- Ochsner Health (New Orleans, LA)
- …interpersonal and conflict resolution skills. **Job Duties** + Lead and directs Utilization Review (UR) staff and functions, including staffing, staff ... reviews to identify escalation issues regarding Providers, other facility issues, individual utilization review staff skills, payor-based concerns and to provide… more
- Humana (Providence, RI)
- …understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to complex ... health insurance, other healthcare providers, clinical group practice management. + Utilization management experience in a medical management review … more
- Humana (Carson City, NV)
- …understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer based review of moderately complex to complex ... health insurance, other healthcare providers, clinical group practice management. + Utilization management experience in a medical management review … more
- University of Utah Health (South Salt Lake, UT)
- …and as a team member. **Qualifications** **Qualifications** **Required** + One year Utilization Review or Case Management experience. **Licenses Required** + ... of InterQual Criteria, knowledge of ICD-9, DRG's and CPT Codes. + Utilization Review Certification designation. + Knowledge of CMS Regulations. **Working… more
- MyFlorida (Miami, FL)
- PROGRAM SPECIALIST IV-DOE-SES ( SOUTH ) - 48003460 Date: Jan 27, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... Agency: Department of Education Working Title: PROGRAM SPECIALIST IV-DOE-SES ( SOUTH ) - 48003460 Pay Plan: SES Position Number: 48003460...here. Job Description This position provides support to the Director of the Office of Safe Schools in the… more
- Penn Medicine (Bala Cynwyd, PA)
- …support clinical operations and the provision of care delivery. He/She will review clinical documentation and participate in other quality and regulatory activates. ... o Clinical staff case management & direct clinical care o Regulatory compliance o Review of new product and services o Clinical development with emphasis on new… more
- University of Miami (Miami, FL)
- …staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The ... (SCCC) has an exciting opportunity for a Full Time Director , Facilities & Operations - School/ College/Hospital (H) to...strategies for present and future projects, space planning and utilization . Analyze space and facility layouts for the purpose… more
- University of Miami (Miami, FL)
- …staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The ... department of Medicine has an exciting opportunity for a full-time Director , Department Planning & operations to work on the UHealth campus. The Director ,… more
- State of Massachusetts (Boston, MA)
- …and Finance* **Organization:** **Department of Public Health* **Title:** * Director of Contracts and Payments* **Location:** *Massachusetts-Boston-305 South ... an experienced finance leader to serve as our new Director of Contracts and Payments. The Director ...of monitoring processes for all of BIDLS contracting; forecast utilization of state, federal grant, trust and retained revenue… more
- Stantec (Raleigh, NC)
- …and maintain confidence of C-suite client executives + Monitor profitability - fee utilization against contract value + Review the design for adherence to ... Project Director , Owner's Representative - ( 240003LK ) **Description**...project + Monitor all client communication and correspondence + Review and approve all client invoices + Review… more