Page 8 - Utilization Management News Today

AI-enabled clinical decision support must be built on a foundation of evidence-based medicine in order to truly be of use.

CareJourney Joins Prominence Health Plan and AaNeel to Launch "Patient360" Companies collaborate on web-based application, delivering insights to providers at the point of care News provided by Share this article Share this article ARLINGTON, Va., May 17, 2021 /PRNewswire/ -- CareJourney, a leading healthcare analytics company, announced a collaboration today with AaNeel and South Texas Clinical Partners Accountable Care Organization (ACO), an organization owned and operated by Prominence Heal...

Utilization Management (UM) Coordinator 지역 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 proce...

Housing and Development Newsletter “One family I worked with was struggling with transportation to medical appointments, and the child member needed an important follow-up appointment after a recent surgery,” Vazquez said about the single-parent family also struggling with homelessness. She quickly connected the family to a social service agency that could help with transportation. “Over the phone I assisted this overwhelmed parent, simultaneously using my computer to fill out her applica...

Enter the legal name of the LIDDA completing the form. 2. LIDDA Component Code 3. LIDDA Mailing Address 80. Managed Care Organization (MCO) or Department of State Health Services (DSHS) Name Enter the name of the MCO chosen by the individual for CFC services or name of DSHS. 81. MCO Component Code Enter the component code associated with the MCO chosen by the individual for CFC services. If DSHS, leave this field blank. 82. Plan Code 4. Individual’s Name (Last/First/Middle) Enter the individu...

Sentara Health Plans Selects Jiva to Enable Rigorous Clinical Management at Maximum Efficiency Major Health Plan Aims to Optimize Resource Allocation, Focus Quality Improvement Efforts, and Improve Customer Experience Using Industry-Leading PHM Solution News provided by Share this article Share this article PLANO, Texas, March 2, 2021 /PRNewswire/ -- Sentara Health Plans has selected ZeOmegas population health management (PHM) platform, Jiva - to help improve clinical-management processes throu...

ABQAURP Announces Recipient of the 2021 CHCQM Diplomate Achievement Award Share Article The American Board of Quality Assurance & Utilization Review Physicians is pleased to announce the selection of Benjamin N. Kartchner, MD, CHCQM-PHYADV as the recipient of the 2021 CHCQM Diplomate Achievement Award. Dr. Kartchner is the ideal candidate for the Award demonstrating collaboration of teams to facilitate communication and efficiently leverage clinical COVID-19 testing data that indicated a marked...

Hitron launches first-of-its-kind low cost DOCSIS signal sensor Hitron launches first-of-its-kind low cost DOCSIS signal sensor Hitron Technologies, the fastest growing DOCSIS customer premise equipment (CPE) manufacturer in North America, today announced the DSS-01 DOCSIS Coax Cable Tester, a low cost diagnostic tool designed to streamline self-installations. While cable service technicians have long carried professional signal meters, the DSS-01 is the industrys first signal tester priced an...

Health Net Federal Services, LLC Earns URAC Accreditations In Health Utilization, Case And Disease Management This designation demonstrates the highest level of commitment to quality health care News provided by Share this article Share this article RANCHO CORDOVA, Calif., Jan. 6, 2021 /PRNewswire/ -- Health Net Federal Services, LLC, a wholly owned subsidiary of Centene Corporation (NYSE: CNC), announced today it has earned URAC accreditations in Health Utilization Management, Case Managemen...

Cade Saurage Joins Ocean Recovery as New COO, Effective November 2020 News provided by Share this article Share this article NEWPORT BEACH, Calif., Dec. 11, 2020 /PRNewswire/ -- Ocean Recovery announces Cade Saurage, 19-year industry veteran, as Chief Operating Officer, beginning November 2020. Mr. Saurage has been serving as the Director of Utilization Management and Strategic Partnerships for Esperanza Health Group / La Hacienda Treatment Center since August of 2012. "I am familiar with the s...