Sentences with phrase «health utilization management»

Not exact matches

November 01, 2015 RxAdvance won Avera Health Plans» Pharmacy Benefit Management (PBM) contract to reduce overall pharmacy costs, avoidable drug - impacted medical costs, and optimize specialty drug utilization.

RxAdvance won Avera Health Plans» Pharmacy Benefit Management (PBM) contract to reduce overall pharmacy costs, avoidable drug - impacted medical costs, and optimize specialty drug utilization.

Christine Hall - Finney, director of the Department of Health's Division of Provider Relations and Utilization Management, noted that the clinic's Medicaid service delivery is managed by Espada and his son Pedro G. Espada.

According to Landers, implementing changes to the Medicare policy means utilization of home health agencies for management of acute and chronic health conditions reduces the risk of emergency room visits and rehospitalization, thereby reducing healthcare costs for both the government and the patient.

topics in Global Health on patients whom you see in your medical course, we hope that thinking in these terms about every / prevention and treatment of sickness, healing processes, the social relations of therapy management, and the cultural importance and utilization of / warm clothing) the physical work environment, food, water and electricity availability.

(A) A function or activity involving the use or disclosure of individually identifiable health information, including claims processing or administration, data analysis, processing or administration, utilization review, quality assurance, billing, benefit management, practice management, and repricing; or

Tags for this Online Resume: Home Health, Registered Nurse, Call Center, Case Management, Utilization Review, Health Plan

Tags for this Online Resume: Registered Nurse, Utilization Management, Call Centers, Occupational Health, Microsoft Office Suite, Managed Care, Process Improvement, Training and Development

Tags for this Online Resume: Policies and Procedures, Referrals, Behavioral Health, Microsoft PowerPoint, Planning, Social Service, Strategic Planning, Utilization Management, DFS, HIV, social services, non-profit, mental health, lcsw, substance abuse, social work, casac, case management, nonprofit, behavioral health clinical diHealth, Microsoft PowerPoint, Planning, Social Service, Strategic Planning, Utilization Management, DFS, HIV, social services, non-profit, mental health, lcsw, substance abuse, social work, casac, case management, nonprofit, behavioral health clinicaManagement, DFS, HIV, social services, non-profit, mental health, lcsw, substance abuse, social work, casac, case management, nonprofit, behavioral health clinical dihealth, lcsw, substance abuse, social work, casac, case management, nonprofit, behavioral health clinicamanagement, nonprofit, behavioral health clinical dihealth clinical director

To obtain a challenging nursing position in Case Management / Utilization Review / Occupational Health Nurse where my nursing experience, skills and abilities may be utilized to become and important asset to the organization.

Oversaw the activities of the Health Information Service Department, Utilization Management, and Medical Staff Services.

IT, utilization of clinical skills and knowledge in case management, Quality Improvement, documentation, case management, education in home health care and hospice re care management, care planning, software etc

• Knowledge and experience in the design, implementation and analysis of health care quality and cost data studies for quality improvement and appropriate cost - containment, resource utilization analysis, physician profiling, HEDIS, NCQA and QARR reporting • Microsoft Office Professional Suite (Word, Excel, Access, Outlook) • Proficient in application of Utilization Management Guidelines, including Milliman, Robertson anutilization analysis, physician profiling, HEDIS, NCQA and QARR reporting • Microsoft Office Professional Suite (Word, Excel, Access, Outlook) • Proficient in application of Utilization Management Guidelines, including Milliman, Robertson anUtilization Management Guidelines, including Milliman, Robertson and InterQual

MediSys Health Network, New York • NY 2006 — Present Director, Utilization Management Spearheaded operations for 3 non-profit hospitals, with a 10,000 employee system.

Tags for this Online Resume: Amazon Elastic MapReduce, EMR /, HIV Clinics, Home Health / Public Health, Immunization, Wound Care / Wound Vac, Behavioral Health, Cardiopulmonary resuscitation (CPR), Chronic Diseases, CENTRAL LINES, Case Management, Utilization Review

Longtime health care professional with in - depth, versatile experience establishing and managing programs such as risk management, performance improvement, education, infection control, utilization review and case management.

Tags for this Online Resume: Behavioral Health, Environmental Issues, Management, Referrals, Advertising, Communications, Microsoft Front Page, Solicitations, Treatment Goals, Utilization Management

Tags for this Online Resume: Documentation, Basic Care, BASIC Programming Language, First Aid, Insurance, Medical, Medical Records, Occupational Therapy, Team Player, Therapy, Utilization management, Facility Site Review, Advanced Imaging, HEDIS, Case Management, Patient Advocates, Medi - Care, Medicaid, Healthcare insurance company, Quality Assurance and Improvement, ICD, CPT coding, Insurance Health plan Collaboration, Problem resolution and Solution distribution, outpatient rehabilitation, nurse, healthcare, outpatient physical therapy, physical therapy, physicalmanagement, Facility Site Review, Advanced Imaging, HEDIS, Case Management, Patient Advocates, Medi - Care, Medicaid, Healthcare insurance company, Quality Assurance and Improvement, ICD, CPT coding, Insurance Health plan Collaboration, Problem resolution and Solution distribution, outpatient rehabilitation, nurse, healthcare, outpatient physical therapy, physical therapy, physicalManagement, Patient Advocates, Medi - Care, Medicaid, Healthcare insurance company, Quality Assurance and Improvement, ICD, CPT coding, Insurance Health plan Collaboration, Problem resolution and Solution distribution, outpatient rehabilitation, nurse, healthcare, outpatient physical therapy, physical therapy, physical therapist

Accounting and Financial Administration Professional — Duties & Responsibilities Develop and maintain a strong and extensive working knowledge of various accounting principles, regulations, tax codes, and applications, continuously applying changes to accounting landscape to current responsibilities Apply various accounting rules and procedures to critical tasks, including the review and approval of journal entries, data and financial reconciliations, balance sheet and income statement accounting, cash flow analyses, account collections, capital utilization and on - going budgetary considerations Provide relevant oversight and administration to all aspects of business finance, including billing and collections, payroll execution, vendor relationships, payroll and salary management, and other pertinent functions Perform regular book reconciliations and variance resolutions to ensure audit - ready financials and provide continuous relevant insight into the financial health of the company, in both a regular and ad - hoc manner, to company management Manage important and sensitive financial documents, receipts, and invoices on a daily basis, providing organization for audit assistance and execution as well as compliance with various accounting standards Perform analysis, research and evaluation of current accounting policies and procedures, implementing change where necessary to drive corporate efficiency, manage costs and drive revenue Facilitate the efficiency and implementation of all accounting operations from concept to execution, while coordinating actions on all daily operational and logistical aspects from corporate financial management to payroll Utilize technological resources, including software and accounting applications, to track all aspects of firm accounting and financial operations as well as prepare important and sensitive tax documents related to all aspects of organizational operations Collaborate with respect to effective communication between all departments and coordinate all daily business operations with other leadership staff and other personnel Work closely with and support senior - level management in budgeting and corporate planning strategies Address client, vendor, and management queries, resolving them in an expedited manner Assist management with various other duties as assigned to facilitate efficient administration and operations, making appropriate and effective recommendations with respect to performance optimization

Tags for this Online Resume: customer service, case management, utilization review, quality assurance, social service management, healthcare, behavioral health, training

An example of a robust case management initiative is Health Leads, 77 an enhanced primary care strategy that uses college volunteers as advocates and advanced resource management techniques, which has improved coordination of care and utilization of collocated social services by low - income families with the intent of reducing the social barriers to good hHealth Leads, 77 an enhanced primary care strategy that uses college volunteers as advocates and advanced resource management techniques, which has improved coordination of care and utilization of collocated social services by low - income families with the intent of reducing the social barriers to good healthhealth.

This trial demonstrated that 1 year of dialectical behavior therapy or general psychiatric management for the treatment of suicidal patients with borderline personality disorder brought about significant reductions in suicidal behavior, borderline symptoms, general distress from symptoms, depression, anger, and health care utilization, along with improvements in interpersonal functioning.