UTILIZATION MANAGEMENT CLINICAL QUALITY jobs in UNITED STATES, United Kingdom #2

Email Submit Quality Utilization Specialist, Full-time, Days, Hybrid ($4,000 sign-on bonus) Location Chicago, Illinois Business..., come help us shape the future of medicine. Description The Quality Utilization Specialist reflects the mission, vision...

About The Role BHPS provides Utilization Management services to its clients. The Utilization Review Appeals Nurse... performs daily appeal reviews and clinical quality oversite. This position reports to the Clinical Program Manager...

. Skills / Requirements Job Summary The Clinical Manager Pharmacy Utilization will oversee the efficient and effective...-effectiveness, and clinical outcome through the use of approved drugs on the formulary and assure evidence-based utilization...

Department: Jackson Memorial Hospital - Utilization Review Case Management (two openings) Address: 1611 NW 12 Ave... a standard of quality patient care for all patient populations. The Clinical Resource Coordinator acts as a resource...

seeks a Utilization Clinical Reviewer to join our growing team. Job Summary As a Utilization Clinical Reviewer, you'll..., services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the...

and assists with continually improving the quality and effectiveness of the utilization management program at CSVRMC... involved in the continued management of patient status/LOC. Provides consultative role as utilization management nurse...

Utilization Management Coordinator PRN Days - Coverage 7 days per week as needed Why UT Southwestern? With over 75... to assist with the facilitation of Utilization Management functions. Communicates with insurance company to obtain pending...

and assists with continually improving the quality and effectiveness of the utilization management program at CSVRMC... involved in the continued management of patient status/LOC. Provides consultative role as utilization management nurse...

constituents in the coordination and administration of the utilization/benefit management function. Required Qualifications - 3... our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. Position Summary Utilization...

The Utilization Management Coordinator monitors appropriate use of services throughout treatment for clients admitted... preferred) 1-3 years of utilization management experience Attention to detail and ability to work well under pressure...

Management is a 24/7 operation and work schedule may include weekends, holidays and evening hours. Utilizes clinical experience... and administration of the utilization/benefit management function. For more information on our benefit programs, please visit...

administration. Experience performing audits analyzing productivity and quality of utilization management. Knowledge.... Assess quality and clinical risk issues on a concurrent basis; reporting any recognized issues to the team and Assistant...

. Requires minimum of 5 years acute care clinical experience, utilization management or managed care experience; or any...Anticipated End Date: 2024-08-12 Position Title: Senior RN Utilization Review/Management (Acute InPatient...

. As a Utilization Management Nurse Consultant, you will utilize clinical skills to coordinate, document and communicate all aspects... member. - Utilizes clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management...

constituents in the coordination and administration of the utilization/benefit management function. Required Qualifications - 3... our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. Position Summary Utilization...

additional medical, community, or financial resources available. Provide utilization management (UM) services which promote... quality, cost-effective outcomes by helping member populations achieve effective utilization of healthcare services...

and independent determination of the appropriate courses of action. The Utilization Management Nurse 2 uses clinical knowledge... Previous experience in utilization management required Prior clinical experience preferably in an acute care, skilled...