- University of New Mexico - Hospitals (Albuquerque, NM)
- …Utilization Management - UHFTE: 1.00Full TimeShift: DaysPosition Summary:Responsible for the initial review , triage and assignment of patients to case managers ... short-term and long-term patient responses to interventions in collaboration with quality assurance and utilization review , maintaining interdependent follow-up… more
- CHRISTUS Health (Texarkana, TX)
- …Network policies, procedures, objectives which include but are not limited to quality improvement initiatives, safety, environmental infection control , OSHA and ... agrees to see patients outside of his/her specialty, in case of emergency, or other special situations as determined...and adheres to Commitment to Excellence goals in Clinical Quality , Service Quality , Community Value and Business… more
- City of New York (New York, NY)
- …MAQC is recruiting for (1) one Principal Administrative Associate, who will function as a Medicaid Quality Control Case Review Supervisor who will: - ... Review the audit findings determined by the Quality Control Case Reviewers to...to assist the Quality Control Case Reviewers in their eligibility review findings.… more
- City of New York (New York, NY)
- …OQA & FI is recruiting for (1) one Principal Administrative Associate to function as a Quality Control Case Review Supervisor, who will: - Supervise and ... Assurance & Fiscal Integrity conducts complex internal audits and quality control reviews to identify areas of... Quality Assurance System (EQAS) or the State Case Review units. Provide guidance and clarification… more
- City of New York (New York, NY)
- …Principal Administrative Associate II to function as a Quality Control Case Reviewer, who will: - Review POS, HRA One Viewer of imaged/scanned documents, ... to clarify and identify any variances, discrepancies or inadequate documentation discovered during the review of State Quality Control errors or in the EQAS… more
- American Express (Sunrise, FL)
- …other financial crimes. How will you make an impact in this role? The GFCSU's Quality Control Review (QCR) Team performs ongoing monitoring of Anti-Money ... standards as well as internal procedural requirements. + Conduct quality control reviews of Financial Crime Compliance...non-material error is identified. + Close all cases after review is completed. This includes correcting any errors prior… more
- Tenet Healthcare (Detroit, MI)
- …Works with Nursing and hospital leadership to ensure Patient Care Conferences and Complex Case Review processes are in place to promote timely and appropriate ... goals, and objectives; modifies procedures/protocols, as necessary. Monitors the quality and productivity of staff to ensure work is...education * Completes initial and annual competency and evaluation review on all case management staff *… more
- HCA Healthcare (Tallahassee, FL)
- …provision of services necessary to meet identified needs + Actively seeks ways to control costs without compromising patient safety, quality of care or the ... Chain of Command timely + Actively seeks ways to control costs without compromising patient safety, quality ...for position if current and compliant** + **Certification in Case Management, Nursing, or Utilization Review , preferred**… more
- HCA Healthcare (Tallahassee, FL)
- …provision of services necessary to meet identified needs + Actively seeks ways to control costs without compromising patient safety, quality of care or the ... Chain of Command timely + Actively seeks ways to control costs without compromising patient safety, quality ...for position if current and compliant** + **Certification in Case Management, Nursing, or Utilization Review , preferred**… more
- Stanford Health Care (Palo Alto, CA)
- …and ensuring optimum use of resources, service delivery, and compliance with external review agencies' requirements. Case Managers act as consultants to the ... and patient care and participate in program development and quality improvement initiatives. In their role, Case ...the principles and practices of discharge + planning, utilization review , and quality assurance/improvement + Knowledge of… more
- HCA Healthcare (Tallahassee, FL)
- …provision of services necessary to meet identified needs + Actively seeks ways to control costs without compromising patient safety, quality of care or the ... Chain of Command timely + Actively seeks ways to control costs without compromising patient safety, quality ...for position if current and compliant** + **Certification in Case Management, Nursing, or Utilization Review , preferred**… more
- Hartford HealthCare (Manchester, CT)
- …Region serves a region of 300,000 people in 19 towns. POSITION SUMMARY: The Utilization Review Case Manager (UR CM) works in collaboration with the physician and ... to payers for authorization of services provided and completes case review for claim reimbursement. * Reviews...compromise of rights to appropriate individual (s). * Identifies quality , infection control , utilization, and risk management… more
- CSL Behring (King Of Prussia, PA)
- …including data privacy and governance standards. Drive continuous improvements in case quality and efficiency through operational benchmarking and implementation ... quality , and cost savings. Main responsibilities and accountabilities: ** Case Management Responsibilities:** + Oversee end-to-end case processing operations,… more
- Nuvance Health (Danbury, CT)
- …program. Our accolades include the following: * The Leapfrog Group - Grade A for quality and patient safety * US News & World Report - High performance in heart ... - One of America's 50 Best Hospitals * Surgical Review Corporation (SRC) - Robotic Center of Excellence *...truly special place to work. Summary: The Director of Case Management provides strategic leadership and operational oversight for… more
- Ascension Health (Pensacola, FL)
- …service level determination, and complaint management to achieve performance and quality control objectives. + Provide specialized expertise, ensure resource ... of two (2) years of proven leadership or management experience, preferably overseeing Case Management or Utilization Review teams in an Acute Care setting.… more
- US Courts (Fayetteville, AR)
- …from opening to closing. Review , identify, and research the accuracy, timeliness, and quality of data entered into the case record. Make corrections to the ... timely progression. Process notices of appeal and appeal-related documents. Perform quality control on attorney-docketed entries. Prepare and analyze required… more
- Cayuse Holdings (Arlington, VA)
- …resolve the incidents. The CMA conducts Quality Assurance and Quality Control on cases and the case management process while supporting activities to ... **Overview** The Case Management Analyst (CMA) supports the client's cyber...solutions to ensure incident reporting life cycle success. + Quality Assurance/ Quality Control : + Track… more
- Cedars-Sinai (Marina Del Rey, CA)
- …care and treatment for appropriateness against screening criteria and for infection control , quality services for continued stay and through discharge. Plans ... Award 19 years in a row for providing the highest- quality medical care in Los Angeles. We were also...You Will Do in This Role:** A Registered Nurse Case Manager plans and coordinates care of the patient… more
- ERP International (Luke AFB, AZ)
- **Overview** ERP International is seeking a full time **Registered Nurse - Case Management** in support of the56th Medical Group at Luke AFB, AZ ... upon the department No weekends or holidays **Positon Summary:** Provides case management, care coordination and discharge/disposition planning for inpatient and… more
- US Courts (Alexandria, VA)
- …summary on the docket sheet from opening to final disposition and performs quality control of all assigned electronic cases within established time frames. ... Assist the public in the use of computerized databases. Receive, stamp and review incoming paper case -related documents to determine conformity with appropriate… more
