- 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
- 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
- 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 (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
- 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
- Team Select Home Care (Greenwood, IN)
- …Control Plan, EMS Plan and the Compliance Plan Participates in clinical record/ utilization review of medical records and quality assurance and performance ... and our care teams. Pediatric and adult care training tailored to your background Continuing ...adult care training tailored to your background Continuing education payment opportunities and tuition reimbursement Flexible scheduling:… 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
- Team Select Home Care (Miami, FL)
- …skills according to established procedures before performing new skills Participates in peer review , utilization review and QAPI activities as assigned ... in the lives of families? Join Team Select Home Care , where you'll provide one-on-one care ...Paid, hands-on training Weekly pay Tuition Assistance Programs and Continuing Education opportunities Nursing programs for new graduates available!… 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
- 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
- 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
- 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
- Top Tier Reps (Ottumwa, IA)
- …work teams Develop and implement strategies to ensure effective utilization review , length of stay management, and care transitions Monitor regulatory ... is responsible for overseeing all aspects of case management, utilization review , and social services to ensure...review , and social services to ensure high-quality, cost-effective care across the continuum. The ideal candidate is a… more
- County of San Bernardino, CA (San Bernardino, CA)
- …mentally ill adults/children. Experience in quality assurance or utilization review activities. Experience with intensive care coordination with physical ... the above 20 Program Availability: Positions within the Adult Continuing Care Long Term Care ...this application and supplemental questionnaire. Please be sure to review all information provided prior to submitting it as… more
- Intermountain Healthcare (Salt Lake City, UT)
- …aspects of the Intermountain Operating Model. Participates in utilization review audits. Meetings : Participates in patient care conferences, ... supervising assistants, aides, office staff, and students to ensure high-quality care . Continuing Education : Participates in and promotes continuing … more
- The Hometown Pharmacy (Lodi, WI)
- …handling incoming physician calls, logging data into the computer, and Drug Utilization Review . Requires a bachelor's degree and/or an advanced degree ... and facility staff as appropriate. Works with patient medical information to conduct Drug Utilization Review (DUR) on all prescriptions and review clinical… more
- Hackensack Meridian Health (Hackensack, NJ)
- …positive outcomes for patients and families. 12. Evaluates patient/family transition of care planning for resource utilization , cost, quality, and promotion of ... APN peer review . 16. Evaluates current protocols and standards of care for translation of 'best practice' into clinical practice. 17. Provides culturally diverse… more
- Wellstar Health System (Marietta, GA)
- …and supports performance improvement inclusive of all stakeholders, research and research utilization to promote safe, quality patient care including initiating ... Cultivates oncology nursing knowledge and a commitment to providing the highest quality care by engaging in continuing education, earning or maintaining a… more
- Excela Health (Greensburg, PA)
- …fiscally responsible manner. Maintains a safe and clean work environment. Maximizes utilization of non-direct patient care time. Maintains responsibility for ... in a manner that provides effective, age specific patient care while achieving optimal outcomes. Responds to the treatment...reads minutes and signs appropriate sign-in sheets to indicate review of material. Will travel to other entities or… more
