including patient grievances, sanitation, infection control, utilization management, pharmacy and therapeutics, and assists... to emergency room, and utilization review process for specialty consultant referrals Supervise care given by other processional...
Specialist, and Utilization Management. The role involves providing support and consultation for utilization management (medical... management and leading ongoing improvement initiatives in collaboration with the Director of Operations, Quality Improvement...
and Revenue Advisory Services, Health Information Management, Information Services and Technology, Case/Utilization Management..., Quality, Pharmacy, Radiology, etc. Provides input to CCBEG management and operational leaders to assist in the creation...
medical group with primary, specialty and urgent care services, a cancer care network, outpatient surgery centers, clinical... as a liaison to the facility-based leaders, including Utilization Review Manager, facility-based Clinical Documentation Improvement...
medical group with primary, specialty and urgent care services, a cancer care network, outpatient surgery centers, clinical... in the state of Arizona Additional formal training in quality improvement, patient safety, risk management, or medical...
, utilization management criteria, prior authorization processes and appeal requirements. Updates customers on policy changes... J-codes, specialty pharmacy and buy & bill acquisition, and benefit verifications, prior authorizations, claims...
needs of their accounts. The KAM will be responsible for a list of accounts and target healthcare providers, pharmacy... including on and off-site clinics, infusion centers, in-patient pharmacies, owned specialty pharmacies etc. Target list can...
needs of their accounts. The KAM will be responsible for a list of accounts and target healthcare providers, pharmacy... including on and off-site clinics, infusion centers, in-patient pharmacies, owned specialty pharmacies etc. Target list can...
and nursing facility utilizations Ensure appropriate outpatient specialty utilization Ensure proper transitions of care... participants back to PCP Work with the pharmacy to utilize 340b pricing whenever possible Complex Case Management (CCM...
inpatient and nursing facility utilization Ensure appropriate outpatient specialty utilization Ensure proper transitions... of stable participants back to PCP Work with the pharmacy to utilize 340b pricing whenever possible Complex Case Management...
, utilization management criteria, prior authorization processes and appeal requirements. Updates customers on policy changes... J-codes, specialty pharmacy and buy & bill acquisition, and benefit verifications, prior authorizations, claims...
: Utilization Management, Claims, Pharmacy Operations, Compliance, FDR oversight activities, Quality Management, Care Management... Management; Reviews documentation and coding to ensure compliance with all Federal and State guidelines. Reports on the accuracy...
at the national level. SUMMARY: The Clinical Pharmacist Specialist reports to Director Pharmacy Services, and indirectly... to a Senior Clinical Pharmacist Specialist. Coordinates pharmacy clinical programs including but not limited to pharmacoeconomics...
, and presentation at the national level. SUMMARY: The Clinical Pharmacist Specialist reports to Director Pharmacy Services..., and indirectly to a Senior Clinical Pharmacist Specialist. Coordinates pharmacy clinical programs including but not limited...
: The Clinical Pharmacist Specialist reports to Director Pharmacy Services, and indirectly to a Senior Clinical Pharmacist... Specialist. Coordinates pharmacy clinical programs including but not limited to pharmacoeconomics, pharmacotherapeutics...