- Fresenius Medical Care (Olmito, TX)
- …. Ensure effective communication with patients, dialysis clinics, hospitals and physician (s), to address any concerns/ issues Facility Operations . Participate in ... state regulations, and accrediting agency standards where applicable. . Participate in review business and finances of the site, including financial reports, market… more
- Catholic Health System (Buffalo, NY)
- …better outcomes. 11. Holistic development of patient treatment plans, readily available for review in the EHR. 12. Utilization of appropriate consultation and ... Medical, WNY, is seeking a dedicated full time Hematology/Oncology Physician in Buffalo, NY, a diverse and family friendly...friendly community on the shores of Lake Erie. This Physician shall be Board Certified/Eligible in Hematology and Medical… more
- Defense Health Agency (San Antonio, TX)
- Overview Physician (Internal Medicine) Joint Base San Antonio Time to invest in some new footwear because if you're San Antonio-bound, you'd better show up in boots ... of housestaff will be monitored through results obtained from peer review , continual quality improvement, chart reviews, and patient complaints and compliments.… more
- Vista Community Clinic (Vista, CA)
- …technicians and other staff. Participate in quality assurance, quality improvement and utilization review Provide in-service training to clinic staff to increase ... protocols and procedures to ensure quality medical care Participate in utilization and peer review programs which evaluates the quality of the medical staff and… more
- Yale New Haven Health (Fairfield County, CT)
- …Charge Nurse. 8. Meets Performance Expectations For Customer Service, Teamwork, Resource Utilization , And Staff And Self Development As Outlined In Performance ... Review . 9. Performs Other Duties As Assigned Or Directed...Patient 14. Demonstrates Skill And Understanding In Assisting The Physician And Caring For The Patient During Special Neuro… more
- HCA Healthcare - Chief Medical Officer (Bradenton, FL)
- …a data-driven environment of quality and cost improvement and develops systems to review utilization of resources and objectively measure outcomes of care in ... affairs. Serves as a consultant to hospital Medical Staff Services regarding physician credentialing, utilization , and quality profiling. Serves as a member… more
- UTMB Health (Galveston, TX)
- …to budget planning, fiscal and resource planning/administration, human resource utilization , policy administration, and coordination and negotiation of activities ... followed accordingly with regard to faculty appointments, promotions, and tenure review . Identifies and adheres to appropriate internal controls for department and… more
- Trinity Health (Syracuse, NY)
- …the administrative team to oversee department activities. Manage cost management, utilization review , quality assurance, and medical protocol development. ... team, you will help foster an environment of excellence in patient care and physician collaboration. This role offers the opportunity to work alongside a dynamic, … more
- Monogram Health (Fort Myers, FL)
- …all clinical policies, procedures and guidelines with Monogram employees and our physician partners Represent Monogram as a clinical leader to health plans, ... IT and data tools to report, monitor, and improve quality and utilization Assist Practice Medical Executives to conduct retrospective reviews of hospitalizations and… more
- Hackensack Meridian Health (Hackensack, NJ)
- The Utilization Review Physician collaborates with the healthcare team in the management and resolution of activities that assure the integrity of clinical ... Hackensack University Medical Center. These include but are not limited to utilization review , hospital reimbursement, clinical compliance, case management, and… more
- Hackensack Meridian Health (Hackensack, NJ)
- **The Senior Utilization Review Specialist collaborates with the healthcare team in the management and resolution of activities that assure the integrity of ... population and Hackensack UMC. These include but are not limited to utilization review , hospital reimbursement, clinical compliance, case management, and… more
- CommonSpirit Health (Phoenix, AZ)
- …by the American Board of Quality Assurance and Utilization Review Physicians, Inc. (ABQAURP) preferred. + Physician Advisor Sub-specialty Certification ... This role will be an expert on matters regarding physician practice patterns, over and under- utilization of...by the American Board of Quality Assurance and Utilization Review Physicians, Inc. (ABQAURP) preferred. **Required… more
- Trinity Health (Des Moines, IA)
- …Process Improvement. Physician Relationships. Hospital Management and operations. Utilization review / physician advisor Graduate Medical Education ... a matrixed relationship for centralized medical staff functions such as quality, safety and utilization review and to the RHM President and other members of the… more
- Hackensack Meridian Health (Hackensack, NJ)
- …(APN) or Physician Assistant (PA) for the Transition Utilzation Review Team utilizes a patient-centered coordinated care model, demonstrating competencies in ... Knowledge, Skills and Abilities Required: 1. Successful completion of an approved physician 's assistant program, accredited by the AMA Council on Medical Education.… more
- Atlantic Health System (Summit, NJ)
- …from ABQAURP (The American Board of Quality Assurance and Utilization Review Physicians), AAPL (American Association for Physician Leadership's Physician ... in Management course), or CPUR (Certification Program in Utilization Review ), Institute for Healthcare Improvement courses, or physician advisor training… more
- New York State Civil Service (Albany, NY)
- …Review Advisory Committee, Irregular Billing Committee, Utilization Review Edit Committee, Quality Improvement Committee, Physician Administered ... Programs; Actively participating in various committees, including the Drug Utilization Review Board, Provider Enrollment Appeals Committee, Evidence-Based… more
- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR I Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4924333) Apply UTILIZATION REVIEW NURSE ... see comprehensive information regarding County employee benefits. DHS is seeking dedicated Utilization Review Nurse Supervisors to join our team. Whether you're… more
- Huron Consulting Group (Chicago, IL)
- …Management is responsible for planning, organizing, developing, and directing implementation of the Utilization Review Plan and the overall operation of the ... located in Annapolis, MD + Staff Acquisition and Support: Leads and manages the utilization review staff and function for the system, reporting to the Director… more
- St. Peters Health (Helena, MT)
- …with the MD advisor or physician consultant(s) on any cases sent for physician review . 4. Performs daily utilization reviews on all patients admitted ... The Utilization Management RN reports directly to Utilization Review RN Coordinator. The UR RN...reviews according to UR work plan and follow-up with physician consultants. 13. Confirm admission diagnosis and correct admission… more
- The County of Los Angeles (Los Angeles, CA)
- …Organization guidelines and the Joint Commission on Accreditation of Hospitals' utilization review standard. Under the direction of a physician member of the ... UTILIZATION REVIEW NURSE SUPERVISOR II Print...by subordinate supervisors on number and status of reviews, physician advisor referrals, and type of physician … more
