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Responsibilities Develop and support educational materials for medication adherence and chronic care management programs Ensure compliance with Medicare regulations and documentation requirements Provide comprehensive training to clinical staff, including onboarding and EMR utilization Evaluate s...
Sia Partners is a next-generation management consulting firm. We offer a unique blend of AI and design capabilities, augmenting traditional consulting to deliver superior value to our clients. Counting 3,000 consultants in 19 countries, we expect to achieve USD 420 million in turnover for the cur...
... psychology, urban planning/studies, human resources management, labor relations, operations ... and space utilization, and staffing requirements, including the preparation of charts, graphs ...
Hi, we're Oscar. We're hiring a Senior Medical Director to join our Utilization Management ... testing) * Partner with leads across the organization as necessary in order to communicate ...
... policy Chart Completion * Monitor medical records for timely completion and clinical accuracy ... Office of Mental Health and The Joint Commission Utilization management * Work with the UM ...
Two years case/resource management and utilization management is required Education: RN License - required AHA BLS - required
Troubleshoots difficult customer service issues, facilitates problem resolution and directs staff in addressing and resolving day-to-day operational issues. • Assists management team in the ...
Embrace this opportunity to make a difference in the health care industry and showcase your ... The Utilization Management Non-Clinical Supervisor role at VillageCare presents a unique ...
... healthcare, medical office, or facility setting. Proficiency in medical administration duties and a thorough understanding of medical terminology, CPT, HCPCS, and ICD-10 coding are essential
... management, business development and financial oversight. Solo private practice seeks a dynamic ... utilization of EMR, medical coding and billing relevant to practice. Oversee billing and ...
MRI Authorization Utilization Management * Knowledge of Manufacture Co-Pay Assistance Program/Foundation. Powered by JazzHR zHe1J49NS5
... and Pharmacy. * Develops, implements, monitors and evaluates Utilization and Care Management ... delivery. * Oversees and ensures timely completion of all required assessments and plans of care ...
Administers scores, analyzes and interprets diagnostic tests in cognitive and emotional areas. * Trains and instructs program staff in utilization of goals, behavior management, interpretation of ...
URAC, CCM, BSN, ADN, ASN, Case Manager, Case Management, InterQual, Medicare, Medicaid, CMS Guidelines, Utilization Review, Utilization Management, Registered Nurse, MCO, RN, Nurse, Managed Care ...
Experience/Education: • BA/BS in nursing degree and current RN license in New York State • Prefer minimum of 1-3 years relevant experience in case management, utilization review and/or quality ...
To provide comprehensive clinical case management services that include: assessments; individual ... director. Performs utilization review, provides progress reports and develop aftercare plans in ...
Conduct utilization review, incident management and review and quality assurance reviews. * Assure that staff maintains accurate and confidential clinical records that comply with external monitoring ...
The Behavioral Health Medical Director is a key position on Aetna Better Health of NJ’s (ABHNJ) leadership team and is responsible for leadership and counsel for utilization management and case management programs for mental health and substance use disorder services and collaboration with DMAHS,...
Precertification: Utilization Management Nurse Consultant. Consults and lends expertise to other internal and external constituents in the coordination and administration of the utilization/benefit management function. Prior Authorization or Utilization Management experience. Identifies opportuni...
The Placement & Utilization Support Coordinator is expected to provide a high quality of customer service. The position requires the coordinator to act as a liaison between the vendors and both the Care Management and Enrollment Department. Coordinators will authorize services based on medically ...
Supervises professional and clerical employees who work with a range of functions, including but not limited to: access, pre-authorization and precertification, bed placement, coding, utilization review and denial management, care coordination collaborative treatment planning and core measures, d...
The position works closely with Life Sciences attorneys and science advisors and the group's practice management team to oversee cross-office staffing/work allocation, performance and utilization, and associate and science advisor retention strategies. Staffing / Work Allocation: Manages the cros...
CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every m...
Supervisor of Utilization Management, Clinical (Hybrid). Supervises the day-to-day operations of VNS Health Plans Medical Management clinical and non clinical staff. Makes recommendations to the development, utilization, and evaluation of internal processes to ensure customer satisfaction, effici...