- Houston Methodist Specialty Physician Group (Houston, TX)
- …blood pressure, weight, and height), chief complaint(s), preforms medication(s) review , discusses/reviews medical and social history (as appropriate). ... At Houston Methodist, the Senior Medical Assistant Certified (Sr. MA) position is responsible...visits, PCP visits, dieticians, diabetes educators, etc. Ensures patient utilization and activation of MyChart. Provides care coordination with… more
- Houston Methodist Specialty Physician Group (Webster, TX)
- …blood pressure, weight, and height), chief complaint(s), preforms medication(s) review , discusses/reviews medical and social history (as appropriate). ... At Houston Methodist, the Multi-Site Senior Medical Assistant, (Multi-Site Sr. MA) position is responsible for working at multiple sites, within multiple specialties… more
- Houston Methodist Baytown Hospital (New Orleans, LA)
- …nursing care. The Director Nursing position works in cooperation with the Medical Staff to ensure regulations and accreditation standards are maintained. The ... competent and engaged employee group by conducting regular department meetings to review policies and procedures and operational matters, rounding on all employees,… more
- Houston Methodist Hospital (Houston, TX)
- …changes during the waiting phase, coordinating required care. Collects and evaluates medical , psychosocial, and financial data for review by transplant team ... for potential transplant candidate, including, but not limited to Medical /Surgical evaluation, Psychosocial evaluation, Educational assessment, laboratory evaluation including… more
- Houston Methodist West Hospital (Houston, TX)
- …include the following tasks: organize work schedules and delegate work assignments; review and edit time cards for accuracy; conduct quality assurance audits; ... daily tasks and provides leadership to team members on effective and efficient utilization of time. Accurately reviews and edits team member's time cards for… more
- Fresenius Medical Care (Wilmington, DE)
- About this role: As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. As ... a tremendous asset that sets us apart. At Fresenius Medical Care, you will truly make a difference in...activities. Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding. Manages… more
- Fresenius Medical Care (Georgetown, KY)
- …communicated to and implemented by the facility staff. Maintains integrity of medical records and other FMS administrative and operational records. Complies with all ... renal team. Communicates changes in patient status regarding clinical, insurance, travel and transportation issues to the disease management company. Maintains… more
- Novo Nordisk Inc. (Los Angeles, CA)
- About the Department The Clinical, Medical and Regulatory (CMR) department at Novo Nordisk is one of the most diverse and collaborative groups within the ... and developing and implementing regulatory strategies with the FDA to providing medical education and collecting data to support efficacy and new product… more
- Eisai, Inc (Philadelphia, PA)
- At Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides to patients, their families, and caregivers is Eisai's human health care ... Executives to work with downstream regional payer accounts of the national payers. Review and analyze applicable data to make informed decisions on regional payer… more
- Fresenius Medical Care (Vicksburg, MS)
- …any governmental or regulatory body having jurisdiction in the premises. Assists the Medical Staff to ensure that medical practices and procedures meets ... Safety Code . Plan personnel, equipment, and medications needed for medical emergencies; incorporate into Emergency Preparedness Plan; ensure maintenance of… more
- Kaiser Permanente (Littleton, CO)
- …by the performance of both independent nursing functions and delegated medical functions in accordance with accepted practice standards. Such functions include ... teaching and health counseling to patients and/or their families. Executes delegated medical functions which delivers aspects of care that implement and are… more
- Integrated Data Services (El Segundo, CA)
- …and financial management system Provide support and assistance in the expert utilization of the Comprehensive Cost and Requirement System (CCaR) and all its ... use of the system Serve as the liaison between different financial systems Review and verify the integrity/accuracy of data downloaded and inputted into the system… more
- Jazz Pharmaceuticals (Scottsdale, AZ)
- …resources required to execute the strategic account plan effectively Continuously review and adjust the strategic account plan based on activities, feedback, ... plans with clear next steps, specific strategies and tactics and appropriate utilization of resources while meeting the needs of our customers Demonstrated… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Utilization Review Specialist Nurse (URSN) position is a licensed registered nurse (RN) who comprehensively conducts point of entry and ... concurrent medical record review for medical ...this position is able to cover a multitude of utilization review functions through point of entry,… 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 ... and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical...+ Staff Acquisition and Support: Leads and manages the utilization review staff and function for the… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …with Provider Relations, explaining processes for accessing Health Plan to perform medical review , obtains case or disease management support, or otherwise ... position is responsible for coordinating, integrating, and monitoring the utilization of physical health (PH) medical and...regulatory and accreditation entities. Refers appropriate cases to the Medical Director for review . Refer to and… more
- Katmai (Fort Carson, CO)
- …access to care standards for appropriate utilization of services. Perform utilization management/ review for medical necessity for specialty referrals and ... **SUMMARY** Provide a comprehensive utilization review (UR) and utilization...Working knowledge of EHR Genesis desirable. + Knowledge of Medical Terminology. **WORK** **SCHEDULE** Full-time. May be required to… more
- CVS Health (Austin, TX)
- …care experience is in behavioral health) **Preferred Qualifications** + 1+ years' experience Utilization Review experience + 1+ years' experience Managed Care + ... influence stakeholders and networks of healthcare professionals by promoting effective utilization management strategies. Reviews and analyzes medical records,… more
- LifeCenter Northwest (Bellevue, WA)
- …Salary Position Type Full Time Description and Qualifications The Director, Organ Utilization (Director), is responsible for overseeing the processes and teams that ... and executes strategies to improve organ allocation strategy and organ utilization , collaborates closely with transplant programs and the surgical recovery team… more
- State of Indiana (Indianapolis, IN)
- …The role of Utilization Management Manager oversees the integration of utilization review , clinically appropriate care and risk management for the purpose ... Utilization Management Manager Date Posted: Nov 30, 2025...paid to thousands of service providers ranging from major medical centers to a physical therapist working with a… more
