UTILIZATION MANAGEMENT CLINICAL QUALITY jobs in PHILADELPHIA PA, United Kingdom

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...

, financial management, quality/performance improvement, community education, and clinical functions oversight. The Clinical... partnerships The Clinical Program Director is responsible for the management and the strategic growth of the Wound Care Program...

The Care Management Coordinator primary responsibility is to evaluate a member’s clinical condition through the review... necessity criteria. If necessary, the Care Management Coordinator directly interact with providers to obtain additional clinical...

, and arranging delivery of pharmaceuticals when not available through regular suppliers; managing inventory to maximize utilization... to the purchase and documentation of all pharmaceutical transactions. What you will do Inventory Management: Determines...

documentation. 4. Research & Education: Provides support to nursing research, assist clinical nurses in utilization of research.... What you will do 1. Leadership: Serves as the Clinical Lead during information system downtimes. Coordinates clinical communication...

both clinical and ambulatory settings with a support staff of technicians in various roles. We are excited to welcome new team..., facility procedures, and state and federal legal requirements. 2. Provides excellent customer service and clinical care. 3...

provision of quality patient care and the role is responsible to the ASC Governing Body for clinical reporting..., environment, clinical processes and procedures, and workflow to deliver high quality of patient care Ensure compliance of state...

and practices of occupational therapy and within Reliant Rehabilitation guidelines. Provide quality patient care including... of assistants and rehab techs, and case management responsibilities. Maintain professional conduct that represents Reliant...

care management, and utilization management program interventions. The PCC performs in a contact center environment..., pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services...

) years recent experience in an acute-care environment, case-management or utilization management position (experience can... practices meet all quality metrics. Responsible for coordinating the delivery of cost-effective, quality -based health care...

management skills, including the effective use of the electronic health record and clinical information systems, the... ability to collect clinical data using quality tools and the ability to discuss, evaluate and analyze outcome data presented in charts...

implications for clinical practice. Modifies own practice based on research and quality improvement findings. Demonstrates... an understanding of and participates in research and/or quality improvement activities. Evaluates clinical practice to identify...

implications for clinical practice. Modifies own practice based on research and quality improvement findings. Demonstrates... an understanding of and participates in research and/or quality improvement activities. Evaluates clinical practice to identify...

record like EPIC Adheres to care management, privacy and confidentiality, and quality management processes in compliance...+ states and 950+ locations across the country. Under the remote supervision of a clinical operation leader and local leader...

high quality talent. Acknowledge strengths and weaknesses in team members through an ongoing performance management process... physician advisors conducting utilization review for our adult members. The position provides leadership in the development...

improvement, risk management, and utilization management, and serve in Medical Staff department offices and on System and Medical... Staff Members are to: Contribute to the organizational and administrative Medical Staff activities including quality...

based quality improvement initiatives that result in a measurable impact on quality, cost and resource utilization. Assures... efficient and cost effective utilization of Hospital resources at the unit level for day to day operations, clinical programming...