- TrackFive (Hilo, HI)
- …interdisciplinary care plan is consistent with the patient's clinical course, continuing care needs and covered services by monitoring diagnostic testing, ... acute care . Discusses with physicians, the appropriateness of resource utilization , consultations, treatment plan, estimated length of stay and discharge plan.… more
- TrackFive (Pearl City, HI)
- … care plan is consistent with the patient s clinical course, continuing care needs and covered services by monitoring diagnostic testing, treatments ... other aspects of patient care as appropriate for acute care .Discusses with physicians, the appropriateness of resource utilization , consultations, treatment… more
- Molina Healthcare (Long Beach, CA)
- …(such as, reviewing prior authorization requirements, reviewing drug/provider utilization patterns and pharmacy costs management), clinical pharmacy services ... (such as, therapeutic drug monitoring, drug regimen review , patient education, and medical staff interaction), and oversight (establishing and measuring performance… more
- Health eCareers (Greenwood, SC)
- …and providing clinical orientation and nursing in-service training.Member of the Utilization Review Committee and Quality Assurance Committee.Develops and ... tool counts, investigates, reconciles and forwards written findings to the Health Care Unit Administrator. Review all mediation errors, and forwards written… more
- Tranquil Care Hospice (Los Angeles, CA)
- …will play a pivotal role in ensuring patients and their families receive appropriate care coordination and utilization of services to ensure the highest quality ... Range: $83,200-$99,840 per year We are passionate about providing high-quality care and fostering a compassionate, family-oriented environment. We believe in… more
- Providence Health & Services (Seattle, WA)
- …hire: Washington Registered Nurse License. 5 years Clinical experience. Utilization review /case management. Preferred Qualifications: Bachelor's Degree Nursing. ... patient in order to assure cost effective, appropriate utilization of health care resource. Nurse Case...we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the… more
- Island Health (Anacortes, WA)
- …and utilization of resources to provide cost effective, quality care . Consistently follows clinic policies and procedures. Consistently utilizes universal body ... TB tests, among others. Facilitates and manages clinic flow. Provides direct patient care to patients of all ages. Facilitates the exchange and coordination of… more
- Hackensack Meridian Health (Holmdel, NJ)
- …maximum benefit for each patient. Ensures that the discharge plan meets the continuing care needs of the patient. Documents and communicates information to ... and serve as a leader of positive change. The Care Coordinator, Care Management is a member...and or meetings. Identifies and refers quality issues for review to the Quality Management Program. Participates in multidisciplinary… more
- Providence Health & Services (Olympia, WA)
- …an acute care setting. Leadership Experience: Minimum 3 years managing care coordination. Utilization review knowledge preferred. Independent Leadership: ... you! The Role: Under the supervision of the North Division Executive Director of Care Management, the Director of Care Management is a pivotal role responsible… more
- Rogers Behavioral Health (Milwaukee, WI)
- …The DCS facilitates connection with the community to create a continuum of care and assures utilization of services. He/She also facilitates the continuum ... clinical staff receives appropriate clinical supervision, training, and assures quality patient care for all patients admitted to the service and provides direct… more
- Northern Light Health (Dover Foxcroft, ME)
- …appropriate Names, dates, and times of conversations with businesses, insurances, managed care organizations, Utilization Review , and patients are ... is responsible for a variety of activities related to patient in-take and care . The Patient Service Representative III will also support the Patient Service… more
- LMHS (Pataskala, OH)
- …and choices about promotion, maintenance and restoration of health and appropriate utilization of health care resources. Participates as an interdisciplinary ... County. Our cutting-edge facility provides a comprehensive spectrum of patient care services, from life-saving emergency medicine to the comforting embrace of… more
- Cumberland Heights Foundation, Inc. (Nashville, TN)
- …in establishing ongoing recovery management, including review and revision of the plan of care as needed, as well as creating continuing care plans for ... supervision, according to organizational policy and license requirements Collaborates with internal utilization review specialists and case manager, as well as… more
- Providence Health & Services (Medford, OR)
- …based on population focus. Duties also include complex discharge planning and utilization review . Providence caregivers are not simply valued - they're ... Job Description Care Manager RN at Providence Medford Medical Center...Preferred home health, mental health, substance use, hospice, and/or utilization review . Preferred progressive nursing leadership experience,… more
- SAC Health (Barstow, CA)
- …to review patient progress and adjust treatment plans. Participates in utilization review activities as assigned. Educates patients and their families about ... to live vibrant and healthy lives through culturally responsive, exceptional care . Patient-centered, whole-person care . Our unique, full scope, team-based… more
- Memorial Hermann Health System (Houston, TX)
- …Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When ... develops, implements, and monitors clinical pharmacy programs to improve patient care with an additional focus on decreasing cost; provides clinical services… more
- Marshall Health Network (Point Pleasant, WV)
- …and the administrator on-call. Additionally, this position will include knowledge of Utilization Review rules and regulations as they assist physicians and ... Rivers Health is seeking a Patient Care Supervisor This is a position for supervisory...offered during their Identify and communicate staff needs for continuing education to the Assist staff to interpret change… more
- Veterans Health Administration (Johnson City, TN)
- …settings (eg hospital ambulatory care , long-term care , behavior health care ) that require Joint Commission review as separate standards. (2) In addition ... Medical Center in Mountain Home, TN. This is a large complex, tertiary care and affiliated research facility that provides acute medical, surgical, neurological, and… more
- Riveon Mental Health and Recovery (Elyria, OH)
- …and implementation of all CQI corrective actions as assigned. Monthly participation in the Utilization Review and Peer Review programs. Other duties as ... we have the opportunity to provide integrated behavioral health care with cutting edge treatments and interventions in a...Leave Paid Jury Duty Time Parental Leave Company Supported Continuing Education & Certification PPO & HDHP Health Plan… more
- Kroger (Indianapolis, IN)
- …Predictive Maintenance (PPM) work orders are assigned and audit work completed - Review pre-planned job packages for accuracy including the review of labor ... and predictive maintenance, guidance of maintenance work force and utility utilization (pay level-8) - Experience in continuous improvement activities - Plant… more
