Sentences with phrase «strong utilization review»

A hospital in New Jersey is actively seeking a licensed Registered Nurse (RN), with a strong Utilization Review background,...

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Use strong resumes, such as our utilization review manager resume sample, as examples while crafting your own.

* Adept at all aspects of daily management and inventory * Strong decision - making ability * Efficient and accurate * Skilled in clinical interventions * Strong clinical background * Drug utilization review * Inventory management * Expert understanding of Medicare an...

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

Media Production Management — Duties & Responsibilities Lead through example with consistent work ethic, attitude, and professionalism, coordinating news and series production operations and communicating critical and sensitive information with various anchors, producers, reporters, editors, and other relevant parties Oversee the execution of all administrative duties, including personnel coordination, story / VO / intro drafting, live shot review, information analytics / research, and various production planning and logistical concerns Collaborate in all phases of strategic planning with other members of production crew, including topic and information utilization, dissemination strategies, viewer projections, and other relevant metrics Act as a liaison between personnel, vendors, department / unit heads, and other management partners to facilitate information flow, ensure critical and timely communications, and drive operational efficiency Research, develop, and market story ideas to senior production management, providing relevant oversight and administration to all writing, editing, and production tasks, including live - shot management and cut - in production Maintain a strong working knowledge of the all services, equipment, technologies, and other relevant information, including media trends, viewer ratings, story and series development, and general news - related conditions Perform needs - based and situational assessments of policies, protocols, and procedures to improve operational efficiency, manage and optimize program viewership, and best support personnel across production team Facilitate the organization of subject interviews, production shoots, and story development to synthesize all news and series into accurate and effective production successes Identify and utilize talent among team members with the promotion of a performance - based work environment that leverages individual talents for production benefit Provide continuous assessment of production implementation methods, while furnishing oversight and guidance regarding personnel utilization, informational flow, and series organization Manage sensitive news documents, audio / video files and recordings, and information log data in a secure, organized, and professional manner Address key queries and resolve them in an expedited manner, promoting sustained operational efficiency and production success through the supervision of critical and timely problem resolution tasks

Director of Business — Duties & Responsibilities Recruit and train staff of 30 in hospital policies, procedures, best practices, and corporate branding Design and implement staff development, recognition, and disciplinary policies and procedures Oversee admissions, utilization review, PB X, imaging center, billing, collections, and wound center registrations Set and strictly adhere to departmental budgets and schedules Author and present financial reports concerning revenue, expenses, and outstanding collections Identify performance indicators and benchmarks for integration into reporting systems Conduct surveys regarding patient / staff satisfaction, benchmarks, accreditation, and employee benefits Maintain a 99 % patient satisfaction score through attentive and professional standards of care Negotiate contracts and claims with insurance carriers, Medicare, Medicaid, and other payer sources Increase revenue by 30 % through effective contract renegotiation with suppliers, carriers, and other parties Implement policies, procedures, and equipment to cut hospital costs while enhancing patient care Utilize strong management experience to drive operations in an efficient and professional manner Develop and implement billing controls, cash processing measures, lockboxes, and other financial processes Coordinate and oversee internal and external audits ensuring compliance with industry and legal standards Recruit physicians through successful marketing, networking, and other tactics Implement automated Chargemaster financial application (Craneware) and maintain patient accounts Responsible for HCAHPS and the yearly Quality Assurance Plan Appeal claims when appropriate resulting in $ 400,000 reimbursement from PPO insurance over the last year Build and strengthen professional relationship with community leaders, coworkers, and industry figures Consistently promoted for excellence in financial management, team leadership, and dedication to mission Develop working knowledge of hospital operations from patient admission to senior level strategic planning Represent company with poise, integrity, and positivity