of care opportunities related to Utilization Management. Works with VP/ Medical Director to set agenda related... and Senior Medical Director of Clinical Management at internal and external senior level meetings. Budget creation...
Overview: Under direction from the Director of Utilization Management, manages and provides direction to the Health.... Participates in annual delegation audits for UM, prepares report for presentation to Director of Utilization Management...
RN Executive Director of Utilization Management and CDI Gainesville, GA As the Executive Director of Utilization... license required Bachelor's Degree in Nursing required Director of Utilization Management and CDI experience combined...
Responsibilities We are seeking a strategic and compassionate Director of Case Management to lead our dynamic Case... of utilization management, discharge planning, and care coordination to ensure patients receive timely, appropriate, and efficient...
strategic and operational leadership. This leadership is for SFHP's Utilization Management (UM) program, ensuring members... Medical Directors. The Director partners across Health Services, Quality, Compliance, Claims, Provider Network Operations...
Director of Utilization Management provides strategic leadership, oversight and operational management for all utilization..., and manages resource utilization across the acute care continuum. The Director collaborates with medical staff, nursing, revenue...
The Utilization Review Medical Director is responsible for conducting clinical reviews of Durable Medical Equipment...-based decision making. The Utilization Review Medical Director’s responsibilities include but are not limited to: Conduct...
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...
POSITION SUMMARY: The Nurse Manager for Utilization Review and Clinical Appeal Management is responsible... for overseeing the daily operations of the Utilization Management (UM) and Clinical Appeal teams. This role ensures compliance...
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...
, and community! Pampa Regional Medical Center, a member of Prime Healthcare, offers incredible opportunities to expand your horizons... Medical Center is a 25-bed critical-access hospital serving our communities with a full range of surgical and medical services...
Job Category: Health Information Management Job Description: Senior Utilization Management Assistant at Irvine..., CA. This position is Per Diem and will work 8-hour, Day shifts. Under the supervision of Regional Director of Care Management, the...
Role Overview Under the supervision of the Director of Utilization Management Administrative Operations and Audit..., this position is responsible for providing daily oversight of the Utilization Management Correspondence team. In this role...
or three (3) years utilization/case management or 3rd party payer work experience. Ability to adjust priorities quickly... Florida license with three (3) years critical care nursing experience, five (5) years medical-surgical nursing experience...
as needed with the utilization management physician advisors and/or medical directors on problematic cases and documents his decisions...Job Category: Revenue_Cycle Job Description: Under broad direction from the Centralized Utilization Management...
Job Category: Health Information Management Job Description: Under the supervision of Regional Director of Care... Management, the Utilization Management Coordinator is responsible for providing support to the Care Management team who...
determines are necessary or desirable to meet its business needs Assist and support the Director and Utilization Management... and the Bassett Healthcare Network Collaborate with peers in Medical Management, Case Management, RCM, Compliance...
within the Utilization Management (UM) department, including staffing, assignment management, and serving as the first line... of Utilization Management, typically gained through a bachelor’s degree in Nursing, Healthcare Administration, or a related field...
determines are necessary or desirable to meet its business needs Assist and support the Director and Utilization Management... and the Bassett Healthcare Network Collaborate with peers in Medical Management, Case Management, RCM, Compliance...
, RN is responsible for providing clinically efficient and effective Inpatient utilization management. Reviews inpatient... guidelines for medical appropriateness of procedure, service or treatment for review with the Medical Director for a decision...