just invest in our patients—we invest in our people. About the Role: The Utilization Review Coordinator plays... compliance with healthcare regulations. The Utilization Review Coordinator works closely with insurance companies, clinicians...
just invest in our patients—we invest in our people. About the Role: The Utilization Review Coordinator plays... compliance with healthcare regulations. The Utilization Review Coordinator works closely with insurance companies, clinicians...
The Utilization Review Coordinator plays a critical role in ensuring that patients at our facility receive the... and that utilization review processes are aligned with patient needs. Provide guidance to clinical staff regarding documentation...
! What will you be doing in this role? The Utilization Review Case Manager validates the patient's placement to be at the most appropriate... Case Manager follows the UR process as defined in the Utilization Review Plan in accordance with the CMS Conditions...
: Registered Nurse -Utilization Review Case Manager - 8 Hour Days Department : Utilization Management Business Entity : Cedars...'s Best Hospitals. Summary of Essential Duties: The Utilization Management (UM) Registered Nurse - Medicare Short Stay & Concurrent...
include: Current unencumbered clinical license (LMSW, LCSW, LPC, RN) Previous utilization review experience in a psychiatric.... How you'll contribute A Utilization Review Specialist who excels in this role: Displays knowledge of clinical criteria...
Description Job Purpose: - The Utilization Review Manager - RN at LIFESTREAM BEHAVIORAL CENTER is responsible... for overseeing the utilization review process to ensure that patient care services are delivered efficiently and effectively...
: Job Summary The Utilization Review RN Specialist reviews and monitors utilization of health care services with the goal... Required Licenses and Certifications Registered Nurse (RN) State And/Or Compact State Licensure Required Responsibilities...
Role Overview The Supervisor Behavioral Health Utilization Management Review manages a remote team of 10 Behavioral... Health Utilization Management Reviewers who process prior authorization requests and concurrent reviews across multiple...
Utilization Review Specialist is responsible for managing and coordinating the utilization review process for inpatient.... This position requires a minimum of three years of utilization review experience within a behavioral health hospital setting...
of medical management experience in a managed care setting including utilization review RN experience in a clinical setting... utilization review clinical team, in the areas of authorization requests, organizational determinations/ disputes, and auditing...
: 8 am- 4 pm Summary: The Registered Nurse (RN), Utilization Review, as an active member of the Middle Revenue Cycle... levels of care and to facilitate movement of the patient through the continuum. The Utilization Review RN identifies...
, coordinates, and performs daily activities to provide utilization review services. Utilizes current trends and developments... in utilization review using federal, state, and other regulations for guidance. This position is responsible for establishing...
, coordinates, and performs daily activities to provide utilization review services. Utilizes current trends and developments... in utilization review using federal, state, and other regulations for guidance. This position is responsible for establishing...
, but not limited to ensuring timely authorizations and filing, utilization review, case documentation, payer relationships, denial... Kingdom. www.uhs.com The UM Supervisor oversees the utilization management of the Behavioral Health Center including...
, but not limited to ensuring timely authorizations and filing, utilization review, case documentation, payer relationships, denial... Kingdom. www.uhs.com The UM Supervisor oversees the utilization management of the Behavioral Health Center including...
Utilization Review Coordinator to join our team! In this role as UR Coordinator you will perform admission and concurrent review... required. Experience in patient assessment, family motivation, treatment planning and communication with external review organization...
Utilization Review Coordinator to join our team! In this role as UR Coordinator you will perform admission and concurrent review... required. Experience in patient assessment, family motivation, treatment planning and communication with external review organization...
1 year of recent professional Emergency Department nursing (RN) experience or 2 years of recent utilization review...: The Utilization Review (UR) Registered Nurse is responsible for evaluating the medical necessity, appropriateness...
Description : PURPOSE STATEMENT: Proactively monitor utilization of services for patients and optimize... reimbursement for the facility. Review for quality of services provided and medical necessity. ESSENTIAL FUNCTIONS: Act...