Independent Assessment and Review Manager - United States

We are committed to giving our customers peace of mind. That means speaking their language, anticipating their needs, and earning their trust on every matter. · You will be responsible for much more than simply managing a document review project. You will lead teams of five to 50 ...

The Manager of Utilization Review oversees a team of utilization review nurses to optimize patient care and manage resources effectively. Collaborates with the multidisciplinary team for quality timely and cost effective utilization management to achieve optimal outcomes. · Serve ...

The Manager, Preservice Review manages the day-to-day operations of the preservice review process for prior authorizations while collaboratively partnering and clinically supporting Avalon's medical director leadership within the clinical review space, to drive consistent, effici ...

We are hiring a skilled LTC Utilization Management Reviewer to join our team. · Type of Opportunity: Full time · Job Exempt: Yes · Work Shift: Days (United States of America)NF LOC evaluations and determinations, · Responsible for the review of all required medical documentation ...

The Utilization Management Review Supervisor manages a remote team of up to 12 clinical reviewers who process prior authorization requests for Medicaid members in the Louisiana market. · ...

Dane Street is seeking a Physician Reviewer to provide utilization review services for the Group Health Department. · ...

The After Hours Utilization Management Reviewer is scheduled to work non-traditional hours to provide access to medical necessity determinations for urgent or required coverage requests on a 24/7 basis. · Conduct utilization management reviews by assessing medical necessity, appr ...

As the Manager of Genetic Counseling Clinical Review you will oversee a team responsible for clinical review of genetic testing orders ensuring accuracy consistency and timely processing. · ...

The Program Supervisor III performs complex administrative and supervisory program work. Establishes · program goals and objectives; develops program guidelines policies procedures schedules priorities · and standards for achieving program goals evaluates program activities devel ...

The Utilization Management Manager is responsible for the overall management of the UM department by leading and facilitating review of assigned admissions, · continued stays, utilization practices and discharge planning according to approved clinically valid criteria. · Assigns ...

The Senior Medical Coder performs Medical Coding tasks commensurate with Medical Coding conventions and processes for multiple studies in different therapeutic areas. · ...

This position will primarily work as the case manager on the Observation unit. This position will include a weekend and holiday rotation. This position will be cross trained for other areas within the department. · Conducts utilization review/management as outlined in the UR Plan ...

The Clinical Case Manager monitors the patient care process and physiological needs; · documents communicates and collects data to evaluate and improve timeliness and appropriateness of care.RN license required. · Bachelor of Science in Nursing required. · ...

The Assistant Director of Admissions performs duties relevant to the recruitment and admission of students. · This position involves managing an assigned recruitment territory, reviewing admissions applications and making decisions on admittance within established guidelines. · A ...

The Case Manager coordinates with the interdisciplinary team to expedite medically appropriate, · cost-effective patient care.Coordinates patient care conferences as necessary. · Serves as a consultant to staff, physicians, management, and other healthcare professionals, · ...

The Engineering Program Administrator provides overall management for the planning, budgeting, scheduling, design, and construction of public works projects. Be part of a team that's committed to service in Dallas. ...

The EVS Manager oversees plans organizes manages and evaluates operations for a designated area as needed enhances and improves the operations of the unit to support the Medical Center's mission vision and values evaluates and identifies achievements and problems in meeting goals ...

Under the direction of the Supply Chain Manager or Assistant Director oversees a defined logistical area in inventory control, replenishment and cycle counts to establish a coordinated lean supply support system that operates efficiently and meets the needs of the clinical areas ...

This position involves managing clinical research operations in the College of Medicine Center for Clinical Research Management (CCRM). The manager will oversee study teams, recruit staff, develop training materials, and ensure compliance with research regulations. · ...

+Job summary · The primary role of the Subcontract Manager is to support the Project Design-Build Manager and the Project Contract Manager in the management of the Design Services Agreement.ResponsibilitiesEngage with the project's engineering team, attend general design meetings ...