- Northwell Health (New York, NY)
- …(5+) years of experience in care/case management, disease management, population health management, utilization review , quality assurance , or discharge ... delivery model. Escalates questions or concerns during the assessment to the quality review team to ensure appropriate completion of UAS-NY and handling of… more
- Georgia Department of Community Health (Atlanta, GA)
- …in the field of mental health or Drug Treatment. Experience in utilization review and/or quality assurance in a healthcare setting. Experience in ... and/or federal rules and regulations. Develops, implements and evaluates the surveillance of utilization review process to ensure quality services. Monitors,… more
- Tenet Health (Natick, MA)
- … conferences and staffing Assists the physician as follows, but not limited to Utilization Review , Quality Assurance , Program Evaluation, Infection ... Control, Safety Committee activities Adhere to the established policies and procedures of Tenet Physician Resources Orders and interprets the results of laboratory tests as part of the physical examination and health management. Perform and oversee testing and… more
- Tenet Health (Modesto, CA)
- … conferences and staffing Assists the physician as follows, but not limited to Utilization Review , Quality Assurance , Program Evaluation, Infection ... Control, Safety Committee activities Adhere to the established policies and procedures of Tenet Physician Resources Orders and interprets the results of laboratory tests as part of the physical examination and health management. Perform and oversee testing and… more
- Sapphire at Belmont (Portland, OR)
- …and assessments in resident's chart Attends resident care meetings, rehabilitation and utilization review , quality assurance , and department ... and care for our employees and residents alike. Our Mission: To Promote the highest quality of life for our residents, staff and communities. We strive to treat them… more
- Sevita (Indianapolis, IN)
- …crisis intervention emergency procedures; participate in emergency coverage system; and oversee Utilization Review , Quality Assurance , investigations, ... oversee the services provided to children and their families, and ensure the quality of the services provided. Oversee services at all four locations within state… more
- Tenet Health (Palm Springs, CA)
- … conferences and staffing Assists the physician as follows, but not limited to Utilization Review , Quality Assurance , Program Evaluation, Infection ... a fast-paced, multidisciplinary team. Strong communication skills and commitment to high- quality patient care. Physician Assistant license to practice in the state.… more
- The Denver Hospice (Denver, CO)
- …of hospice and palliative care services. Ensures clinical protocols, utilization review , case management, quality assurance , and compliance programs are ... direction, leadership, and guidance to ensure the provision of high- quality , cost-effective care. Additionally, provides physician services within the spectrum… more
- Geisinger (Danville, PA)
- …and may assist in specific laboratory functions relative to the testing, reporting, and quality assurance of laboratory specimens as educated and overseen by the ... reason for visit, weight, vital signs, visit screening information, medication review , and pertinent information for provider. Sets up examination and treatment… more
- Geisinger (Danville, PA)
- …and may assist in specific laboratory functions relative to the testing, reporting, and quality assurance of laboratory specimens as educated and overseen by the ... reason for visit, weight, vital signs, visit screening information, medication review , and pertinent information for provider. Sets up examination and treatment… more
- Catholic Charities Family and Community Services (Rochester, NY)
- …and other record keeping as necessary for program accountability Participates in monthly Utilization Review , quality assurance and program evaluation ... activities as directed. Coordinates discharge planning for clients Provides education to clients on health and wellness issues. Participates in staff meetings and clinical supervision as directed Actively pursues development of professional competencies… more
- Geisinger (Mount Pocono, PA)
- …and may assist in specific laboratory functions relative to the testing, reporting, and quality assurance of laboratory specimens as educated and overseen by the ... reason for visit, weight, vital signs, visit screening information, medication review , and pertinent information for provider. Sets up examination and treatment… more
- Geisinger (Wilkes Barre, PA)
- …and may assist in specific laboratory functions relative to the testing, reporting, and quality assurance of laboratory specimens as educated and overseen by the ... reason for visit, weight, vital signs, visit screening information, medication review , and pertinent information for provider. Sets up examination and treatment… more
- Geisinger (Bellefonte, PA)
- …and may assist in specific laboratory functions relative to the testing, reporting, and quality assurance of laboratory specimens as educated and overseen by the ... reason for visit, weight, vital signs, visit screening information, medication review , and pertinent information for provider. Sets up examination and treatment… more
- Optum (Hot Springs National Park, AR)
- …barriers to care. Primary Responsibilities: Care management, case management and utilization review of behavioral health services This includes authorization, ... concurrent review , and coordination and assurance of appropriate...behavioral health treatments for medical necessity, emergency status, and quality of care This individual will work independently, may… more
- Qlarant (Atlanta, GA)
- …human services programs. We have multiple lines of business including population health, utilization review , managed care organization quality review , ... and provider staff in a respectful manner. Documents accurate review findings and generates reports based on the results...solutions. Proficiency in data analysis and reporting Knowledge of quality assurance methodologies and tools Ability to… more
- Team Select Home Care (Phoenix, AZ)
- …in clinical record/ utilization review of medical records and quality assurance and performance improvement (QAPI) quarterly and as assigned. ... Reports/records all applicable infections, occurrences, and complaints Submits documentation within 24 hours or per state requirements Maintains confidentiality of patient, employee, and agency matters Takes on-call duty nights, weekends, and holidays, as… more
- Riverside Home Health Care and Hospice (Grants Pass, OR)
- …Nurse and Agency Managers of problematic trends as a result of OASIS review . Participates in Quality Improvement and Corporate Compliance activities as assigned. ... JOB SUMMARY The OASIS Review Assistant is responsible for analyzing data integrity...to make appropriate corrections per organization policy. Reviews visit utilization for appropriateness of care guidelines and patient condition;… more
- Lion Heart Recruit LLC (San Leandro, CA)
- …to generally accepted clinical practices. Provide direct leadership for Quality Assurance and Utilization Review . Oversee the Primary Care Clinic's ... quality improvement activities; supervise the quality assurance /risk management program, which includes a review ...program, which includes a review of services, quality , patient satisfaction, utilization , medical peer … more
- CVS Health (Clifton, NJ)
- …deepen your understanding of patient safety and error prevention, quality assurance drug utilization review (DUR), pharmacy professional standards such ... new approach to total health care. As health care innovators, we are making quality care affordable, accessible, simple and seamless. We await your fresh ideas, new… more
