Sentences with phrase «for utilization review»
Description: EK Health Services is looking for an Indexer for our Utilization Review department.
https://www.indeed.com/
• Skilled at using case management software, navigate Medical web services and use Interqual and Millman criteria for utilization review.
The job outlook for utilization review managers is positive.
[8] They found that 97 % of all hospitals seek consent for the release of information for payment purposes; 45 % seek consent for disclosure for utilization review, peer review, quality assurance, and / or prospective review; and 50 % seek consent for disclosure to providers, other health care facilities, or others for continuity of care purposes.
Not exact matches
For the past 12 years, Zintro expert John Daller, MD, PhD, FACS has led Daller Consulting, specializing in the areas of medical - legal review, due diligence and scientific evaluations, and utilization review.
One, to «effectively create a price ceiling for certain high cost prescription drugs reimbursed under the Medicaid program by requiring a 100 percent supplemental rebate for any amount that exceeds a benchmark price recommended by the state's Drug Utilization Review Board.»
Luke Rudmik, M.D., M.Sc., of the University of Calgary, Canada, and colleagues evaluated the utilization patterns of topical intranasal steroid therapy for CRS in the Canadian population with a review of a Canadian population - based health care administrative database.
Charles H. Hennekens, M.D., Dr.P.H., the first Sir Richard Doll professor and senior academic advisor to the dean in the Charles E. Schmidt College of Medicine at Florida Atlantic University published a review for clinicians on the optimal utilization of aspirin to treat and prevent heart attacks.
In general, the review found that increases in out - of - pocket costs seemed to have a lower impact on reducing utilization for specialty drugs as compared to the effects reported for non-specialty drugs, probably because specialty drugs often have no medically comparable alternatives, Doshi and her coauthors note.
«Although almost all the prior studies we reviewed were for privately insured patients from a time when cost - sharing levels were much lower than they are today, these studies still commonly found evidence that high out - of - pockets costs were associated with reductions in utilization of these drugs,» said Doshi.
To ensure effective preparation and presentation of sound budget estimates for the Department; to foster effective utilization of available resources; to ensure that financial plans are consistentwith approved plans and programs; to establish procedures for the budget phase of the Department's planning and budgeting process; to coordinate program performance planningand reporting throughout the Department, and to ensure preparation of a sound performanceplan for the Department in accordance with the Government Performance and Results Act of1993 (GRPA) and GPRA Modernization Act (GPRAMA) of 2010; to analyze resource and otherimpacts of legislative, regulatory, and budget proposals on departmental programs; to reviewthe budgetary implications of major systems acquisition programs and information technologyinvestments; to periodically conduct formal program reviews; and to assure appropriate stepsare taken on a timely basis to implement newly enacted legislation.
In one irritated review, «I was given a limit of $ 4000.00 which isn't terrible, but trying to maintain a good utilization ratio on that when you pay for everything with your credit cards is a bit cumbersome.
The NRC provided additional «pre-application» guidance for advanced reactor design reviews in the June 1988 NUREG - 1226, «Development and Utilization of the NRC Policy Statement on the Regulation of Advanced Nuclear Power Plants.»
In a scathing indictment of the over-reaching effects of ERISA preemption, Judge William Young of the United States District Court for the District of Massachusetts implored Congress to amend ERISA's civil enforcement provision to allow recovery against utilization review providers and insurers.
Comment: One commenter said that the minimum necessary standard would be impossible to implement with respect to information provided on its standard payment claim, which, it said, was used by pharmacies for concurrent drug utilization review and that was expected to be adopted by HHS as the national pharmacy payment claim.
King v. CompPartners, Inc.: (1) Is a claim by an injured worker for medical malpractice brought against a workers» compensation utilization review company barred by workers» compensation as the exclusive remedy?
We also include within the definition an organized system of health care in which more than one covered entity participates, and in which the participating covered entities hold themselves out to the public as participating in a joint arrangement, and in which the joint activities of the participating covered entities include at least one of the following: utilization review, in which health care decisions by participating covered entities are reviewed by other participating covered entities or by a third party on their behalf; quality assessment and improvement activities, in which treatment provided by participating covered entities is assessed by other participating covered entities or by a third party on their behalf; or payment activities, if the financial risk for delivering health care is shared in whole or in part by participating covered entities through the joint arrangement and if protected health information created or received by a covered entity is reviewed by other participating covered entities or by a third party on their behalf for the purpose of administering the sharing of financial risk.
One of these commenters noted that its payment claim facilitates concurrent drug utilization review, which was mandated by Congress pursuant to the Omnibus Budget Reconciliation Act of 1990 and which creates the real - time ability for pharmacies to gain access to information that may be necessary to meet requirements of this and similar state laws.
Similarly, some commenters, asserted that IRBs are not accustomed to reviewing and approving utilization reviews, outcomes research, or disease management programs and, therefore, IRB review may not be an effective tool for protecting patient privacy in connection with these activities.
For those that are aware of Wallaby, it's a credit - card recommendation app that allows users to review their current credit card utilization.
In this position we are searching for a Nurse with demonstrated expertise in Case Management / Utilization Review
I have also done investigation for healthcare fraud and have experience in utilization review.
Summary: Registered Nurse for 30 years with extensive background in Case Management, Utilization Review, Skilled Care Home Car...
This cover letter was written by ResumeMyCareer's staff of professional resume writers, and demonstrates how a cover letter for a Case Management — Utilization Review Oversight Cover Letter Sample should properly be created.
The sample below is for Case Management — Utilization Review Oversight Cover Letter.
Responsible for weekly Utilization review to ensure that nursing documentation met all state guidelines.
Coordinated quality management and utilization review on daily basis with Interqual and AS 400, and compiled statistics for presentations to State for case - by - case review.
Interpreted observed behaviors of patients for other members of the care team, and attended weekly care conferences, utilization review, and department heads meetings
API is looking for a temporary Part Time Utilization Review Case Management Clerk to join our team.
We focus on containing healthcare costs for employer groups by negotiating and contracting directly with providers to capture savings, in addition to our comprehensive medical management and utilization review.
(Reference Code: KAM) Position Title: Utilization Review Nurse / RN Case Manager Reports to: Director Clinical Services SCOPE: Responsible for determining medical necessity...
** Job Summary ** Performs utilization review for a specific patient population.
* Performs clinical duties under direct supervision of a licensed pharmacist, including medication reconciliation, adverse drug event reviews, renal dosing, medication utilization reviews, patient rounds with physicians, presentations for education purposes, and other clinical duties as directed by preceptor.
Tags for this Online Resume: Home Health, Registered Nurse, Call Center, Case Management, Utilization Review, Health Plan
Serve as backup for technicians in the other clinical service departments (Drug Utilization Review, Medication Therapy Management, Quality Improvement)...
Registered Nurse for 30 years with extensive background in Case Management, Utilization Review, Skilled Care Home Care, Personal Care and Hospice Home Care.
Tags for this Online Resume: drug utilization review, JCAHO, organizational skills, compliance with regulatory agency regulations, performance improvement, patient safety, Medicare, Medicaid, Consultant Pharmacist, Hospital, Assisted Living Facility, Nursing Home, Skilled Nursing Facility, Intermediate Care / Mentally Retarded Facilities, Memphis, TN, 15 years experience, TN state license in good standing, PharmD
Tags for this Online Resume: Surgical, Utilization and review, management, case management, teaching
• Reviewed schedules for efficient utilization of equipments.
Tags for this Online Resume: Insurance, Medicare, Medicaide, Commercial, Utilization Review, Registered Nurse
Tags for this Online Resume: Inventory, Insurance, Management, Clinical Programs, Pharmacist, Pharmacy, Managed Care Organization, Pharmacy Benefit Management, Pharmaceutical, Prior Authorization, Drug Utilization Review, Medication Therapy Management
Tags for this Online Resume: Case Manager, computer and Internet literate, Utilization review experience, Organized, CPR certified, Motivation interviewing techniques, Chronic condition management, Leader
Tags for this Online Resume: pharmacist, managed care, pbm, drug utilization review, clinical, consultant
This resume was written by a ResumeMyCareer professional resume writer, and demonstrates how a resume for a Case Management — Utilization Review Oversight Candidate should be properly created.
Tags for this Online Resume: office manager, utilization review case mangement LVN,, Bilingual, patient scheduling and authorization, team player, data entry, discharge planning, intake both for psychiatric and medical cases, interface with physicians and referral sources for admission to urgent care and psychiatric unit, Marketing, education, LVN; Community Counselor; office manager, medical receptionist, patient schduling and authorization, ur / casemangement, chart review, discharge planning, Intake / Call center for acute cases and psychiatric unnit, marketing, education, patient relations, physician relations, data entry
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
Summary Summary Summary Education Care Manager / Utilization Review (Most recent position) * Worked in Critical Care 16 years as a staff RN caring for critically ill patients and supporting the patient and their families during the acute / chronic illness Provided care planning, implementation of care plan and revisions of individual patient plans * Managed ventilators / IABP / continuous IV infusions / conscience sedation / * RN Car...
Tags for this Online Resume: detail oriented, time management, organized, team player, motivated, compromise, Registered Nurse, WOCN, Periopertive Nurse, NICU, CVOR, Case Manager, Spanish Speaking, Manager, Utilization Review, Infection Control, Patient Teaching, Staff Development
Tags for this Online Resume: Utilization Review, Case Manager, Managed Care, IV Therapy, Coagulation Clinic, Health Office RN
Tags for this Online Resume: Professional Counselor, Utilization Review, Clinical Documentation Auditor, Clinical Team Leader, Admissions Director, Marketing / Business Development