FEATURED JOBS
Showing 60-70 of 2092
…universities. Assists management in department functions and special projects, ie, utilization review , quality assurance, program development and committee work.
…disabilities and/or behavioral health conditions. Experience in insurance and utilization review . **License/Certification:** Valid driver's license. Social
…appropriateness of current level of treatment, corresponding with LOCADTR and utilization review instruments + Coordinate integrated services with medical,
…plans to correct deficiencies; and ensuring regulatory certifications for state and federal utilization and bill review are obtained. + Assists with vendor
…navigating electronic health record (EHR) for documentation of services rendered. + Review utilization and service provision with supervisor + Coordinate and
…discuss member care being delivered + Collects, documents, and maintains concurrent review findings, discharge plans, and actions taken on member medical records in
…criteria + Works with healthcare providers and authorization team to ensure timely review of services and/or requests to ensure members receive authorized care +
…ensure appropriate and cost-effective medication use, through principles of drug utilization management and medication optimization. + Works with medical directors,
…national standards for case management scope of services including: Utilization Management supporting medical necessity and denial prevention, Transition Management
Advanced Practice Pharmacist (Springfield Hospital Center)
University of Maryland, Baltimore
…use in patients and populations.Administers and/or supervises staff or drug utilization reporting and maintenance of accurate inventory.This position is responsible