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To provide comprehensive utilization management and coordination of care for members who are confined to skilled nursing facilities (SNF) in collaboration with designated SNF physician or Sharp Community Medical Group primary care physician, as appropriate to ensure cost effective quality service throughout the continuum of care.
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Assist Building Manager with building operations, maintenance, repair, alteration, historic preservation, recycling, concessions, safety, environmental and security functions; in the monitoring of efficient occupant space utilization, energy and water conservation, sustainability and environmental hazards programs, and fire and security protection; and in the management of grounds and exteriors.
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Demonstrated experience managing all aspects of the project from proposal through execution to close, to include financial and contract management (i.e., developing proposals/cost estimates, managing clients, projects, and project teams; coordinating resources and managing subcontractors; etc.
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Directs and manages the wastewater treatment operations and the energy utilization processes on a rotating shift at the Jones Island to ensure safe continuity of operations, the execution of proper technical procedures and management policies that result in cost-effective VW contract compliance and compliance with all applicable permits and regulations.
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Possessing working experience with Population Health Management technologies and approaches (e.g., high-risk user stratification tools, cost/quality/utilization trend analysis, provider performance tools.
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Total Gas & Chemical Management (TGCM) Operations group provides our semiconductor manufacturing customers with on site safe, reliable, and cost-effective management of the gases and chemicals needed on a daily basis in the production of electronics materials.
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Supports the VP of CM with completion of financial analyses including cost of care to reimbursement, denials management, and non-reimbursed services, promoting effective resource utilization, clinical documentation/queries quality care and patient safety; oversees the Inpatient recovery process; works closely with Revenue Cycle and AHS Physician Advisors; regularly communicates with payors and/or their contracted vendors.
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Assists in promoting cost-effective utilization of services through anticipatory coordination of population health management; assistance with population health management programs, projects, and health education services, including literature reviews, program/project development and coordination, intervention implementation, health education and promotion, and evaluation.
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With TPMG partner and other Directors, directs development and implementation of quality and utilization standards across the continuum of care to ensure coordinated plans of treatment, patient focused delivery of services and cost effective utilization of necessary services.
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Practices basic cost containment and utilization management for patient care and facility operations. From the development of state-of-the-art facilities and the provision of management services and evidence-based rehabilitation to the post-release reintegration and supervision of individuals in the community, GEO offers fully diversified, cost-effective services that deliver enhanced quality and improved outcomes.
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Experience with Managed Care, Utilization Management, Prior Auth, and Benefits Management decision support in the Non-MSK, Non-Vascular Surgical Domains. This high-performing individual contributor will be responsible for serving as a National Solution Medical Director of the Surgical Solution (Non-MSK / Non-Vascular), leading the strategic implementation of improving the health of the people we serve, influencing product strategy and design and medical management approaches that impact healthcare quality, cost, and outcomes, and improving access to and usefulness of health improvement tools offered to our health plan customers and members.
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Responsibilities include but are not limited to: overseeing the allocation of resources, cost and quality of health care for members; coordinating care between the primary care physician, community resources, family and member; coordinating care across the health care continuum while monitoring and managing benefit utilization; and, collaborating with multi-disciplinary health care team members in identifying the behavioral health and educational needs of members.
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Demonstrated experience in meeting regulatory and accreditation standards, and all aspects of patient care including quality assurance, utilization review, risk management, cost containment, total quality management, and information systems management.
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Providing leadership in the achievement of improved performance in the areas of safety, environmental compliance, customer satisfaction, organizational effectiveness, cost management and asset utilization in the logistics area.
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Equipment and Resource Management: Oversee the maintenance, repair, and utilization of piping equipment and resources. Prepare reports on piping performance, resource utilization, and any other relevant metrics as required by management.
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