UTILIZATION MANAGEMENT CLINICAL QUALITY jobs in PENNSYLVANIA, United Kingdom

services team members including psychologists (school or clinical) and psychotherapists to join a dedicated team providing high...-quality care to support 2,000 plus students from low-income families. These are on-site opportunities, in beautiful Hershey...

based on own the review of clinical documentation in addition to feedback and recommendations by Utilization Review staff..., and organizes clinical operations for a specific location managed. Conducts/delegates the assessment and reassessment of patients...

Physician Advisor, Quality Utilization Management The Physician Advisor, Utilization Management (UM), provides... clinical and management guidance to enhance process improvement and resource management at the hospital level. Reporting to the...

The Regional Medical Director, CC/DP and Utilization Review, provides clinical and management leadership... & Management**: Oversee Utilization Management (UM) across assigned hospitals, ensuring alignment with UPMC's mission, vision...

for improvement. Refer cases to the Quality Management Department and/or Care Management and Coordination Manager... utilization management experience is desirable. Medical management/precertification experience preferred. Weekly direct...

Management | Subject Matter Expert Acts as advisor to drive adoption and utilization of electromechanical products in deal sizes...I. Job Purpose and Core Tasks The Customer Success Utilization Manager plays a critical role in managing overall...

for achieving supply expense management initiatives, improving quality and patient outcomes by identifying opportunities related... to product price, standardization, and utilization within Penn State Health and subsidiaries. Position will initiate and assist...

professional clinical experience. Minimum (2) years quality improvement experience in multi­ faceted formal quality management... as assigned. Assists in analysis of Quality Management Program reports, with recommendations for corrective actions. Performs...

, and data base utilization, maintenance and management. Role Description: Participates in analysis of Quality Management... Agency. Minimum three (3) years professional clinical experience. Minimum (2) years quality improvement experience in...

contractor. Education/Experience: Bachelor’s degree in nursing preferred. 2+ years clinical, quality management or healthcare.... Position Purpose: Analyze, develop, implement and monitor clinical quality improvement initiatives to achieve healthy outcomes...

The Director/Sr. Director, Analytical Development and Quality Control will provide strong scientific direction..., technical and managerial leadership in support of RemeGen’s clinical development programs and their commercialization. The...

management environment, the Medicare Advantage Quality Consultant is responsible for collaborative work with other functions in... Medicare STARS, Medicaid HEDIS and risk revenue programs and clinical evidence-based guidelines. The Medicare Advantage Quality...

experience is required. *Experience with Medicare/Medicaid reimbursement, MDS completion, clinical resource utilization...Requisition Number 507447 Job Title MDS Clinical Reimbursement Coordinator -- RN Location Wallingford Nursing...

standards. Must have experience in the processing of Health Information Management, Utilization Review and Quality Assurance...Clinical Documentation Specialist/Coder ** Part Time: 8:00am - 4:00pm, 20 hours per week ** Masonic Villages...

assurance activities, DRG, Quality Insights/Utilization review background is required Strong experience with electronic... work arrangements 7 holidays per year PTO buy back and selling excess, when eligible Clinical Documentation...

for compliance with all applicable federal, state and local laws and regulations. Ensures all FMS Clinical Quality policies.../program management experience preferred. Minimum of 12 months experience in clinical nursing is required. Experience in...

management principles in support of complex clinical initiatives. The job will be well versed in understanding how an integrated... contracting and account management strategies to meet or exceed HM HCS Helion objectives. Coordinate clinical program teams...