FEATURED JOBS
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…management, cost containment, and medical quality improvement activities. + Performs medical review activities pertaining to utilization review , quality
…case management and clinical pathways, variance analysis and trending, quality management/ utilization review and home care/discharge planning, preferred. + Keeps
…a data-driven environment of quality and cost improvement, and develops systems to review utilization of resources and objectively measure outcomes of care in
Medical Director, Durable Medical Equipment - Work from home - Evernorth
The Cigna Group
…I. Evernorth Business Title: Medical Director, Durable Medical Equipment Cigna Title: Utilization Review Medical Principal II. Department Name and Number:
…care and cost effectiveness through the integrating and functions of case management, utilization review and discharge planning. The Care Manager must be highly
…including but not limited to: appropriateness of care, documentation requirements, utilization review principles and criteria, insurance benefits and
…Manager (CM) performs a wide variety of tasks and functions. These include utilization review , discharge planning, care coordination and variance management to
…service **Preferred Qualifications** - Crisis intervention skills preferred - Managed care/ utilization review experience preferred - Case management and
…leadership meetings such as Wound Rounds, Clinical Operations Meeting, Utilization Review , and Performance Improvement/Risk Management/Safety (PI/RM/S) Committee
…to their practice. 13. Performs other duties as assigned, including utilization review as necessary. **Qualifications** **Education and Experience** Required