Required: At least 5 years of varied RN clinical experience in an acute hospital setting. At least 2 years of Utilization Management/Case...) requirements for Utilization Management or Care Management (CM). Knowledge of Department of Health Care Services (DHCS...
established guidelines for Utilization Review, the Utilization Management Coordinator collaborates with members of the hospital... Reports to the Director of Care Management. Qualifications Education:Graduation from an accredited nursing education...
We are recruiting for a Utilization Management Coordinator (UMC) to join an established healthcare organization... School Diploma or GED is required. AA degree in related field is preferred. 2+ years utilization management coordination...
of two (2) years of prior experience in Utilization Management. Must possess a current, active, full, and unrestricted... precertification requests for medical necessity, referring to the Medical Director those that require additional expertise. Review...
outcomes, and promote health equity. Position Responsibilities: Specific Design utilization management programs... and outpatient utilization management programs to ensure cost-effective use of patient care resources case delivery at the...
-service operations under the direction of the Director of Utilization Management. This role provides leadership... but saving them. Together. The Manager, Utilization Management (UM) Coordination, oversees non-clinical inpatient and pre...
-clinical tasks related to processing Utilization Management prior authorization sand appeals. JOB RESPONSIBILITIES Monitor...The UM Coordinator assists and supports the clinical team (UM Nurses/Medical Director) with administrative and non...
$5,000.00 SIGN ON BONUS Role Overview Our Utilization Management Reviewers evaluate medical necessity for inpatient..., ensuring they meet the patient’s needs in the least restrictive and most effective manner. The Utilization Management Reviewer...
, OR three (3) years of utilization/case management or third-party payer work experience. Skills and Abilities: Ability... and days may vary depending on departmental needs as determined by the department director/manager. Motor Vehicle Operator...
, OR three (3) years of utilization/case management or third-party payer work experience. Skills & Abilities: Ability...: Scheduled work hours and days may vary depending on departmental needs as determined by the department director/manager. Motor...
details of reimbursement issues; also participates in the Patient Care Committee for patient care reviews, and in Utilization Review Staff... Improvement/Quality Director, to appropriate clinicians and to the UM Manager. Reviews eligibility and benefits of patients...
Emergency Department. Informs Director, QI/UM of any quality issues. Attends hospitalists rounds, as required, to discuss high... risk patients requiring case management follow up. Attends clinical in-services or required operational/clinical training...
services and more. For more information visit . Responsibilities: In collaboration with the manager/director of Performance...
Overview: Director of Utilization Review (RN) – Midland/Odessa, Texas Signet Health is seeking an experienced... Director of Utilization Review (RN) for a BRAND NEW hospital – Permian Basin Behavioral Health Center, located between Midland...
today. Today, we are seeking a Utilization Review Director in the San Diego CA area FT Role and pay is set at around $115,000 with bonus... with healthcare regulations. Key Responsibilities Leadership and Management - Directs the Utilization Review Staff and functions...
of care support. How you make a difference The Medical Director of Utilization Management leads and oversees utilization... utilization of medical services. The Medical Director of Utilization Management serves as a key liaison with external partners...
of care support. How you make a difference The Medical Director of Utilization Management leads and oversees utilization... utilization of medical services. The Medical Director of Utilization Management serves as a key liaison with external partners...
today. Today, we are seeking a Utilization Review Director in the Des Moines IA area FT Role and pay is set at around $105,000 with bonus... with healthcare regulations. Key Responsibilities Leadership and Management - Directs the Utilization Review Staff and functions...
today. Today, we are seeking a Utilization Review Director in the Norman OK area FT Role and pay is set at around $105,000 with bonus... with healthcare regulations. Key Responsibilities Leadership and Management - Directs the Utilization Review Staff and functions...
The Utilization Review Medical Director is responsible for conducting clinical reviews of Durable Medical Equipment... (DME) and related requests to support Integra’s Utilization Management (UM) operations. This full-time, salaried role...