Overview: The Utilization Management Physician will be responsible for providing thorough and accurate reviews... of utilization management cases to ensure the appropriate use of medical resources while continuing to hold high standards of patient...
Under broad supervision, performs administrative and certain clinical duties under the direction of the physician on duty. Handles...: Data Utilization: Requires the ability to synthesize, hypothesize, and/or theorize concerning data involving modification...
as a Case Manager Are you ready for a Case Management role that brings your career closer to home and heart? Join Encompass... modifications. Complete case management addendums and all required documentation. Maintain knowledge of regulations/standards...
recommendations to assure complete utilization of all modules. Assists with capital and operations budget planning. Collaborates... and efficient operation. Participates with Information Systems interface team in troubleshooting issues with physician office EMRs...
, admission, and concurrent utilization reviews to determine appropriate levels of care and readiness for discharge. -Escalates... utilization and system problems which have not been resolved immediately. -Monitors the progression of the plan of care...
functionality and makes recommendations to assure complete utilization of all modules. Assists with capital and operations budget... in troubleshooting issues with physician office EMRs. Ensures regulatory and compliance requirements are met with respect to information...
excellence of the service line and leads activities with the chair and Service Line Physician Leader to standardize practices..., optimize patient service and workforce utilization, achieve quality goals, and meets research and educational objectives...
Must be able to successfully pass the Basic Windows Skill Assessment at 80% or higher rating Knowledge and utilization of patient... with other areas for positive patient flow and responds to issues that may arise related to safety, security, and disaster management...
with both the team physician and the attending physician regarding palliative care measures for pain and symptom management.... Participates in the Outcomes Management and annual program review. Performs utilization review of continuous care and inpatient...
, supply chain systems, materials management, project management and warehouse operations. This leadership role..., and utilization of resources across the healthcare enterprise. The CSCO will develop and implement strategies to optimize supply chain...
, supply chain systems, materials management, project management and warehouse operations. This leadership role..., and utilization of resources across the healthcare enterprise. The CSCO will develop and implement strategies to optimize supply chain...
/utilization management, coding/DRG, billing, auditing and various healthcare payers Preferred and Clinician preferred and/or CDIP... that clinical information in the medical record is present and accurate so that the appropriate utilization, clinical severity...
' conditions and reactions, reporting abnormal signs to physician Monitors equipment for proper functioning; repairs or arranges... a notification. Performance Aptitudes: Data Utilization: Requires the ability to synthesize, hypothesize, and/or theorize...
activities relating to growing the program, quality improvement, data management, outreach and marketing, utilization of support... in Healthcare related field. Strong administrative, management, and supervisory experience as evidenced by the candidates...
improvement, data management, outreach and marketing, utilization of support services, capital equipment and supply selection..., etc. Qualifications: * Bachelor’s degree Previous work experience in Healthcare related field. Strong administrative, management...
of safe and quality patient care. Experience One year of experience in administrative or office management role (physician... and clinic support duties within physician operations to ensure efficient daily office operations and to support the delivery...
. Generates reports relating to rebates, physician utilization, Beers Criteria, Reliance members, and other ad hoc reports.... Patient care experience preferred. Job Level: Non-Management Non-Exempt Workshift: Job Family: MED Licensed/Certified...
Director will be supporting our clients in operations with utilization and case management reviews. In addition, the medical... director will leverage oncology knowledge with support for cancer care case management, provider collaboration, and client...
FUNCTIONS & RESPONSIBILITIES: Provides Medical Case Management to individuals through in person and telephonic communications... with the patient, physician, other health care providers, employer and others. Utilizes their medical and nursing knowledge...
Must be able to successfully pass the Basic Windows Skill Assessment at 80% or higher rating Knowledge and utilization of patient... with other areas for positive patient flow and responds to issues that may arise related to safety, security, and disaster management...