- Hackensack Meridian Health (Hackensack, NJ)
- …a. Provides direction and support regarding CMS & NJDOH regulations governing Utilization Management & Clinical documentation. b. Oversight for accurate patient ... **Overview** The Senior Utilization Review Specialist collaborates with the...vs. Inpatient c. Liaison to the Medical Staff supporting Utilization Management Committee processes d. Hospital Based… more
- Truman Medical Centers (Kansas City, MO)
- …into myWORKDAY (http://www.myworkday.com/trumed/d/home.htmld) to search for positions and apply.** Utilization Specialist 101 Truman Medical Center **Job ... training, coaching and consulting to outside organizations. **Job Description** The Utilization Specialist will verify all financial and insurance information,… more
- Vanderbilt University Medical Center (Nashville, TN)
- …through preeminent programs in patient care, education, and research. **Organization:** Utilization Management 20 **Job Summary:** JOB SUMMARY Facilitates ... a community of individuals who come to work each day with the simple aim of changing the world....admission status is ordered. Conducts initial admission based on utilization review medical necessity criteria. Refers cases for secondary… more
- Sanford Health (Sioux Falls, SD)
- …Conduct level of care medical necessity reviews within patient's medical records. Performs utilization management (UM) activities in accordance with UM plan to ... Sioux Falls, SD 57108, USA **Shift:** 8 Hours - Day Shifts **Job Schedule:** Full time **Weekly Hours:** 40.00...potentially, prior authorization. Assists the department in monitoring the utilization of resources, risk management and quality… more
- MD Anderson Cancer Center (Houston, TX)
- …discharge Serves as an expert resource and support to onsite review nurses and Utilization Review Specialist Completes level of care (LOC) assessments on all ... trainees, professionals, employees and the public. The primary purpose of the Utilization Review Nurse position is to: Evaluate the necessity, appropriateness, and… more
- Sanford Health (SD)
- …- $28.00 **Department Details** Opportunity to work remote. **Job Summary** Monitors the utilization of resources, risk management and quality of care for ... **Facility:** Remote SD (Central Time) **Location:** Remote, SD **Address:** **Shift:** Day **Job Schedule:** Full time **Weekly Hours:** 40.00 **Salary Range:**… more
- Henry Ford Health System (Bingham Farms, MI)
- …quality of care provided by the primary care team. He/she works with utilization management reports, corporate data stores, and information services to optimize ... of pharmacy services, decrease waste, and rework in the region, and improve drug utilization . The Pharmacy Specialist will be instrumental in guiding the further… more
- ZOLL Medical Corporation (Columbus, OH)
- …makes ZOLL the ideal place to build your career.Job SummaryThe Heart Failure Management System (HFMS) Integration Specialist partners with ZOLL's Cardiac ... assess workflows, synthesize findings, and recommend behavior changes to enhance HFMS utilization . + Partner with key stakeholders (Care Management , Nursing… more
- AdventHealth (Altamonte Springs, FL)
- …cause and bring about the best opportunity for fair reimbursement. The Clinical Denial Management Specialist will adhere to the AHS Compliance Plan and to all ... need for you and your family:** . Benefits from Day One . Career Development . Whole Person Wellbeing.... Collaborates with pre-access, patient financial services, revenue integrity, utilization management and clinical department staff to… more
- State of Massachusetts (Boston, MA)
- *_Executive Office of Housing and Livable Communities (EOHLC) is seeking a Facilities Management Specialist in the Division of Public Housing & Rental ... residents and reducing and preventing homelessness. *_OVERVIEW:_* The Facilities Management Specialist (FMS) providestechnicalassistance,performance-basedmonitoringoversight,andserveasprimaryEOHLCpointof contact on maintenance… more
- Trinity Health (Troy, NY)
- … Specialist under general supervision, supports the administrative requirements for Utilization Management and works collaboratively with Utilization ... of possible concurrent denials, forwards information to the appropriate Utilization Management /Concurrent Review Nurse within identified process standards… more
- Sharp HealthCare (San Diego, CA)
- …Memorial Hospital **City** San Diego **Department** **Job Status** Regular **Shift** Day **FTE** 1 **Shift Start Time** **Shift End Time** Certified Professional ... Association for Healthcare Quality; Certified Professional in Healthcare Risk Management (CPHRM) - American Hospital Association; Bachelor's Degree in Nursing;… more
- AON (New York, NY)
- …Executive leaders How this opportunity is different: + Collaborate with Account Specialist staff, Account Management team, and Client Service Delivery Leaders ... about helping our colleagues and clients succeed. What the day will look like: You are responsible for leading...efficiency and build standard processes. + Educate assigned Account Specialist by leveraging training plans in client management… more
- TXNM Energy (Albuquerque, NM)
- Change and Resource Management Specialist Location: Albuquerque, NM, United States Job ID: 6088895 Date Posted:Feb 26, 2025 **POSTING DEADLINE** This position is ... posted until filled. **DEPARTMENT** **JOB DESCRIPTION** **Change & Resource Management Specialist ** Salary Grade: G04 Minimum Midpoint Maximum $104,766 -… more
- Censeo Consulting Group (Washington, DC)
- Facilities Management Specialist - Department of State The Position: We are looking for eager, driven candidates with experience in people management , ... solutions for our Federal clients at the Department of State. The Facilities Management Specialist is responsible for overseeing and managing the physical… more
- Penn Medicine (Lancaster, PA)
- …deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day . Are you living your life's work? Job Title: OR Supply Specialist ... PA 17602 Hours: 1.0 FTE (40 Hours per week), Day Shift Position Summary: + This position is the...by acting as a supply chain liaison between Materials Management and Surgical Services areas. Diligently communicates any issues… more
- Penn Medicine (Manheim, PA)
- …hopeful news, and give comfort and reassurance. Our employees shape our future each day . Are you living your life's work? Job Title: Clinical Service Specialist ... PA 17545 Hours: 0.6 FTE (24 Hours per week), Day Shift Position Summary: + Provides complete and accurate...all pertinent information to document imaging or heath information management team with in the established time frames. Compliance… more
- New York State Civil Service (Albany, NY)
- …Agency People With Developmental Disabilities, Office for Title Program Operations Specialist 2 Occupational Category Health Care, Human/Social Services Salary Grade ... Zip Code 12208 Duties Description The Division of Fiscal Policy and Management 's Capital Finance Bureau is responsible for ensuring appropriate funding, through… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …as a technical specialist over an assigned program. Differs from DOTD Program Specialist 5 by the lack of program management responsibility for a specific ... DOTD Program Specialist 4 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4878579) Apply DOTD Program Specialist 4 Salary $4,099.00 -… more
- TD Bank (Boston, MA)
- …excellence, process optimization, and data-driven decision-making. The Sr Business Mgmt Specialist leads a significant business management function and/or ... provide you more specific details for this role. **Line of Business:** Business Management , Strategy & Support **Job Description:** Reporting to the Head of Middle… more