- Battelle Memorial Institute (Arlington, VA)
- …with the referring provider, behavioral health consultant and/or psychiatry consultant + Perform case management functions **Key Qualifications** + Master ... and Analytics (HRA) business line is seeking a highly motivated, full-time **Licensed Clinical Social Worker (LCSW)** to join our team in support of our government… more
- CVS Health (Washington, DC)
- … clinical skills to coordinate, document, and communicate all aspects of the utilization /benefit management program. + Conduct clinical reviews for adult ... internal and external constituents in the coordination and administration of the utilization /benefit management function. + Gathers clinical information and… more
- Guidehouse (Arlington, VA)
- …efficiency, quality, and reliability. Areas of expertise include care and utilization management , throughput, post-acute care and readmissions, pharmacy and ... and operational improvement across business and purchased services, supply cost, and clinical supply utilization at client provider organizations. Our team of… more
- Guidehouse (Arlington, VA)
- …efficiency, quality, and reliability. Areas of expertise include care and utilization management , throughput, post-acute care and readmissions, pharmacy and ... and operational improvement across business and purchased services, supply cost, and clinical supply utilization at client provider organizations. Our team of… more
- Highmark Health (Washington, DC)
- …needs and the analytical technology team. The Senior Decision Support Consultant will leverage technical, analytical, and business expertise to design, develop, ... while also being capable of developing technical solutions. The consultant will act as a senior resource within the...the impact of Highmark's business decisions on Informatics, personnel utilization , and the use and planning of technology. The… more
- Elevance Health (Washington, DC)
- Provider Success Consultant Sr. (Value-Based) JR171780 **Hybrid 1:** This role requires associates to be in-office **1 - 2** days per week, fostering collaboration ... support providers in the Washington DC and Maryland areas. The **Care Consultant Sr.** (Provider Success) is responsible for the provider performance of value-based… more
- Deloitte (Washington, DC)
- Healthcare Clinical Documentation Specialist - Senior Consultant Our Deloitte Regulatory, Risk & Forensic team helps client leaders translate multifaceted risk ... for both formal and informal education of physicians, CDI team, health information management and other clinical staff + Develop in-service education tools as… more
- Trinity Health (Silver Spring, MD)
- …appropriate utilization /level of care (LOC), length of stay (LOS) management , patient flow/throughput management , appropriate clinical documentation, and ... LOC status, LOS management , continued stay decisions, clinical review of patients, utilization review activities,...planning (DP) advise and quality issues. Functions as a consultant and resource to other Physician Advisors and primary… more
- Immigration and Customs Enforcement (Washington, DC)
- …Manager works under the general supervision of the IHSC Regional Behavioral Health Clinical Consultant within their area of responsibility. The incumbent plans ... of command. Perform other duties and responsibilities as assigned. 16. Utilization review/ management for inpatient behavioral health hospitalization for IHSC.… more
- Mallinckrodt Pharmaceuticals (Washington, DC)
- …able to show documented success as a top producer using superior clinical selling skills, while effectively managing their territory operating within all compliance ... and procedures, as a results-oriented sales person, business partner and consultant . Develop strategically targeted, accounts and specific business plans that… more
