Utilization Management (UM) Coordinator
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Position Summary
This position works collaboratively with the Case Managers, Claims Department, Credentialing and Contracting Department, and other Medical Management staff. The position requires strong written and communication skills and the ability to interact with Medical Directors, Providers, IPAs, Health Plans, and patients to ensure the delivery of high quality, cost effective healthcare.
Duties and Responsibilities
• Enters data and processes referral authorization requests, to include appropriate coding and quantities
• Answers incoming calls from Providers, IPAs, Medical Groups and other internal and external calls and assists on the queues as needed
• Follow up pending referrals to ensure that they are processed in a timely manner
Mark Christensen, MD, Director of Emergency Medicine at Highlands Medical Center in Scottsboro and Cullman Regional Medical Center in Cullman was recently selected as one of five 2020 Facility Medical Directors of the Year by Alteon Health, the industry-leading national medical group that manages these emergency medicine programs.
The award honors Medical Directors from across Alteonâs more than 125 clinical sites who exhibited exemplary leadership and professionalism in 2020, mentoring their physicians and advanced practice providers while improving department performance amid the challenges of COVID-19. In her nomination of Dr. Christensen, Destiny Harvey, Regional Vice President of Operations for Alteon, celebrated the strong collaboration Christensen has fostered between the emergency medicine providers, the nursing staffs, and other hospital departments at both facilities since becoming medical director in 2019.
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CRANBURY, N.J., May 4, 2021 /PRNewswire/ The Association for Value-Based Cancer Care (AVBCC) is honored to announce that
Scott Gottlieb, MD, and
Seema Verma, MPH, will be presenting together for a first-time keynote experience at the 11th Association for Value-Based Cancer Care Summit & Educational Program, taking place in New York, NY, on October 13-15, 2021.
Dr. Gottlieb and Former Administrator Verma both have deep experience and insights in healthcare, driven significant change, and have left footprints in the industry. This keynote address will make the AVBCC Summit a can t-miss event.
To learn more about the Summit, please visit: valuebasedcancer.com/avbcc/2021-summit.
By: Virginia Hospital Center
April 28, 2021
Virginia Hospital Center Chair of Emergency Medicine Selected as Medical Director of the Year by Alteon Health
Virginia Hospital Center (VHC), a community-based hospital providing medical services to the Washington, DC metropolitan area for 75 years, is pleased to announce Michael Silverman, MD, FACEP, chair of emergency medicine, was recently selected as one of five 2020 Facility Medical Directors of the Year by Alteon Health, the industry-leading national medical group that has managed VHC’s emergency medicine program since 2001.
The award honors medical directors from across Alteon’s more than 125 clinical sites who exhibited exemplary leadership and professionalism in 2020, mentoring their physicians and advanced practice providers while improving department performance. Throughout 2020, Dr. Silverman played a critical role in VHC’s COVID-19 Task Force, led the physical adaptation of the Emergency Department to safely meet pat
DaVita Solidifies Commitment to ESG, Sets 2025 Goals
Company unifies its holistic support for patients, teammates and communities under ESG
News provided by
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DENVER, April 27, 2021 /PRNewswire/ DaVita Inc. today announced its 2025 Environmental, Social and Governance (ESG) goals and released its new ESG reports, bolstering its commitment to corporate citizenship and helping create healthy communities. DaVita s ESG program builds upon existing efforts to transform care, fight climate change and create a diverse community where everyone feels they belong. A person s health is the result of a lifetime of experiences and the world around them, said Javier Rodriguez, CEO for DaVita Inc. We re working to address the full spectrum of factors that drive the health of our patients and affect their quality of life. By setting ambitious ESG goals for 2025, we re deepening our commitment to helping to improve the health and well-being of the peopl