of all hospitalized patients. 1. Identifies patients that need care management services (i.e. utilization review; care coordination.... Required 3 years of relevant experience Three to five years’ experience in care management, utilization review, home care...
Corewell Healthcommittees, and drug utilization review (DUR) meetings Work independently and collaboratively with multidisciplinary/cross... appropriately through the annual medication review process Collaborate with management and cross-functional teams to create a plan...
Blue Shield of Californiaareas: general acute care hospital experience healthcare reimbursement including utilization review quality... to discharge planning, compliance with CMS regulations or other third-party payers and appropriate utilization of hospital...
Massachusetts General Hospital/clients and coworkers. A cost containment background, such as utilization review or managed care is helpful...Description : CorVel Corporation is hiring a caring, self-motivated, energetic and independent registered nurse...
CorVelin pharmacy quality measures (Part D Patient Safety Measures, HEDIS, PQA, etc.), and drug utilization review. Drives the..., Quality Improvement Work group, Drug Utilization Review) Performs special duties as needed. Preferred A Doctor of Pharmacy...
Centeneareas: general acute care hospital experience healthcare reimbursement including utilization review quality... to discharge planning, compliance with CMS regulations or other third-party payers and appropriate utilization of hospital...
Mass General Brighamwill have experience with Medicare appeals and/or utilization review experience. The Pharmacist – Clinical Appeals is responsible... United States when conducting utilization review or an appeals consideration and cannot be located on a US military base...
Elevance Healthin the development of strategic planning and resource utilization. You will participate in providing project reviews in... and plans for the division/department; interpret laws, regulations, and guidelines within area of assignment; review program...
State of Indianapharmacy program, including Prior Authorizations, Medication Therapy Management (MTM), Lock-in, and Drug Utilization Review... - Resident Location: This position will work a hybrid model (3-4 days/week onsite in office). When reporting to the office, the...
Elevance Health's Hospital of Philadelphia is seeking an Evidence-Based Practice Specialist. This will be a Monday-Friday hybrid position. Three... networking group Improves standards and guidelines; and questions and evaluates current practice based on outcomes and a review...
Children’s Hospital of Philadelphiautilization. You will participate in providing project reviews in accordance with the Agency’s established performance standards..., and guidelines within area of assignment; review program plans for completeness, economic and technical feasibility. Design...
State of Indiana, such as utilization review or managed care is helpful. Strong interpersonal, time management and organizational skills. Computer...Description : CorVel Corporation is hiring a caring, self-motivated, energetic and independent registered nurse...
CorVel, such as utilization review or managed care is helpful. Strong interpersonal, time management and organizational skills. Computer...Description : CorVel Corporation is hiring a caring, self-motivated, energetic and independent registered nurse...
CorVelexperience -Managed care/utilization review experience -Crisis intervention skills -Ability to exercise independent... Worker position is telework/hybrid and must be within driving distance of the High Point, North Carolina office. Normal...
CVS Healthwork/life balance you need with a Monday-Friday schedule and a supportive hybrid work environment. Eleven paid state... fraud and abuse within Vermont Medicaid. · Professional review and evaluation of medical record documentation to assist in...
State of Vermont: UW MEDICINE ENTERPRISE RECORDS AND HEALTH INFO Job Location: Remote/Hybrid Posting Date: 07/09/2024 Closing Info.... Coordinate with and provide guidance to Compliance, Clinical Documentation Improvement, Utilization Management, Clinical Resource...
University of Washingtonyour bridge design and load rating knowledge through data utilization. This role is a unique professional development opportunity... but not required) and other related fields from an Accreditation Board for Engineering and Technology (ABET) accredited school. Registered Professional...
State of Indiana