- The University of Vermont Health Network (Plattsburgh, NY)
- Unit Description: The Utilization Review Team monitors, collects and analyzes data and evaluates variances of resource utilization , complications and overall ... and promotes the efficient and effective use of patient services. The Utilization Review Team's role in data collection, analysis and summarization supports the… more
- UNC Health (Chapel Hill, NC)
- …improve the health and well-being of the unique communities we serve.RN Utilization Manager position specifically for a Utilization Manager/Clinical Appeals ... episode through post discharge for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Clinical Care Management staff to… more
- UNC Health (Chapel Hill, NC)
- …and cost effectiveness through the integrating and functions of case management, utilization review and discharge planning. The Care Manager must be highly organized ... date (EDD). Complete follow-up from CAPP as appropriate. As necessary meet with the Utilization Manager (UM) and SW after the meeting to discuss updates and action… more
- Marion County (Salem, OR)
- …initiate authorization process for requests for Long-Term Psychiatric Care.Ensure accuracy of utilization data of those admitted to the Oregon State Hospital and ... Ensure residential capacity, track referrals, placements, placement/discharge dates, and utilization data is being tracked by Choice team. Provide clinical… more
- Dana-Farber Cancer Institute (Providence, RI)
- …quality patient experience while maximizing provider time and space utilization . The Nurse Director uses extensive theoretical, evidence-based, and experiential ... knowledge to advance clinical practice, provides clinical leadership and direction, and promotes professional growth for self and staff. The Nurse Director acknowledges the inherent value of nursing collegiality to the advancement of professional practice, and… more
- Hillcrest Hospital South (Tulsa, OK)
- …staff to patient arrival, pull and prepare chart; order and monitor utilization of selected supplies: office, nutritional supplements, forms and retrieval chart ... back; assist with stocking supplies that are needed in the unit as well as assist in keeping the nursing stations clean and organized. QualificationsJob RequirementsHigh school diploma or GEDBasic Life Support CertifiedPreferred Job RequirementsTwo (2) years… more
- Dev Technology Group (Vienna, VA)
- …systems.Technical proficiency in optimizing system performance and resource utilization through log and monitoring analysis.Experience analyzing business ... requirements and designing specifications for technical solutions and associated activities.Required Certification: AWS Certified Solutions Architect Professional or AWS Certified DevOps Engineer ProfessionalWho We AreDev Technology is a growing IT company… more
- XPO (Seymour, TN)
- …of inventory within assigned thresholds Review and research trends in parts utilization , gains, shortages, usage, uptime, and non-movement, in a way that ensures ... the highest efficiency and productivity of the shop Monitor shop for safety, service, quality, efficiency, financial controls, and maintenance compliance Ensure company procedures, DOT policies and other required standard work instructions are followed by all… more
- Hillcrest Hospital South (Tulsa, OK)
- …staff to patient arrival, pulls and prepares chart; orders and monitors utilization of selected supplies: office, nutritional supplements, forms and retrieval chart ... back; assists with stocking supplies that are needed in the unit as well as assist in keeping the nursing stations clean and organized. QualificationsJob RequirementsHigh school diploma or GEDBasic Life SupportPreferred Job RequirementsTwo (2) years of… more
- Hillcrest Hospital South (Tulsa, OK)
- …staff to patient arrival, pull and prepares chart.Order and monitor utilization of selected supplies: office, nutritional supplements, forms and retrieval chart ... back.Assist with stocking supplies that are needed in the unit as well as assist in keeping the nursing stations clean and organized. QualificationsJob RequirementsHigh school diploma or GED equivalentCurrent BLS certificationPreferred Job RequirementsAt least… more
- Dana-Farber Cancer Institute (West Side, MA)
- …quality patient experience while maximizing provider time and space utilization . The Nurse Director uses extensive theoretical, evidence-based, and experiential ... knowledge to advance clinical practice, provides clinical leadership and direction, and promotes professional growth for self and staff. The Nurse Director acknowledges the inherent value of nursing collegiality to the advancement of professional practice, and… more
- XPO (Antioch, TN)
- …( JSP ) process for shop employees Review and analyze trends in parts utilization , gains, shortages, usage, uptime, and non-movement, in a way that ensures the ... highest efficiency and productivity of the shop Ensure company procedures, DOT policies and other required standard work instructions are followed by all shop employees Other duties as required What you need to succeed at XPO: At a minimum, you'll need: 3… more
- Marion County (Salem, OR)
- …related to the program services overseen; oversee service planning, coordination, utilization of resources, promote intended goals and outcomes; direct continuous ... quality improvement efforts; establish and maintain effective working relationships with employees countywide, clients, government agencies, community groups/partners, and the public. PHYSICAL REQUIREMENTSOperates a motor vehicle; sees using depth perception;… more
- Hillcrest Hospital South (Tulsa, OK)
- …scope of practice. In addition, the CTA will order and monitor utilization of selected supplies: office, nutritional supplements, forms and retrieval chart backs. ... The CTA will also assist with stocking supplies that are needed in the unit as well as assist in keeping the nursing stations clean and organized. QualificationsJob Requirements:High school diploma or GED equivalent.Minimum 1 year health care experience as a… more
- UT Health Jacksonville (Jacksonville, TX)
- …and demonstrated concern for the impact that supplies, equipment, and/or time utilization has on achieving the fiscal objectives of Surgical Services. Qualifications ... Job Requirements: High School diploma or equivalent Currently enrolled in accredited Surgical Technology program CPR certified more
- The University of Vermont Health Network (Elizabethtown, NY)
- …and regulations, clinical practice guidelines, and quality issues related to utilization management with application for appeals and denials management. * Knowledge ... of team/small group principles and dynamics* Demonstrates strong communication (verbal & written) skills and ability to engage and provide education to various sized groups and audience. * Demonstrates a desire to build honest and trustworthy relationships… more
- Humana (Columbus, OH)
- …health first** Humana Healthy Horizons in Virginia is seeking a Manager, Utilization Management (Behavioral Health) who will utilize their clinical skills to support ... behavioral health services and/or benefit administration determinations. The Manager, Utilization Management (Behavioral Health) applies a Person-Centered approach, works… more
- State of Michigan (Lansing, MI)
- Medicaid Utilization Analyst 9-P11 - BPHASA Medical Equipment and Services Section Print (https://www.governmentjobs.com/careers/michigan/jobs/newprint/4533727) ... Apply Medicaid Utilization Analyst 9-P11 - BPHASA Medical Equipment and Services...respiratory therapy, speech pathology, or sports medicine. Experience Medicaid Utilization Analyst 9- No specific type or amount is… more
- Centene Corporation (OK)
- …on workplace flexibility. **Position Purpose:** Manages the behavioral health (BH) utilization review clinicians to ensure appropriate care to members. Manages BH ... utilization management issues related to member care, provider interactions,...to member care, provider interactions, and facilitates operations within utilization management. + Manages behavioral health (BH) utilization… more
- Commonwealth Care Alliance (Boston, MA)
- **Why This Role is Important to Us:** The Director, Inpatient Utilization Management (UM), leads and manages all utilization management (UM) functions for all ... This role works closely with Medical Directors, and the Vice President of Utilization Management to develop and advance the UM program, collaborates with the… more
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