and safety. Thank you for considering our Utilization Review Manager position as we continue our successful opening...! More information about Southridge can be found online at: Position Description: The Utilization Manager is responsible...
management and/or utilization review experience Associate degree required; bachelor's Degree preferred. Strong problem-solving... Utilization Manager is responsible for the day-to-day functions of collaborative communication with external case managers...
interdisciplinary approach to providing continuity of care, including Utilization management, Transfer coordination, Discharge planning... for utilization/quality management activities based on guidelines/standards for patients in a variety of settings, including...
PURPOSE STATEMENT: Monitor utilization of services and optimize reimbursement for the facility while maximizing use... companies for inpatient treatment and continue to obtain authorizations for duration of patient stay. Evaluate the utilization...
for additional review as determined by department standards. Additionally, the RN Utilization Management Nurse is responsible...RN Utilization Management Nurse – Frontline Opportunity Greater Orlando, Florida The RN Utilization Management Nurse...
the Centralized Utilization Review department and collaborates with staff across the Southern California Region. Duties... to submit required documents. Retrieves and delivers messages from Utilization Review Dept phone review line at least 4 times...
the Centralized Utilization Review department and collaborates with staff across the Southern California Region. Duties... to submit required documents. Retrieves and delivers messages from Utilization Review Dept phone review line at least 4 times...
in performance improvement, utilization review, or case management. CERTIFICATIONS, LICENSES OR REGISTRATION REQUIRED: Valid RN... license. CPUM (certified professional in utilization management), ACM (accredited case manager), or CCM (certified case...
Duties and Responsibilities: Performs inpatient utilization management activities as determined by the utilization... clinical experience preferred. Previous utilization management experience preferred. Knowledge of Medicare/Medicaid...
Job Category: Associate Job Description: Wealth Management Across Wealth Management, Goldman Sachs helps empower... clients and customers around the world to reach their financial goals. Our advisor-led wealth management businesses provide...
Counselor Review Associate Genetic Testing Utilization Review Carelon Medical Benefits Management Virtual: This role... for utilization management, out of network and appropriateness of treatment. Maintains confidentiality of patient and provider...
, strategy, and execution for Utilization Management (UM) and Pharmacy across all lines of business, ensuring alignment... through medical review and prior authorization, behavioral health management, clinical intake, and inpatient and outpatient...
through utilization review, clinical records audit, claim denials, member satisfaction surveys, and auditing surveys; ensuring... review efforts by: conducting utilization and performance reviews utilizing multidisciplinary criteria and guidelines...
progress of all open cases to the Medical Director, Director of Healthcare Services and Manager of Utilization Management. 16..., teach and collaborate with others. Excellent critical thinking skills related to nursing utilization review Knowledge...
Knowledge of workers' compensation claims process Prospective, concurrent and retrospective utilization review PAY RANGE...Description : The Professional Review Specialist analyzes medical services and billing across various claim types...
. Current or previous case management or utilization review leadership experience. For MSW Manager: Required Education... caring for children with medical complexity. Current or previous hospital case management or utilization review experience...
from Remote, United States Overview: GitHub is seeking a Senior Manager of Customer Success Management to lead a team... by applying knowledge of change management principles. They will establish standard processes for the team to offer feedback...
-while staying connected and building community through regular in-person events. Overview We are hiring a Yield Manager II... to join our Yield Management & Strategy team and support the ad sales organization in pricing out new ad products and capabilities...
you can work from Remote, United States Overview GitHub is seeking a Senior Manager of Customer Success Management to lead... initiatives by applying knowledge of change management principles. They will establish standard processes for the team...
Coordination management/operations experience. STRONG BACKGROUND IN CASE MANAGEMENT AND UTILIZATION REVIEW... Department Manager (Acute INPT Case Management) Position Type: Contract Location: Greenbrae, CA 94904 Duration: 13 weeks...