We are looking for a Utilization Review Specialist to join our team! The Utilization Review Specialist bridges... between a Utilization Review Nurse and Pre-Clinical Coordinator providing coverage for both teams. The full UR function can be performed...
About this Job: *** Must have acute care Utilization Review experience to be considered for the position... in-services staff meetings and formal educational settings in areas of utilization management. Demonstrate current knowledge...
each and every day. Job Description: The Utilization Review RN performs activities which support the Utilization Management... optimal management of clinical resources by conducting timely admission and concurrent utilization review for all patients...
As a Valleywise Health Utilization Review RN Coordinator, you are part of a multidisciplinary team providing...-based practice, regulatory compliance, reimbursement sources, and the health care delivery system. The RN Utilization Review...
Job Category: Health Information Management Job Description: RN Utilization Review at Irvine, CA. This position... knowledge and skills in Utilization Management, medical necessity, and patient status determination. The Utilization Management...
Job Category: Revenue Cycle Management Degree Level: High School Diploma/GED Job Description: Utilization Review... care to others. As a Utilization Review Clerk joining our team, you're embracing a vital mission dedicated to making...
Nature and Scope: This multifaceted role will focus on discharge planning, utilization review, and swing bed... on call schedule Qualifications: Experience: A Minimum of three (3) years' experience in case management and utilization...
in Financial Services & Insurance RN Utilization Review PRIMARY PURPOSE: To utilize evidence based tools to evaluate the.../utilization management. Skills & Knowledge Knowledge of pharmaceuticals used to treat pain Knowledge of behavioral health...
experience a plus. Managed care payor experience a plus either in Utilization Review, Case Management or Appeals. Interaction... Utilization Review/Appeals RN is responsible to facilitate effective resource coordination to help patients achieve optimal health...
experience a plus. Managed care payor experience a plus either in Utilization Review, Case Management or Appeals. Interaction... Utilization Review/Appeals RN is responsible to facilitate effective resource coordination to help patients achieve optimal health...
as a leader of positive change. The Utilization Management Coordinator utilizes clinical knowledge and understanding... of behavioral health resource management to review and coordinate the care for a designated patient caseload. Collaborates with the...
team, Director of Utilization Management, and the Medical Director. Review charts at identified review points and attend... as a leader of positive change. The Utilization Management Coordinator utilizes clinical knowledge and understanding...
)** We are seeking Virtual Utilization Review Specialists to join our team. The schedules we are offering include: Weekday work... Communicates all medical necessity review outcomes to in-house care management staff and relevant parties as needed Collaborates...
is looking for a Utilization Review Coordinator to coordinate patients’ services across the continuum of care by promoting effective utilization...'s degree preferred. Experience: Minimum of 2 years of utilization review experience in a hospital setting required. Minimum...
of Indianapolis and Medical Behavioral Hospital of Indianapolis are looking for a PRN Utilization Review Coordinator to coordinate..., Nursing or Psychology required. Master's degree preferred. Experience: Minimum of 2 years of utilization review experience...
with healthcare regulations. Key Responsibilities Leadership and Management - Directs the Utilization Review Staff and functions... year and we are only getting started We are in search of multiple Utilization Review Directors across the nation...
Utilization Review Specialist is responsible for managing and coordinating the utilization review process for inpatient.... This position requires a minimum of three years of utilization review experience within a behavioral health hospital setting...
with consortium wide team supporting inpatient Care Coordination and Utilization Management Coordinate local CAH Swing Bed.... Ensure ongoing documentation supports Utilization Management functions and communicate with payors appropriately. Provide...
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...
each and every day. Job Description: The Utilization Review RN performs activities which support the Utilization Management... optimal management of clinical resources by conducting timely admission and concurrent utilization review for all patients...