Utilization Review Jobs in Humble
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Search Results - Utilization Review Jobs in Humble
Encompass Health-Humble
ongoing utilization review and acts as a liaison to the payor while assuring that cost effective treatment is provided by the team. The CCM assures that regulations regarding patient's rights are fulfilled.
Job code: 100680
Qualifications
License...
Centene Pharmacy Services-Houston, 32 mi from Humble
plan's pharmacy process
• Assist with the pharmacy utilization review and reporting process
• Collaborate with Quality Improvement department with various meeting preparation and transcription of minutes
• Assist with members' inquiries related...
Memorial Hermann Health System-Humble
coordinate, and evaluate target drug programs, restricted drug programs, medication use-based performance assessment and improvement indicators, drug usage evaluation programs and cost containment programs.
• Develops and implements utilization reviews...
Cleveland Healthcare-Cleveland (TX), 26 mi from Humble
Participates in the Utilization Review Process and issue denial/non-coverage letters accordingly.
21. Organizes family council meetings at required intervals. Serves as liaison between residents, families, and facility.
22. Serves as facility’s Abuse Officer...
Memorial Hermann Health System-Humble
and cost containment programs. Develops and implements utilization reviews targeted for expensive, potentially harmful or improperly used drugs.
• Provides direction and guidance for development and review of clinical pharmacy educational services. Assists...
Houston, 32 mi from Humble
Responsibilities:
MAJOR DUTIES AND RESPONSIBILITIES:
• Reviews medical files and provides recommendations for utilization review, chart reviews, medical necessity, appropriateness of care and return to work, short and long-term disability, Family and Medical...
icims.com -
Cleveland Healthcare-Cleveland (TX), 26 mi from Humble
prepare reports, update data, present information, document as needed, and participate in sub-committees as assigned (example: infection control, psych, safety, pharmacy, utilization review, falls, etc.).
17. Perform administrative duties as assigned...
Vision Achievement-Houston, 32 mi from Humble
multidisciplinary and bedside rounds (may need to attend)
Identifies, designs, and analyzes drug utilization reviews to promote rational drug therapy and determines action plan based on results
Provides accurate and timely medication information to healthcare...
resume-library.com -
Houston, 32 mi from Humble
and URAAC guidelines and state regulations.
Responsibilities:
MAJOR DUTIES AND RESPONSIBILITIES:
• Reviews medical files and provides recommendations for utilization review, chart reviews, medical necessity, appropriateness of care and return to work...
icims.com -
Houston, 32 mi from Humble
and URAAC guidelines and state regulations.
Responsibilities:
MAJOR DUTIES AND RESPONSIBILITIES:
• Reviews medical files and provides recommendations for utilization review, chart reviews, medical necessity, appropriateness of care and return to work...
icims.com -
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