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UtilizationReviewJobs.com |
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Nurse Auditor HCC Integrity Unit-PAC-Full Time Presbyterian Healthcare Services, NM - Albuquerque medical claims review to include prospective and retrospective review, office and hospital audits). •Three years experience required in medical claims review... 2 Days 2 Hours 6 Minutes ago RN-Clinic Manager Behavioral Health-Kaseman Campus-FT Days Presbyterian Healthcare Services, NM - Albuquerque patient flow and utilization of space, time, supplies, and equipment. Develop policies and procedures to improve patient care and utilization of clinic... 4 Days 8 Hours 6 Minutes ago MED DIR- HEALTHCARE COST MGMT Presbyterian Healthcare Services, NM - Albuquerque and resource, utilization, and cost management... of utilization management principles, including case management, retrospective and concurrent review, and... 2 Days 2 Hours 8 Minutes ago RN-Clinical Manager-Full-Time Northside Family Practice Presbyterian Healthcare Services, NM - Albuquerque patient flow and utilization of space, time, supplies, and equipment. Develop policies and procedures to improve patient care and utilization of clinic... 2 Days 2 Hours 7 Minutes ago CRPA 141/09 - SUPERVISORY REALTY SPECIALIST Interior, Bureau of Indian Affairs, NM - Albuquerque Natives.Incumbent is responsible for the technical review, analysis, and editing of conveyance document... influence present utilization of the land. Prepares... 1 Day 8 Hours 23 Minutes ago CASE MANAGER Presbyterian Healthcare Services, NM - Albuquerque in case management, utilization management, quality... specific patients and disease processes. •Applies utilization review criteria to assess and document the... 2 Days 2 Hours 7 Minutes ago Financial Project Manager, PDS Service Lines Presbyterian Healthcare Services, NM - Albuquerque staff in the utilization and maintenance of... the operational functions of the Presbyterian; reviews, approves, and participates in the implementation... 4 Days 8 Hours 6 Minutes ago MD- CRITICAL CARE HOSPITALIST Presbyterian Healthcare Services, NM - Albuquerque for all resource utilization within the assigned... Attend and participate in requested QI, Peer Review and Care Management meetings. •Attend and... 2 Days 2 Hours 6 Minutes ago MD- HOSPITALIST - Part-Time Presbyterian Healthcare Services, NM - Albuquerque Oversees and is accountable for all resource utilization within the assigned facilities. • Ensure both... in requested QI, Peer Review and Care Management... 2 Days 2 Hours 6 Minutes ago PHARMACIST - Inpatient - FT Presbyterian Healthcare Services, NM - Albuquerque and appropriateness. Review of medication profiles... providers regarding optimal and cost effective utilization of drugs. Where appropriate, documents clinical... 2 Days 2 Hours 6 Minutes ago
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