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...
, 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 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...
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...
The Senior Medical Director (Senior MD) serves as the clinical and strategic leader for Integra’s Utilization... as operational needs require. The Senior MD provides clinical oversight to the Utilization Review Medical Director(s), ensures...
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...
Director of Utilization Review is a key member of the Lighthouse Case Management Team who will integrate and coordinate... with government regulation, licensing and accreditation requirements. The Director of Utilization Review is responsible for the...
Director of Utilization Review is a key member of the Lighthouse Case Management Team who will integrate and coordinate... with government regulation, licensing and accreditation requirements. The Director of Utilization Review is responsible for the...
Clinician responsible for utilization management services within the scope of licensure. Conducts primary functions of prior... years of acute care clinical experience. Previous Utilization Review and Case Management experience a plus. Commercial...
each and every day. Job Description: The Utilization Review RN performs activities which support the Utilization Management... functions. They are responsible for the delivery of the Utilization Management process including but not limited to: making...