- ERP International (Camp Pendleton, CA)
- **Overview** ERP International, LLC is seeking a ** Licensed Vocational / Practical Nurse** for a full-time position supporting the **Branch Health Clinics** at ... sectors. We provide comprehensive enterprise information technology, strategic sourcing, and management solutions to DoD and federal civilian agencies in 40 states.… more
- Battelle Memorial Institute (Oceanside, CA)
- …Research 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 ... and their families, ensuring comprehensive support for those who serve. As a Licensed Clinical Social Worker (LCSW), you will contribute to impactful research and… more
- Stanford Health Care (Palo Alto, CA)
- …responsibilities include coordinating all facets of a patient's admission/discharge; performing utilization review activities, including review of patient ... other interdisciplinary team members; arranges follow up care as appropriate. + Utilization Review -- Reviews prospectively, concurrently and retrospectively all… more
- Stanford Health Care (Palo Alto, CA)
- …responsibilities include coordinating all facets of a patient's admission/discharge; performing utilization review activities, including review of patient ... provide requested clinical and psychosocial information to assurereimbursement. + Utilization Review -- Reviews prospectively, concurrently and retrospectively… more
- Battelle Memorial Institute (Columbus, OH)
- …patient care, and leading therapeutic sessions under the supervision of licensed professionals. The Psychological/Mental Health Technician will require performing a ... operations and high-quality patient care. **Responsibilities** + Assist with the management and treatment of outpatient behavioral health activities + Under the… more
- Luke Staffing (Agana Heights, GU)
- …professional clinical standards and clinical protocols. . Participate in Utilization Management /Case Management meetings to review and identify . ... **INDEPENDENT LICENSED SOCIAL WORKER CASE MANAGER** **SITE OF SERVICE:**...of newly assigned unit personnel. . Collaborate in the review of unit standing operating procedures. . If directed,… more
- Commonwealth Care Alliance (Springfield, MA)
- …Work collaboratively with internal departments-including Clinical Operations, Contracting, Network Management , Utilization Management , and Business ... Knowledge, Skills, Abilities & Language (nice to have):** + Familiarity with care management and utilization management systems and workflows for populations… more
- ERP International (Luke AFB, AZ)
- …including a one hour lunch **Core Duties:** - Participate in Utilization Management /Case Management meetings to review and identify opportunities to ... **Overview** ERP International is seeking a ** Licensed Clinical Social Worker/Case Manager** for a Full-Time position in support of the **56th Medical Group, Luke… more
- Stanford Health Care (Palo Alto, CA)
- …States of America) The Lead Advanced Practice Provider provides supervision and management of advanced practice providers (APPs) in a distinct clincial service line. ... and ethical treatment, safety and security of physical environemnts, emergency management , teamwork, respect for others, participiation in ongoing education and… more
- Stony Brook University (Stony Brook, NY)
- …the use of UHIS (Cerner) and LIS (Clinisys & CoPath) order entry and result review screens, new tests additions to the test menu, upgrades to current systems, and ... assigned. + Responsible for daily and monthly monitoring (including documenting monthly review ) of the Rees Temperature Monitoring System for Immunology or Flow… more
- Stanford Health Care (Palo Alto, CA)
- …is a Stanford Health Care job.** **A Brief Overview** Provides supervision and management of advanced practice providers (APPs) in a distinct clinical service line. ... of the service line Medical Director and unit nursing management team. + Conduct regularly scheduled meetings with the...and adherence to policy through practice analysis and case review of APPs with physicians. + Investigate and respond… more
- Oregon State University (Portland, OR)
- …University and provide professional pharmacist support to the Drug Use Research and Management ( DURM ) group under their intergovernmental agreement with the Oregon ... administering the OHA's Pharmacy & Therapeutics (P&T) Committee, evaluating drug utilization , offering drug information and policy analysis, and providing Medicaid… more
- Stanford Health Care (Palo Alto, CA)
- …Operations Manager is responsible for the administrative and technical management of Technical Services Testing Operations, which includes: Testing/Processing, ... volume, testing results, analysis, adverse trends, conclusions or recommendations for management and other hospital personnel.- Ensure completion of special projects… more
- WesleyLife (Washington, IA)
- …objectives. Monitor labor costs, manage expenses, and ensure responsible resource utilization . + **Performance Management :** Coach and develop team members, ... and delegate responsibilities to maintain efficient operations. + **Talent Management :** Partner with the Director of People & Culture...Administration, Business, or a related field preferred + Currently licensed by the state of Iowa as a Nursing… more
- Katmai (Fort Carson, CO)
- …all levels of health care management to include outside agencies. Performs utilization management activities to optimize cost, quality, and access to care. ... and employ safe work habits. + Utilize available information management systems in daily practice for patient care and...facility staff members to facilitate patient care. + Accurately review and confirm completeness of patient chart and report… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …depending on customer and departmental needs. + Plans, implements, and documents utilization management activities which incorporate a thorough understanding of ... productivity and gain efficiencies for performance improvement opportunities in the Utilization Management Department. + Assists in updating departmental… more
- ChenMed (Miami, FL)
- …The Physician Reviewer is the primary physician reviewer for Utilization Management /Clinical Appropriateness review cases in our organization. Other ... Process and Quality improvement in our developing area of Delegated Utilization Management . **ESSENTIAL JOB DUTIES/RESPONSIBILITIES:** + Provides Delegated… more
- Healthfirst (NY)
- …Peer Reviewer will:** + **Maintain productivity standards.** + **Collaborate with Utilization Management and Care Management and medical departments as ... **Duties//Responsibilities:** + **The Medical Peer Reviewer will assess// review requests for authorization,...Medicine or Family Practice** + **Previous, relevant experience in utilization management and clinical practice** + **Knowledge… more
- Elevance Health (Norfolk, VA)
- …Health Care Management staff by assisting in training, attending utilization management rounds, and serving on interdepartmental initiatives; assists in ... **Psychologist Reviewer ** **Hybrid 1:** This role requires associates to...adaptable workplace. **The successful candidate must be a licensed psychologist in North Carolina and will preferably live… more
- Trinity Health (Hartford, CT)
- …**Minimum five years' experience in quality improvement, data collection and analysis or utilization management in a hospital setting required** + Current RN ... minimum 5 years in a hospital setting **Position Purpose** The Patient Quality Reviewer is an experienced expert in the area of Regulatory Quality and Performance… more
