admissions, case management, discharge planning, and utilization review. Review admissions and service requests within assigned... planning needs with healthcare team members. May prepare statistical analysis and utilization review reports as necessary...
Heart Association BLS Minimum of 2 years of nursing experience MUST HAVE UTILIZATION REVIEW EXPERIENCE Preferred Bachelor...
Heart Association BLS Minimum of 2 years of nursing experience MUST HAVE UTILIZATION REVIEW EXPERIENCE Preferred Bachelor...
and determination. Gathers clinical information to conduct continued stay utilization review activities with payers on a daily basis... preferred. Experience: Three years of clinical nursing or two years quality management, utilization review or discharge...
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...
and determination. Gathers clinical information to conduct continued stay utilization review activities with payers on a daily basis... preferred. Experience: Three years of clinical nursing or two years quality management, utilization review or discharge...
’s. Job Description Participates as a team leader to proactively support efforts that ensure effective and efficient utilization review services... or insurance related utilization review Preferred Qualifications Bachelor of Science in Nursing Previous experience...
in nursing or LPN certification preferred or related field 3+ years of experience in utilization review in emergency or acute... processes and triage for other potential issues related to physician advisor case review or hospitalist teams). Triage case...
outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical... Work for Licensed Clinical Social Worker. However, RN Case Manager preferred. 3. Five years acute care nursing experience...
effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the... Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred. 3. Five years acute care nursing...
GENERAL SUMMARY: Under minimal supervision, reviews and screens the appropriateness of services, the utilization...) years Case Management/ Appeal/Utilization Management experience in lieu of bachelor's degree. CERTIFICATIONS/LICENSURES...
+ Year of Utilization Review Management and/or Medical Management experience. Commitment to attend a mandatory 3-week... a difference in the lives of patients facing complex medical journeys. As a Utilization Management (UM) Nurse Consultant...
settings and utilization management / review. Additional Details: • Department: PHCO BH UM supporting IL Meridian Medicaid... abuse utilization review process preferred. Experience working with providers and healthcare teams to review care services...
(or Compact state) 3+ years' experience as an acute care RN 1+ years' experience in Managed Care/Utilization Review... As a Utilization Review Registered Nurse for Johns Hopkins Health Plans, you have the opportunity to use your clinical, managed care...
will proactively monitor utilization of services for patients to optimize reimbursement for the facility. Responsibilities... information to report on utilization, non-certified days (including identified causes and appeal information), discharges...
in: Must have an active GA Behavioral Health Licensure: LCSW, LMHC, LPC, LMFT, LMHP, or RN Strong Behavioral Health Utilization Review.... We are seeking a Utilization Review Clinician - Behavioral Health to join our team! The ideal candidate will bring expertise...
Therapist or RN) The Utilization Review / Utilization Management Coordinator works closely with the other staff of Utilization...Job Description: Responsibilities Utilization Review (UR) / Utilization Management (UM) Coordinator (Licensed...
Job Description: Responsibilities Utilization Review Case Coordinator Opportunity: Full Time, Day Shift... objectives regarding the provision of utilization management for continued stay reviews. Actively participates in treatment team...
Role Overview The Utilization Management Review Supervisor manages a remote team of clinical reviewers. In this role...: Provide daily oversight, support, and direction to a remote team of Utilization Management Reviewers Clinical and technical...
Therapist or RN) The Utilization Review / Utilization Management Coordinator works closely with the other staff of Utilization...Job Description: Responsibilities Utilization Review (UR) / Utilization Management (UM) Coordinator (Licensed...