- Veterans Affairs, Veterans Health Administration (Louisville, KY)
- …early discharge through collaboration with specialists, nursing staff, social services, utilization management , and other members of the interdisciplinary team. ... with PCPs, patients and families, specialists, hospital departments, and administration . The hospitalist leads the hospital interdisciplinary team to improve… more
- Veterans Affairs, Veterans Health Administration (Louisville, KY)
- …center. The Deputy COS assists the Chief of Staff who is accountable for the management of the needs of the clinical services, as well as developing a plan for ... center through collaboration with other members of the medical center administration , service chiefs, and interdepartmental supervisors. The Deputy COS assists the… more
- Veterans Affairs, Veterans Health Administration (Lexington, KY)
- …team. Coordinating with the patient care team to review the clinic utilization by using various reports (eg, Clinic Utilization Statistical Summary). ... effective and efficient communication with the patient, interdisciplinary team, management team, VA medical centers, and other agencies. Develops and… more
- Veterans Affairs, Veterans Health Administration (Lexington, KY)
- …knowledge of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation requirements, community care ... for the coordination of care focused on patient education, self- management , and customer satisfaction throughout the continuum of care....regulations, and Veterans Health Administration (VHA) standards and guidelines. The RCT RN uses… more
- Veterans Affairs, Veterans Health Administration (Lexington, KY)
- …They are responsible for the provision of continuity of care, access, utilization management , clinical guideline implementation and monitoring and performance ... through the continuum of care, patient and family education, patient self- management after discharge, and supporting factors that impact customer satisfaction.… more
- Molina Healthcare (Louisville, KY)
- …HMO regulations, managed healthcare systems, quality improvement, medical utilization management , risk management , risk adjustment, disease management ... Summary** Responsible for serving as the primary liaison between administration and medical staff. Assures the ongoing development and...resource management . + Develops and implements a Utilization Management program and action plan, which… more
- Evolent (Frankfort, KY)
- …Doing:** As a Cardiology, Field Medical Director you will be a key member of the utilization management team. We can offer you a meaningful way to make a ... the Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. +… more
- Novo Nordisk (Elizabethtown, KY)
- …its associated risks + Effectively present the Standards of Care for cardiovascular disease , highlighting the management of cardiovascular risk in patients with ... a diverse range of HCPs and local stakeholders to enhance cardiometabolic management across the territory and region. Additionally, the role involves proactive… more
- Highmark Health (Frankfort, KY)
- …:** **JOB SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and ... participates as the physician member of the multidisciplinary team for case and disease management . They will advise the multidisciplinary team on cases,… more