- 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
- Luke Staffing (Fort Bragg, NC)
- ** Physician (Physical Medicine and Rehabilitation)** **SITE OF SERVICE:** Ft. Bragg, NC **POSITION QUALIFICATION/REQUIREMENTS:** + **Degree:** Doctor of Medicine, ... + **Licensure:** A current, valid, unrestricted license or registration as a Physician from a State, the District of Columbia, the Commonwealth of Puerto… 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
- Luke Staffing (Fort Bragg, NC)
- ** Physician (Licensed Clinical Neurologist)** **SITE OF SERVICE:** Ft. Bragg, NC (NICoE/NCR) + National Intrepid Center of Excellence (NICoE) provides specialized ... regulatory, MTF, and Joint Commission quality inspection/ peer review/ utilization management requirements, and applicable system applications. + Contractor… 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
- 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)
- …plan, providers, caregivers, family, and the patient. + Identify opportunities to improve utilization , quality of care, access issues and physician profiling. + ... Stanford Health Care **What you will do** + Inpatient & SNF Utilization Management & Care Coordination: + Support proactive hospital discharge planning, transfers,… more
- Organon & Co. (Lincoln, NE)
- …Care Providers such as Physicians across multiple specialties, Nurse Practitioners, Physician Assistants, Midwives, Nurses and Pharmacist in addition to quality ... and Residency programs, Federally Qualified Health Centers, Universities, Independent Physician Associations, Management Service Organizations, Planned Parenthood and Family… 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 (Redwood City, 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
- Stanford Health Care (Palo Alto, CA)
- …Line Outcomes Lead is responsible for partnering with service line & physician leadership to optimize documentation tools, improve processes, and develop strategies ... between CDI and the service lines assigned, meeting regularly with SL Physician Champion and Chair/Chief. + Drive increased workflow efficiency through monitoring… 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
- Stanford Health Care (Palo Alto, CA)
- …planning, hiring and termination, and working closely with operational and physician leaders on a wide variety of organizational initiatives. **Locations** Stanford ... practice based on evidence by using research based knowledge or research utilization methods to identify and implement innovations in patient care and/or… more
- The Joint Commission (Oakbrook Terrace, IL)
- …and practices pertinent to the survey. 20. Complies with requirements for utilization of all JCIA applications for documenting findings, submitting availability, and ... in emergency care as a paramedic, emergency medical technician, physician or nurse and in dispatch or administration of...where JCI accredits in concordance with the JCI Travel Utilization Policy. 2. Participation in up to one week… more
- Stanford Health Care (Palo Alto, CA)
- …+ Uses independent judgement to assess, identify, and prioritize clinical information to physician , NP, PA and other clinicians for patients who are being evaluated ... all aspects of care as defined by the research protocol with the physician and other health care professionals and research team members. + Collaborates with… more
- Stanford Health Care (Redwood City, CA)
- …during polysomnograhic testing procedures. + Provides medications to patients per physician orders and according to Hospital policy and procedures. **Education ... Knowledge and competency in all aspects of Polysomnographic testing, procedures and utilization + Knowledge and understanding of common Sleep Disorders and … more
- BroadPath Healthcare Solutions (Tucson, AZ)
- …authorization details into systems and communicate relevant information to the originating physician , facility, or specialist + Apply knowledge of product lines and ... related to eligibility and claims, documenting information accurately in the utilization management system _Provider and Member Education_ + Provide guidance to… more
- Stanford Health Care (Palo Alto, CA)
- …for changes in process and operations to include standardization and utilization of resources (supplies, equipment, services, people, etc.). The Category Manager ... of the SHC & LPCH Value Based Selection group, which is a physician led multi-specialty committee that evaluates all requests for new products and technology.… more
