- Aequor (New York, NY)
- …Prefer minimum of 1-3 years relevant experience in case management, utilization review and/or quality assurance Experience in acute episodic care, ... wellness care and counseling of adults Proficiency in use of electronic medical record keeping systems desirable BLS certification required Case Management and COHN-S and preferredMajor Responsibilities: Manage Short Term Disability by tracking claims and… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …management of their caseloads, provides coverage to Intake department, and assists with Utilization Review , Quality Assurance , and Performance ... Improvement activities as assigned.Participates in 24 hour on-call assignment as scheduled.Performs other duties as required.#NGHSJOBS#LI-RB1 Physical DemandsWeight Lifted: Up to 100 lbs, Occasionally 0-30% of timeWeight Carried: Up to 50 lbs, Occasionally… more
- CIRCOR International, Inc (Warren, MA)
- … ManagerFUNCTIONAL REPORTING: Quality POSITION DETAILSPosition SummaryPerforms designated quality assurance processes relative to support the customer order ... Quality TechnicianBUSINESS: CIRCOR Naval Solutions LOCATION: Warren, MA...order, contracts and material specifications.Perform QA of part orders. Review contract requirements and prepare required data packages.Maintain and… more
- Daiichi Sankyo, Inc. (Basking Ridge, 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
- Careerbuilder-US (Atlanta, GA)
- …Coding experience. . Requires a minimum of 5+ years' experience in Health Insurance/ quality chart audits and/or Utilization Review . Bachelor's degree ... are required to maintain minimum 95% accuracy on coding quality audits. Job Responsibilities: . Compile chart review...quality data abstraction and chart reviews. . Develop quality assurance processes to ensure data integrity… more
- Valmont Industries, Inc. (Tulsa, OK)
- …standards and monitors performance standards of assigned personnelEnsure inspection checks and quality assurance are occurring to produce high quality ... process of Valmont products.Implement and assign work schedule to maximize utilization of manpower, machines, and equipmentAnalyze setup time and ensure accuracy,… more
- Select Water Solutions (Oklahoma City, OK)
- …internal operations, and general contractors to foster a collaborative and productive work environment. Quality Assurance : Ensure that quality remains a top ... external engineering firms to ensure seamless project delivery.Operational Support: Review engineering and operational tasks, identifying areas for improvement and… more
- Globe Life Inc. (Mckinney, TX)
- …working relationships with departmental partners such as other directors, team supervisors, and quality assurance to ensure daily service level metrics are met. ... regular analysis on accuracy of forecasts and forecast models Continuous review of the existing methodology (ie, forecasting and implementation models), processes,… more
- Globe Life Inc. (Mckinney, TX)
- …working relationships with departmental partners such as other directors, team supervisors, and quality assurance to ensure daily service level metrics are met. ... regular analysis on accuracy of forecasts and forecast modelsContinuous review of the existing methodology (ie, forecasting and implementation models),… 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
- Intermountain Health (Las Vegas, NV)
- …medical review activities pertaining to utilization review , claims review , quality assurance , and medical review of complex, controversial, ... to utilization management. + Demonstrated knowledge of case management, utilization management, quality management, discharge planning, and other cost… more
- LifePoint Health (Wilson, NC)
- …Science or related associate healthcare degree and a minimum of 2 years' experience in utilization review / quality assurance work. Registration as an RHIT ... using criteria as determined by current department procedures and recommendations from Utilization Review Committee Severity to determine the medical necessity… more
- Beth Israel Lahey Health (Burlington, MA)
- …coordinates utilization review , discharge planning and monitors quality assurance for Lahey Clinic inpatient admissions. Leads the multidisciplinary ... States of America) Joint role of Case Manager and Utilization Review Nurse Hospital at Home Full...needed. 10) Supports all service line activities related to utilization and quality management. 11) Assists in… 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 (Springfield, IL)
- … 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
- 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
- MTC (Bryan, TX)
- … Assurance Coordinator:** 1. Performs complex technical assistance work; implements quality assurance utilization review procedures; and responds ... and an employee wellness program. **MTC is now hiring for a full-time Quality Assurance Coordinator at the JW Hamilton Unit located in Bryan, TX.** **What you'll… 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
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