- Centene Corporation (Trenton, NJ)
- …needs, and discharge planning + Identifies process improvements opportunities related to BH utilization review processes to improve quality of care services to ... a fresh perspective on workplace flexibility. **Position Purpose:** Performs clinical review and assesses care related to mental health and substance abuse.… more
- Elevance Health (CA)
- **Medical Management Clinician Senior ** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training ... 7:00 AM - 3:30 PM PST The **Medical Management Clinician Senior ** is responsible for ensuring appropriate,...a minimum of 6 years of clinical experience and/or utilization review experience. + Current active, valid… more
- City and County of San Francisco (San Francisco, CA)
- …permanent positions can review your application Under direction, the 2932 Senior Behavioral Health Clinician performs essential duties that include, but are ... audit and compliance review . + The 2932 Senior Behavioral Health Clinician performs related duties...techniques. + Knowledge of clinical methods refers to the utilization of the history, culture, socioeconomic background, and environment… more
- Commonwealth Care Alliance (Boston, MA)
- …**Position Summary:** Reporting to the Senior Medical Director of Medical Policy and Utilization Review , the Utilization Review Medical Director will ... our rapidly growing membership. The incumbent will have significant experience with utilization review , ideally experience with public programming, and excellent… more
- Atlantic Health System (Hackettstown, NJ)
- …chart documentation. 8. Incorporates use of criteria sets in context of utilization management. 9. Performs other related duties as assigned. Required: 1. Master's ... 100 Accountable Care Organizations to Know - Becker's Hospital Review + Best Employers for Workers over 50 -...from both the New Jersey Department of Health & Senior Services and The Joint Commission's advanced certification program;… more
- PeaceHealth (Eugene, OR)
- **Description** **PeaceHealth is seeking a Clinic Manager Senior - Family Practice for a Full Time, 1.00 FTE, Day position. The salary range for this job opening at ... seniority, etc.** **DETAILS OF THE POSITION:** + Partners with physicians and senior clinic leadership to lead clinic operations to ensure overall success of… more
- Tufts Medicine (Burlington, MA)
- …in the Clinical Documentation Integrity (CDI), Coding, HIM Operations, and Utilization Review (UR) departments while implementing enterprise-wide vision. The ... and establish cross-departmental collaborations to transform care delivery and the patient/ clinician experience. 23. Models leadership behaviors and lead as a… more
- CenterWell (Daytona Beach, FL)
- …performance in patient experience, quality of care, clinical outcomes, and avoidable utilization *Periodically review clinician charts to identify ... and operational budgeting, and monitor clinical & financial performance and metrics. * Review clinician schedules and incentive plans to align with patient… more
- CenterWell (Jacksonville, FL)
- …clinical performance in patient experience, quality of care, clinical outcomes, and avoidable utilization + Periodically review clinician charts to identify ... and operational budgeting, and monitor clinical & financial performance and metrics. + Review clinician schedules and incentive plans to align with patient care… more
- CenterWell (Richmond, VA)
- …clinical performance in patient experience, quality of care, clinical outcomes, and avoidable utilization + Periodically review clinician charts to identify ... form a narrow network of quality service focused on senior population health. + Responsible for medical interpretation, reviews,...and monitor clinical & financial performance and metrics. + Review clinician schedules and incentive plans to… more
- Alameda Health System (Oakland, CA)
- …of professional staff assigned to AHS + Oversees clinical patient care, including utilization review + Reviews and participates in results of all medical ... hiring! The Chief Medical Officer (CMO) position is the senior medical officer and physician executive, and serves as...required. + Develops and maintains quality assurance and peer review system to comply with applicable laws governing the… more
- Catholic Health Initiatives (Lexington, KY)
- …Chief Medical Officer (MCMO) for the Kentucky market is a senior -level leadership position with essential market responsibilities that align with market, ... organization through work that involves maximizing clinical operations; improving clinician alignment and satisfaction, and leading evidence-based programs, practices,… more
- OptiMindHealth (Newton, MA)
- …Part-Time FLSA Status: Non-Exempt Location: Newton, MA Join a leading clinician -led behavioral health company today! OptiMindHealth (OMH) is expanding and seeking ... medical providers and healthcare institutions as directed by the OptiMindHealth senior leadership team. Primary responsibilities: 1. Identify, initiate, and maintain… more
- University of Colorado (Aurora, CO)
- …care in an ambulatory clinical setting. + Participates as needed in chart review and clinical coding compliance activities. + Assists in the supervision of Advanced ... with their clinic administration partners, assesses space and staff utilization ; develops, implements, and evaluates solutions as needed. + Collaborates… more
- PeaceHealth (Vancouver, WA)
- …or services lines. **Details of the position:** + Partners with physicians and senior clinic leadership to lead clinic operations to ensure overall success of ... management; staffing; talent/performance management. Engages appropriate stakeholders in the review and dissemination of area financial and productivity performance.… more