Role Overview The Utilization Management Review Supervisor manages a remote team of Utilization Management Reviewers...) Responsibilities Team supervision: Provide daily oversight, support, and direction to a remote team of Utilization Management...
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...
Nature and Scope: This multifaceted role will focus on discharge planning, utilization review, and swing bed... of patients from the acute care setting to appropriate post-acute care options, while also managing utilization and assisting...
Description : What to expect The Utilization Review Clinical Specialist provides timely, comprehensive utilization... reviews for behavioral health services for Sheppard Pratt patients. Collaborating closely with the Utilization Review team...
as a "Great Place to Work" since 2015. Position Summary The Utilization Review Nurse is responsible for ensuring the receipt... for retrospective authorization requests as well as claims disputes. The Utilization Review Nurse will use appropriate governmental...
Job Title: Utilization Review RN - Critical Care Location: Buckhead, GA (on-site position) Schedule: Monday–Friday... Review Registered Nurse (RN) to join our team. In this role, you will ensure appropriate care by conducting precertification...
Overview: PURPOSE STATEMENT: Proactively monitor utilization of services for patients to optimize reimbursement.... Gather and develop statistical and narrative information to report on utilization, non-certified days (including identified...
RN- Utilization Review Nurse Inpatient *Full Time - 100% Remote Opportunity* Must reside within the New York Tri... is looking for a self-motivated and passionate RN as Utilization Review Nurse for a Full-Time position. This is an exciting and dynamic...
to secure timely payment for patient charges. 3. Participates in the utilization review and/or quality assurance programs. 4... and rehabilitation. 5. Implements utilization review policies and procedures. 6. Reviews to determine appropriateness and medical...
RN- Utilization Review Nurse Inpatient *Full Time - 100% Remote Opportunity* Must reside within the New York Tri... is looking for a self-motivated and passionate RN as Utilization Review Nurse for a Full-Time position. This is an exciting and dynamic...
balance, continuous learning, and career development. Summary We are seeking a skilled Utilization Review Nurse to conduct... documentation, accurately documenting findings, and ensuring policy compliance. Your role in our mission Review admissions...
care for hospitalized patients 2 years of Utilization Review (UR) experience reviewing hospital admissions for medical...-time orientation for 2 full weeks, Monday - Friday from 8am-4:30pm. Requirements: 2 years of RN experience performing...
abuse utilization review process preferred. Experience working with providers and healthcare teams to review care services... perspective on workplace flexibility. Position Purpose: Performs a clinical review and assesses care related to mental health...
balance, continuous learning, and career development. Summary We are seeking a skilled Utilization Review Nurse to conduct... documentation, accurately documenting findings, and ensuring policy compliance. Your role in our mission Review admissions...
management team to validate the medical necessity of the hospital care. Using the concepts of utilization review, clinical... care. Using the concepts of utilization review, clinical documentation improvement and revenue integrity, these...
team, Director of Utilization Management, and the Medical Director. Review charts at identified review points and attend... and discharge planners regarding transition to alternative levels of care. Perform concurrent utilization review applying...
, review agencies and healthcare team, Identify delays in treatment or inappropriate utilization and serves as a resource... to tolerate high volume production standards. Minimum Required Experience: 3 Years of Utilization Review experience...
)** We are seeking Virtual Utilization Review Specialists to join our team. The schedules we are offering include: Weekday work... and medical staff regarding utilization review program. Maintains a calm, rational, professional demeanor when dealing...
Overview: Director of Utilization Review (RN) – Midland/Odessa, Texas Signet Health is seeking an experienced... Director of Utilization Review (RN) for a BRAND NEW hospital – Permian Basin Behavioral Health Center, located between Midland...