- Azend Pharma (New York, NY)
- Job Overview: District Manager Responsible for successfully managing relationships within an assigned set of existing clients to achieve the goals and objectives of ... our client, team validating the overall suite of solutions toolkit utilization . Prepare reports, written communication, presentations and other material as requested… more
- Boost Home Health (Southfield, MI)
- …of residence in the healthiest and happiest state of being possible. The Clinical Manager is a Registered Nurse (RN) who has graduated from an accredited school of ... practice in the state where currently practicing. The Clinical Manager supervises home health services to homebound patients in...in their place of residence in accordance with attending physician orders and plans of care and strives to… more
- GIBSON AREA HOSPITAL (Gibson City, IL)
- …LPN is a professional practitioner who functions as both a caregiver and care manager . In the caregiver role, the LPN assumes responsibility for a group of patients ... individualizes a predefined, goal consistent and continuous manner by utilization of and adherence to pre-determined standards which define...and fluid intake at lunch as ordered by the physician to ensure adequate calorie intake and to prevent… more
- GIBSON AREA HOSPITAL (Gibson City, IL)
- …and patient education or assist with diagnostics, such as specialized tests per physician orders. GIBSON AREA HOSPITAL & HEALTH SERVICES MISSION STATEMENT To provide ... or individualizes a predefined, goal consistent and continuous manner by utilization of and adherence to pre-determined standards which define the structure,… more
- DUNCAN REGIONAL HOSPITAL (Duncan, OK)
- …to laboratory protocol and procedures to fulfill the requests of the prescribing physician . Performs clinical testing in any or all of the following laboratory ... manner. Communicates all unresolved problems immediately to the appropriate manager or supervisor for resolution. Attends educational conferences and seminars… more
- Sprenger Wellspring Silver Maple (Lorain, OH)
- …assigned caseload from the day of admission through day of discharge. Utilizing physician 's orders and professional skills, the RN functions as a case manager ... to assist the patient/family as needed and required. Consistently collaborates with the physician to plan and implement the medical and nursing plan of care. Reviews… more
- GALEN MEDICAL GROUP PC (Chattanooga, TN)
- …The AWV Navigator will work under the direction of the Population Health Manager to satisfy the EMR pre-population of upcoming Annual Wellness Visits on all ... Communicate and coordinate the AWV patient experience with their aligned physician and clinic staff regarding documentation completeness, preventive care needs… more
- HireMaster (Kearney, NE)
- Summary Interprets physician prescriptions and medication orders. Acts as a drug information resource to patients, medical staff, nursing staff and ancillary ... effects, dosage, storage, etc. Assists in patient medication evaluation, including utilization review, dosing evaluation and the appropriate use of medications.… more
- WORKCARE INC (Pacific, MO)
- …care with WorkCare's Incident Intervention(R) Injury Management Program and utilize Physician escalation services as needed. Provide episodic care for minor medical ... frequent communication with the WorkCare CMD and WorkCare Regional Program Manager regarding all clinic issues and client requests. Support psychosocial strategies,… more
- GALEN MEDICAL GROUP PC (Chattanooga, TN)
- …calls per site's protocol. Process Prescription Refill requests per Physician 's protocol. Performs Ancillary testing: EKG, Spirometry, Cryotherapy, etc. Laboratory ... on office demands. Recognize and demonstrate cost-effective measures in utilization of supplies and equipment. Knowledge/Skills/Abilities: Promote the mission,… more
- US Fish and Wildlife Service (Titusville, FL)
- …do not apply. All qualified applicants will be referred to the hiring manager for consideration for this position. To learn more about Direct-Hire authority, go ... and instruct lower graded employees on crewmember duties; 2) plan action and direct utilization of fireline resources on less complex fires; and 3) for more complex… more
- Sutter Health (Oakland, CA)
- …the acute care patient experience. This position works in collaboration with the Physician , Utilization Manager , Medical Social Worker and bedside RN ... the achievement of optimal health, access to care, and appropriate utilization of resources balanced with the patients' self -determination while coordinating… more
- Sutter Health (Roseville, CA)
- …the acute care patient experience. This position works in collaboration with the Physician , Utilization Manager , Medical Social Worker and bedside RN ... the achievement of optimal health, access to care, and appropriate utilization of resources balanced with the patients' self -determination while coordinating… more
- Sutter Health (Burlingame, CA)
- …the acute care patient experience. This position works in collaboration with the Physician , Utilization Manager , Medical Social Worker and bedside RN ... the achievement of optimal health, access to care, and appropriate utilization of resources balanced with the patients' self -determination while coordinating… more
- Sutter Health (Modesto, CA)
- …the acute care patient experience. This position works in collaboration with the Physician , Utilization Manager , Medical Social Worker and bedside RN ... the achievement of optimal health, access to care, and appropriate utilization of resources balanced with the patients' self -determination while coordinating… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- *_SUMMARY:_* We are currently seeking a* Utilization Review Manager * to join ourTransitional Care Team.This is a full-time role and will be required to work ... ) required or completed within three years of hire **Title:** * Utilization Review Manager * **Location:** *MN-Minneapolis-Downtown Campus* **Requisition ID:**… more
- Catholic Health Services (Melville, NY)
- …why Catholic Health was named Long Island's Top Workplace! Job Details The Utilization and Appeals Manager (UAM) proactively conducts clinical reviews and ... from payors for additional clinical documentation. + Acts as liaison between the Utilization and Appeals Management Department and the physician of record, as… more
- Beth Israel Lahey Health (Plymouth, MA)
- …a job, you're making a difference in people's lives.** Full Time **Job Description:** ** Utilization Review & Denials management manager - Full Time** **Who We ... and Serve Your Community!** **In your role as a Utilization Review & Denials Management Manager , you...causes of denials for discussion with the internal team, physician advisor and the Utilization Review Committee… more
- AdventHealth (Altamonte Springs, FL)
- …Location** : Remote **The role you will contribute:** The role of the Utilization Management (UM) Registered Nurse (RN) is to use clinical expertise by analyzing ... department and regulatory standards. When screening criteria does not align with the physician order or a status conflict is indicated, the UM nurse is responsible… more
- Virtua Health (Pennsauken, NJ)
- …than 14,000 colleagues, including over 2,850 skilled and compassionate doctors, physician assistants, and nurse practitioners equipped with the latest technologies, ... UR Tech and AA to support UR and revenue cycle process.Position Responsibilities: Utilization Management* Utilizes Payer specific screening tools as a resource to… more
