook, NY)
- …Department may include the following but are not limited to:** + Completes Utilization review screen for inpatient and observation cases. Activity includes UR from ... patients who were readmitted within thirty days. Documents over utilization of resources and services. + All Medicare cases...on all other payers. + Active participation with the physician and payer to prevent denials. Reviews cases for… more
