- OU Health (Oklahoma City, OK)
- Position Title:Manager Case Management Utilization Review - OU Medical CenterDepartment:Case ManagementJob Description:General Description: Under direction, the ... to promote cost-effective outcomes.Assists in developing and implementing the Utilization Plan, departmental goals, and departmental policies and procedures.Evaluates… more
- The University of Vermont Health Network (Plattsburgh, NY)
- …at Champlain Valley Physicians Hospital (CVPH) in Plattsburgh, NY.GENERAL SUMMARY:The Utilization Review RN monitors, collects and analyzes data and evaluates ... variances of resource utilization , complications and overall quality of care based on...care based on benchmarked criteria or established practices. The Utilization Review RN in utilizing these skills assists the… more
- Medical Solutions (Glendale, CA)
- Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Glendale, California.Job Description & ... RequirementsSpecialty: Utilization ReviewDiscipline: RNDuration: 13 weeks40 hours per weekShift: 8...amount to be determined. Posted job title: Case Management ( Utilization Review)About Medical SolutionsAt Medical Solutions, we're people who… more
- Sunbelt Rentals, Inc. (Columbus, OH)
- …in equipment shipping and receiving Clear understanding of equipment utilization and safety requirements Personal and professional integrity Demonstrated use ... of tools and equipment Physical Demands: Must be able to bend, squat, crouch and/or reach and lift up to 25 pounds or more, as required by the job. Some Sunbelt jobs may require driving for long periods of time, loading and unloading heavy equipment,… more
- Volunteers of America Ohio-Indiana (Columbus, OH)
- …and liaison between the client and community service providers to ensure appropriate utilization of resources in meeting the needs of the clientWe offer a generous ... benefits package including paid time off, medical, dental, vision, and a 403b with company match. Our work touches the mind, body, heart - and ultimately the spirit - of those we serve, integrating our deep compassion with highly effective programs and… more
- APN Consulting, Inc (Remote, OR)
- …is very possible to extend for longer term.Summary:Works with the Utilization Management team primarily responsible for inpatient medical necessity/ utilization ... according to Client policy for Client members as part of the Utilization Management team* Identifies appropriate benefits, eligibility, and expected length of stay… more
- APN Consulting, Inc (New York, NY)
- …or Registered Nurse -LPN NY & NY RN Summary: Works with the Utilization Management team primarily responsible for inpatient medical necessity/ utilization review ... according to Client policy for Client members as part of the Utilization Management teamIdentifies appropriate benefits, eligibility, and expected length of stay for… more
- APN Consulting, Inc (VA)
- …Tuesday to Saturday, 8am to 5pm EST Summary: Works with the Utilization Management team primarily responsible for inpatient medical necessity/ utilization review ... according to Client policy for Client members as part of the Utilization Management teamIdentifies appropriate benefits, eligibility, and expected length of stay for… more
- Nesco Resource (Columbus, OH)
- …(SLAs) and project deadlines, balancing workload distribution and skill utilization to optimize team efficiency and productivity. Issue Resolution: Collaborate ... with technical teams and vendors to resolve complex telephony issues, escalate unresolved issues as appropriate, and ensure timely resolution to minimize disruption and downtime. Reporting and Communication: Prepare regular reports and updates on help desk… more
- US Tech Solutions, Inc. (Columbia, SC)
- …. Performs medical reviews using established criteria sets and/or performs utilization management of professional, inpatient or outpatient, facility benefits or ... guidelines. Provides support and review of medical claims and utilization practices. May provide any of the following in...the following in support of medical claims review and utilization review practices: Performs medical claim reviews and makes… more
- Spectraforce Technologies (Columbia, SC)
- …Performs medical reviews using established criteria sets and/or performs utilization management of professional, inpatient or outpatient, facility benefits or ... or clinical guidelines. Provides support and review of medical claims and utilization practices. Responsibilities: 80% May provide any of the following in support… more
- University of New Mexico - Hospitals (Algodones, NM)
- This is a Utilization Review position. We review all admissions and continued stay to the hospital for Medical necessity and manage the insurance authorization ... throughout the stay . Department: Utilization Management - UH FTE: 0.05 Casual Pool (as...are achieved within established time frames and with efficient utilization of resources. Conduct initial and ongoing assessments, initiate… more
- RestoraCare Staffing (Houston, TX)
- …Clinic (FQHC), skilled nursing facility, or wound clinic). Experience in utilization management, case management, discharge planning or other cost/quality management ... and PC skills Current working knowledge of discharge planning, utilization management, case management, performance improvement, disease or population management… more
- MAHLE, Inc (Morristown, TN)
- …Duties and Responsibilities Analyze work samples to develop standards for labor utilization .Analyze work force utilization , facility layout and operational data ... costs, process flow charts and production schedules to determine efficient utilization of workers, equipment, and materials.Perform cost analysis / ROI… more
- 4S (Bethesda, MD)
- …at our Bethesda, Maryland program location. Service dog training experience or utilization is preferred. If you are a passionate, experience, licensed practitioner ... to clinical treatment programs. This position requires service dog training experience or utilization in a program setting, as well as state licensure and at least… more
- Creative Financial Staffing (Dublin, OH)
- …Grants Management, you will play a crucial role in ensuring the effective utilization and compliance of grants within our organization. You will be responsible for ... overseeing the financial aspects of grant programs, analyzing financial data, and gathering documentation to support grant applications and reporting. Financial Analyst Key Responsibilities: Manage financial aspects of grant programs, from application to… more
- Saint Agnes Medical Center (Fresno, CA)
- …populations across the acute care continuum. This includes discharge planning, utilization management, care coordination, and support for resource utilization . ... an interdisciplinary team to improve patient care through the effective utilization of the facility's resources. The incumbent makes significant contributions toward… more
- CHRISTUS Health (Alamogordo, NM)
- …Director when there are actual or potential sources of under- or over- utilization . Collaborates with providers, nurses, patients, families, and other care providers ... and assists him/her in ensuring proper placement of patient. Conducts utilization review using nationally recognized medical necessity criteria and documents the… more
- Penske Truck Leasing Co., LP (Columbus, OH)
- …achieve cost savings. Fleet/Assets * Lead effort to improve fleet/equipment utilization , maintenance availability and fuel efficiency * Contribute to equipment ... specification at time of start-up and renewal * Build a strong working relationship with local PTL district and other equipment vendors * Other projects and tasks as assigned by supervisor Qualifications: * 4 - 6 years related functional experience. * 3+ years… more
- Blanchard Valley Hospital (Findlay, OH)
- …worker participates in various committees and meetings to contribute information regarding utilization of services and quality of healthcare for the purpose of ... as needed. Duty 10: The Social Worker performs ongoing utilization review of patients admitted to the psychiatric unit...psychiatric unit to ensure appropriate levels of care and utilization of services are maintained, to avoid penalties, and… more
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