more at HonorHealth.com. Responsibilities: Job Summary The Utilization Review RN Specialist reviews and monitors utilization of health... comprehensive review for medical necessity of extended stay, outpatient observation, and inpatient stays and the utilization...
of communities across Arizona. Learn more at HonorHealth.com. Responsibilities Job Summary The Utilization Review RN Specialist... reviews and monitors utilization of health care services with the goal of maintaining high quality cost-effective care...
require a current, unrestricted nursing license (i.e. RN) in the applicable state, as indicated in the function.... Licensure includes RN, depending on grade level, with current unrestricted licensure in applicable state. General Job Profile...
, and Internet) Saturday availability Preferred Qualifications: 3+ years of experience as an RN in utilization management... is assigned to the appropriate team for review (e.g., Medicare, Medicaid, Commercial) -Validate that cases/requests for services...
in utilization review Disqualifiers: not independently licensed in AZ, not living in AZ Additional qualities to look... for: expertise reviewing BH medical charts, treatment plans, any experience in BH utilization review. Candidate Requirements...
Job Title: Utilization Review Clinician / Clinical Review Nurse Prior Authorization Openings: 1 Location: Remote... Overview A-Line Staffing is seeking a Utilization Review Clinician / Clinical Review Nurse to support the Behavioral Health...
needs to obtain their own laptop SOAZ – Posting ID # 5297 - Medical Review Nurse (Local Only/Mostly Remote/Onsite... program Good written and communication skills Computer skills Utilization Review skills Medical Claims Review...
/ Mental Health Care Advocate you will be responsible for case management and utilization review of behavioral health... be interested in. Required Qualifications: Licensed master's degree in psychology, Social Work, Counseling, or an RN with 2...
/ Mental Health Care Advocate you will be responsible for case management and utilization review of behavioral health... be interested in. Required Qualifications: Licensed master's degree in psychology, Social Work, Counseling, or an RN with 2...
Manager, Prior Authorization RN - Hybrid remote type: Hybrid - People Leader locations: AZ Blue Phoenix, AZ 85021..., that offers flexibility with how and where employees work. Our positions are classified as hybrid, onsite or remote. While the majority...
of processes related to the concurrent review of the clinical documentation in the inpatient medical record of Optum 360 clients.... Increase in identification of cases with CDI opportunities, with automated review of 100% of records Improved tracking...
of processes related to the concurrent review of the clinical documentation in the inpatient medical record of Optum 360 clients.... Increase in identification of cases with CDI opportunities, with automated review of 100% of records Improved tracking...