Job Title: Behavioral Health Utilization Review Nurse Job Description The Utilization Management Nurse (UMN) plays... supervision of the Director and/or Manager/Supervisor of Medical Management, and in collaboration with the interdisciplinary team...
the highest quality of patient care? We are seeking a dedicated Utilization Review Manager to join our team! As the... Utilization Review Manager, you will play a critical role in establishing and maintain efficient methods of ensuring the medical...
for all patients. Role Description Utilization Review Specialist (URS) reports to the Utilization Review Manager and serves as the...Company: Skyway Behavioral Health Title: Utilization Review Specialist (URS) FLSA Status: Exempt Location: Remote...
Position Summary: Under the direct supervision of the HIM manager, the UR specialist monitors the utilization... of resources, risk management and quality of care for patients in accordance to established guidelines and criteria for designated...
of Indianapolis is looking for a Utilization Review Coordinator to coordinate patients’ services across the continuum of care... by promoting effective utilization, monitoring health resources and elaborating with multidisciplinary teams. Benefits of joining...
position or related role Mastery of utilization management and level of care guidelines Demonstrated leadership skills... Career Areas Growth and Expansion Lead ED Quality Utilization Specialist, Full-time, Days ($4,000 sign-on bonus...
. Minimum 3 years RN Utilization Manager working for a Health Plan. At least 3 years of experience in utilization review...Responsibilities Responsible for the quality and resource management of all authorizations and referrals with the...
is looking for a Utilization Review Coordinator to coordinate patients’ services across the continuum of care by promoting effective utilization... VP of Care Management and Team. Provides education to nursing staff. ;eadership team, and providers regarding...
is looking for a Utilization Review Nurse (RN) to coordinate patients’ services across the continuum of care by promoting effective utilization..., monitoring health resources and elaborating with multidisciplinary teams. This will provide service to our utilization review...
management review. Assist Utilization and Appeals Manager in setting up communications with payors and/ or physicians... and Appeals Coordinator will perform activities to help facilitate utilization management and appeals functions to include...
is looking for a Utilization Review Nurse (RN) to coordinate patients’ services across the continuum of care by promoting effective utilization..., monitoring health resources and elaborating with multidisciplinary teams. This will provide service to our utilization review...
is looking for a PRN Utilization Review Coordinator to coordinate patients’ services across the continuum of care by promoting effective... utilization, monitoring health resources and elaborating with multidisciplinary teams. Benefits of joining NPH Competitive pay...
Job Description: Description US:NV:Carson City Case Management Part Time Day Shift About Carson Tahoe Health... through effective resource coordination to help patients achieve optimal health, access to care and appropriate utilization...
Job Description JOB TITLE Utilization Review Nurse REPORTS TO Utilization Review, Manager STATUS FT, Exempt WAGE RANGE... Grade 20 (2024) DEPARTMENT Utilization Management WORK LOCATION Remote (occasional travel as required) POSITION PURPOSE...
experience in the hospital setting Experience with utilization management within the last 3 years required An understanding... potential for reimbursement. Collaborates with the multidisciplinary team to assess and improve the denial management...
Reports to the Manager/Utilization Review and Case Management. Is responsible for assessing, planning, coordinating... activities. Project Management Leads or participates in strategic initiatives in the revenue cycle where utilization review...
, identifies and reports on specific cases, and provides information regarding utilization management requirements and operational...We are recruiting for a motivated RN Registered Nurse, Utilization Coordinator Denver Health Medical Plan - Remote...
Behavioral Health Utilization Management Clinician, Senior, will report to the Manager of Behavioral Health Utilization... Management team performs prospective & concurrent utilization reviews and first level determinations for members using BSC...
partnership with patients to enhance and personalize management of health-related needs. The Care Manager assesses needs, plans...Department: 11200 Atrium Health Pineville - Case Management Status: Part time Benefits Eligible: No Hours...
, and its talent-first flexible/remote work approach, see below and visit . About the Role: The Manager, Workforce... Management (CX Operations) will lead the strategy and execution of workforce planning, forecasting, and scheduling...