UTILIZATION MANAGEMENT CLINICAL QUALITY jobs in USA, United Kingdom

of the Laboratory Services Department, ensuring smooth workflow and effective utilization of resources. Develop... operational issues and support staff in addressing concerns promptly and effectively. Promote and ensure adherence to quality...

The Staff Pad

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...

Milton Hershey School

We are now hiring a Full-time RN Clinical Manager for our home office in Manchester, TN. This position is a full time... we serve—it truly is all about helping people. You can find a home for your career here. As a Clinical Manager, you can...

SunCrest Home Health - Manchester PD

experience practicing as a Registered Nurse (RN) in home health or similar setting; previous case management/utilization review..., personal care, therapy, case management, and a full complement of specialized services, we bring quality care where it...

Interim HealthCare

and clinical), develops and implements plans of action to ensure quality improvement, reimbursement and regulatory compliance... and case management decisions that are cost effective and focused on clinical outcomes and operational performance indicators...

Hartford HealthCare

and clinical), develops and implements plans of action to ensure quality improvement, reimbursement and regulatory compliance... and case management decisions that are cost effective and focused on clinical outcomes and operational performance indicators...

Hartford HealthCare

and clinical), develops and implements plans of action to ensure quality improvement, reimbursement and regulatory compliance... and case management decisions that are cost effective and focused on clinical outcomes and operational performance indicators...

Hartford HealthCare

The Utilization Management Clinical Quality Nurse Reviewer RN II, under the purview the Utilization Management... on audit findings, as well as make recommendations, to submit to the department's Quality Assurance Team and UM Management...

L.A. Care Health Plan

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...

UPMC

Utilizes clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management program... constituents in the coordination and administration of the utilization/benefit management function. Required Qualifications...

CVS Health

sector. Acentra is looking for a Utilization Management - Mental Health Clinical Reviewer to join our growing team..., services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the...

Acentra Health

to coordinate, document and communicate all aspects of the utilization/benefit management program. Applies critical thinking... and administration of the utilization/benefit management function. Required Qualifications : Licensed independent Behavioral Health...

CVS Health

, or AMFT/LMFT. At least 1 year of Utilization Management experience is needed. Minimum 3 years of post-degree clinical...River Edge is seeking a dedicated and knowledgeable Clinical Training Specialist for our Emery Highway Outpatient...

River Edge

Job Description Position: Physician Advisor, Clinical Documentation Improvement & Utilization Management PRIMARY... areas of clinical documentation improvement, coding classification assignments, utilization management, responding...

AtlantiCare

Responsibilities The Corporate Director of Clinical Utilization Management (UM) provides comprehensive oversight..., or another relevant field A minimum of seven (7) years’ experience in Clinical Utilization Review or Case Management with a large Health...

Prime Healthcare

View Point Health Job Title: Quality Assurance Utilization CoordinatorJob Code: RCT071/Compliance MonitorShift: First...: Quality Control APEX APEX Program is an innovative program that has been providing services to the students in the state...

View Point Health

in Clinical Performance Improvement Initiatives related to Clinical Documentation and Quality Utilization. Increases... for better? Job Description The Quality Utilization Specialist reflects the mission, vision, and values of NM, adheres to the organization's Code...

Northwestern Medicine