- AmeriHealth Caritas (Newtown Square, PA)
- …in a managed care organization Proficiency in Electronic Medical Record Systems and Utilization Review Systems (eg, JIVA) to efficiently document and assess ... Role Overview Under the direction of a supervisor , the Utilization Management Reviewer evaluates...patient cases Strong understanding of utilization review processes, including medical necessity criteria,… more
- AmeriHealth Caritas (Newtown Square, PA)
- …Current driver's license required Skills & Abilities; Strong understanding of utilization review processes, including medical necessity criteria, care ... ; Role Overview Under the direction of a supervisor , the Clinical Care Reviewer - Utilization...order to meet productivity standards in a fast-paced, high-volume utilization review environment Ability to gather and… more
- AmeriHealth Caritas (Newtown Square, PA)
- …Under the direction of the Long Term Services and Supports (LTSS) Supervisor , the LTSS Reviewer is responsible for completing care and service needs ... collect all information necessary to perform a thorough needs review . It is at the Reviewer's discretion to request...that the request was received, nature of the request, utilization determination (and events leading up to the determination).… more
- Saint Francis Health System (Tulsa, OK)
- …participates in the Patient Care Committee for patient care reviews, and in Utilization Review Staff Committee, providing data and contributing to improvement of ... support to the hospital and treatment team throughout the review of patients, their placement in various levels of...and benefits of patients, matching the level of care utilization . Assures compliance with Managed Care Behavioral Health standards… more
- BJC HealthCare (St. Louis, MO)
- …St. Louis Children's Hospital One Children's Place St. Louis, MO 63110 Supervises the Utilization Review and Navigator teams Excellent team culture! This is an ... 2-5 years of RN experience At least 2 years of leadership experience Utilization Review experience RN Case Coordination experience Overview St. Louis Children's… more
- United Therapeutics (Durham, NC)
- …with superior financial performance and our communities with earth-sensitive energy utilization . Our company was founded by an entrepreneur whose daughter was ... supplies Dry Powder Inhalation (DPI) medicines from the RTP, NC facility. This Supervisor is responsible for overseeing the setup, operation, and cleaning of all… more
- Performance Food Group (Solon, OH)
- 131468BR Job Title: Warehouse Supervisor {2nd Shift} Location: CM Cleveland, OH (2573) Job Description: We Deliver the Goods: Competitive pay and benefits, including ... based on KPIs!! Job Summary: We are seeking a detail-oriented and experienced Warehouse Supervisor to join our team. The Warehouse Supervisor will be responsible… more
- Trinity Health (Grove City, OH)
- …next step in your career? We're looking for a dynamic Pharmacy Technician Supervisor to lead and inspire our technician team dedicated to delivering safe, ... -Serve as a subject matter expert in your area, guiding drug utilization management and educational efforts. -Advocate for patients and pharmacy colleagues,… more
- Performance Food Group (Springfield, OH)
- 132813BR Job Title: Warehouse Supervisor (3rd Shift) Location: CM Columbus, OH (2248) Job Description: We Deliver the Goods: Competitive pay and benefits, including ... on KPIs!! Job Summary: We are seeking detail-oriented and experienced Warehouse Supervisor (s) to join our team. The Warehouse Supervisors will be responsible for… more
- Ryder System (Harrisburg, PA)
- Job Seekers can review the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy-policy) . Job Description : SUMMARY This position ... carriers, and third party claimants. Participates in large claim review calls and updates field operations personnel on claim...large complex cases 0 to One (1) year experience supervisor experience preferred SKILLS . Strong commitment to the… more
- Performance Food Group (Taunton, MA)
- 133635BR Job Title: Warehouse Supervisor - Inbound Location: Performance Foodservice Boston (0561) Job Description: We Deliver the Goods: Competitive pay and ... Coordinates pick planning in conjunction with the Warehouse Manager. Utilization of Company's warehouse management system and other technologies available… more
- Performance Food Group (Statesville, NC)
- 133357BR Job Title: Warehouse Supervisor (2nd shift) Location: CBIStatesville (1870) Job Description: We Deliver the Goods: Competitive pay and benefits, including ... Coordinates pick planning in conjunction with the Warehouse Manager. Utilization of Company's warehouse management system and other technologies available… more
- Sysco (Minneapolis, MN)
- …including extra work days and shifts as needed. Administers the proper utilization of Company assets in support of the warehouse. Coordinates required repairs ... with proper departments as necessary. Review night warehouse functions and various warehouse productivity reporting. Suggests efficiency ideas, cost reduction… more
- Butterball (Warsaw, NC)
- …maintaining safety culture and ensuring continuous improvement through the utilization of Butterball Operating System Solutions (BOSS). Supports and empowers ... skills with the ability to effectively interact at all levels Solid data review , critical thinking, and problem-solving skills Strong attention to detail Basic math… more
- OhioHealth (Columbus, OH)
- …and coordination of services through proactive collaboration and communications with utilization management and care coordination team. 5. Monitor commercial payers ... addition of diagnosis allowances and authorization numbers 6. Refer utilization management/clinical decisions beyond level of authority to care coordination/UM… more
- Cardinal Health (Tewksbury, MA)
- …cost control initiatives, updates to the Policy and Procedure manual, annual review of order sets and protocols, black box warning, ADR reporting, pharmacy ... as an objective tool to work with specific Medical Staff Departments or Utilization Management Teams to improve medication utilization Ensures clinically related… more
- UnitedHealth Group (Auburn, MA)
- …telephone calls for the department in the assigned department queue. Works with supervisor and other staff to meet metric expectations for phone service. Works to ... be directed to other team members. This includes chart review to identify previous activity that may have occurred...to service line booking guidelines to ensure that clinic utilization is optimized safely and effectively as well as… more
- Breakthru Beverage Group (North Wales, PA)
- …or investigation as needed. Reviews distribution productivity reporting to appropriate supervisor for review and determination. Suggests efficiency ideas, cost ... analytics to Drivers, Routing, Safety, and compliance. This role will review routes, route plans, stop types, service times, classifications, driver performance,… more
- BJC HealthCare (St. Louis, MO)
- …expenses. By developing integrated processes to manage product selection and utilization , contracting, purchasing, logistics, distribution, and payment we can ensure ... computer system, process RTVs, tagging/labeling and staging items for delivery. Review reports, collaborate with department staff to adjust par levels, coordinate… more
- UnitedHealth Group (Worcester, MA)
- …Performs assigned duties as directed by the prescription specialist supervisor Interact effectively and professionally with all location departments at ... pharmacies related to any and all prescription requests Develops proficiencies in utilization of Epic Works independently and handles multiple tasks Greets patients… more
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