- GHR Healthcare (Atlanta, GA)
- …Pay Rate: 37.50 -40.00 Hourly (paid weekly) What You'll Do: Clinical Analysis: Review medical records to determine the necessity of patient services based on ... advanced criteria. Provider Interaction: Collaborate with healthcare providers to clarify and obtain additional clinical information. Decision-Making: Authorize medically necessary services and refer cases that don't meet criteria to the Medical Director.… more
- Cambia Health Solutions, Inc (Renton, WA)
- … review determinations with providers to promote understanding of utilization management and quality improvement policies.Industry Trends and Opportunities: Stays ... make health care easier and lives better. As a member of the Utilization Management team, our Associate Medical Director Behavioral Health and UM Medical Directors… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …with the physician advisor. Works collaboratively with the physicians, patient/family, nursing, utilization review and other members of the healthcare team to ... preferredPreferred Educational Requirements: Bachelors DegreePreferred Experience: Discharge planning and utilization review experience is recommended. Other: Job… more
- Medline Industries - Transportation & Operations (West Jefferson, OH)
- …in accordance with established procedures. Direct and supervise warehouse staff. Review effectiveness of operating procedures, maintenance, space utilization and ... for all team members.Lead day-to-day activities of employees. Assign, monitor and review progress and accuracy of work, directs efforts and provides technical… more
- Blanchard Valley Health System (Findlay, OH)
- …Care Transitions Team, including the disciplines of Social Work, Case Management, Utilization Review , and Emergency Department Care Navigation to support ... services during acute care stay. Duty 9: Maintains position as Utilization Review committee chair. Works in collaboration with ambulatory care navigation team… more
- Pacer Staffing (Atlanta, GA)
- …criteria required. Preferred: TRICARE experience Qualified for Certified Professional Utilization Review Certification or Certified Professional Utilization ... Description: Summary: This individual contributor position reports to the Directors of Utilization Management (UM) and Referral Management (RM) and supports both RM… more
- NorthBay Health (Fairfield, CA)
- …for all aspects of Care Management and Population Health which includes: Utilization Management, Utilization Review , Inpatient, Outpatient and Complex ... and implements key processes to maximize efficiency of resource utilization . They will assume overall responsibility for coordinating/managing patient centered… more
- PULAU (San Miguel, CA)
- …liaison with military active Army and National Guard Units to ensure maximum utilization of the trainers; maintains up-to-date utilization and training status ... reports; prepares and submits monthly utilization reports; assists in establishing a unit training program;...IAW AR710-1-1 & AR 710-1-2, submits to Government for review /approval. Conducts joint inventory, inspects new equipment, training devices… more
- Cibola General Hospital (Grants, NM)
- …including front desk receptionist, biller/coder, and medical assistants to ensure maximum utilization of resources and the efficient delivery of services of his or ... practice(s): Monitors patient flow through the practice(s) to ensure appropriate utilization of physician time and staff coverage. Monitors or reviews patient… more
- Blanchard Valley Hospital (Findlay, OH)
- …and coordination of care, as needed. Duty 10: The Social Worker performs ongoing utilization review of patients admitted to the psychiatric unit to ensure ... in various committees and meetings to contribute information regarding utilization of services and quality of healthcare for the...appropriate levels of care and utilization of services are maintained, to avoid penalties, and… more
- Fidelity TalentSource LLC (Westlake, TX)
- Job Description:Position Description:\u00A0\u00A0Ensures efficient storage utilization of IP network resources -- iSCSI, replication, and backups. Performs analysis ... Responsibilities:\u00A0\u00A0Identifies storage migration to optimize application performance and storage utilization .\u00A0Performs third layer escalation support for high impact performance… more
- Medline Industries - Transportation & Operations (Tallahassee, FL)
- …the overall strategy and go to market approach.Conduct and deliver business review in partnership with Division Product Management.Guide Medline Sales and Product ... Management teams in utilizing the business review .Prepare and present business review /plan to Medline...to determine market needs and potential innovations.Measure Results / Utilization ReviewWork with client to track their metrics and… more
- Medline Industries - Transportation & Operations (Springfield, IL)
- …the overall strategy and go to market approach.Conduct and deliver business review in partnership with Division Product Management.Guide Medline Sales and Product ... Management teams in utilizing the business review .Prepare and present business review /plan to Medline...determine market needs and potential innovations. Measure Results / Utilization ReviewWork with client to track their metrics and… more
- Compass Health Network (Clinton, MO)
- …of coaching as it relates to documentation and treatment standards Participate in Utilization Review for productivity, length of stay (number of sessions), ... in various sites throughout the assigned region to ensure maintenance of utilization standard and quality of services. Provide program oversight and development to… more
- Volunteers of America Mid-States (Louisville, KY)
- …AND QUALIFICATIONS: Service Coordinator will be responsible for ensuring maximum utilization of community resources by residents of Volunteers of America Mid-States' ... housing programs for the elderly or disabled. This utilization of resources is aimed at maximizing residents' length...supervisor for this position as part of the performance review process. We are an equal opportunity employer and… more
- Blanchard Valley Hospital (Findlay, OH)
- …The primary purpose of the Professional Coding Integrity Specialist (PCIS) is to review , enter and/or modify charges as appropriate, including review of clinical ... charge/modifier assignments, for designated clinical areas. JOB DUTIES/RESPONSIBILITIES Duty 1: Review , enter and/or modify charge on encounters to ensure accurate… more
- Compass Health Network (Wentzville, MO)
- …other human/social services to provide wholistic services to persons servedo Perform Utilization Review activities as assignedo Attend all training as required ... of admission criteria for all programs as well as knowledge of Utilization Management criteria specific to insurance companieso Work specifically with the Primary… more
- Compass Health Network (Wentzville, MO)
- …other human/social services to provide wholistic services to persons servedo Perform Utilization Review activities as assignedo Attend all training as required ... of admission criteria for all programs as well as knowledge of Utilization Management criteria specific to insurance companieso Work specifically with the Primary… more
- Southwest Research Institute (San Antonio, TX)
- Who We Are: Carbon Capture and Utilization Process Development Section works to support first of its kind carbon capture and carbon utilization processes. Lab to ... organization.Chemical inventory labelling and organization, waste disposal, perform safety review (job safety analysis), reading and interpreting P&IDs, participate… more
- JDH Contracting Inc. (Mount Sterling, KY)
- …identifies and sequences the activities needed to complete the project successfully Review the resources with the project managers to determine the resources (labor, ... schedule for project completion that effectively allocates the resources to the activities Review the project schedule With the project managers, review the… more
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