- Trinity Health (Boise, ID)
- …Saint Alphonsus is seeking a physician leader to become our Medical Director of Documentation and Utilization Excellence. This position will be ... annually by the Saint Alphonsus Chief Clinical Officer. The Medical Director of Documentation and Utilization Excellence (MDDUE) is the lead provider for… more
- AnMed Health (Anderson, SC)
- The Utilization Review Medical Director supports operations and direction of the Care Coordination, Clinical Documentation , and Utilization ... Management programs at AnMed. The Medical Director ensures the program and associated physicians work collaboratively with and provide consultation to the… more
- Ochsner Health (New Orleans, LA)
- …and comply with Federal and State regulations/quality initiatives. Reports to the System Medical Director of Utilization . This job description is a ... & support education needs of the medical staff with regard to documentation , placement and utilization of resources _Other duties as assigned_ +… more
- ERP International (Nellis AFB, NV)
- …employing team building concepts in both multi -and inter-disciplinary setting to maintain medical and utilization management goals. Must be able to provide oral ... and present medical care practices for patterns; trends incidents of under-or over- utilization of resources incidental to providing medical care. * Acts as… more
- BayCare Health System (Tampa, FL)
- …with organizational initiatives and priorities. + Reports directly to the Physician Advisor Medical Director . + Performs active and timely review of observation ... + Completes Cerner Secondary Reviews in a timely fashion with appropriate documentation allowing Utilization Review Nurses to efficiently execute Secondary… more
- Community Health Systems (Franklin, TN)
- …and efficiency of medical services and procedures in the hospital setting. Utilization review is the assessment for medical necessity, both for admission to ... for hospitalized patients. + Hold collaborative discussions with physicians on the medical staff, when needed, to obtain additional documentation in the… more
- Swedish Health Services (Seattle, WA)
- …cases and problems appropriate for secondary review to Case Management leadership, the Medical Director or Physician Advisor. + Facilitates appropriate provider ... strong clinical background blended with a well-developed knowledge and skills in Utilization Management (UM), medical necessity and patient status determination.… more
- Equinox, Inc (Albany, NY)
- …including admissions, discharges, and residential waitlist updates. Use the Evolv Medical Record System to track client documentation , including entering ... Intake & Utilization Coordinator - Adult Residential Services Albany, NY...clients. This position requires ensuring clients have the correct documentation to secure active housing waitlist status, maintaining accurate… more
- Ascension Health (Baltimore, MD)
- …and implement quality review programs and key performance indicators for all utilization review activities. + Interact with medical , nursing, and executive ... **Details** + **Department:** Utilization Management + **Schedule:** On-site, Monday-Friday, 8:00AM-4:30PM. Must be available as needed to address urgent or… more
- Baylor Scott & White Health (Dallas, TX)
- …to help staffing outcomes and quality metrics. + Partner with Care Coordination Medical Director on patients not meeting criteria and informs Clinical Resource ... **JOB SUMMARY** The Supervisor Utilization Review RN is accountable for daily oversight...Microsoft Office, information security, scheduling and payroll systems, electronic medical documentation , and email. **BENEFITS** Our competitive… more