and updates through on-going training, coaching and educational materials. For Utilization Management Only: Issues... or federal regulations are saved in the Utilization Management System. Reviews, evaluates and determines the appropriateness...
Position Purpose This position consistently applies the utilization management process as required by CMS including... the use of designated criteria for primary review. Incorporates into the utilization management process the ability...
and updates through on-going training, coaching and educational materials. For Utilization Management Only: Issues... or federal regulations are saved in the Utilization Management System. Reviews, evaluates and determines the appropriateness...
necessity, and documentation improvement. QUALIFICATIONS 1. Registered Nurse. 2. 3 years in an acute care setting..., utilization management, or insurance/hospital case management setting. 3. Knowledge of InterQual criteria. 4. Attends...
Overview: ERP International is seeking a Registered Nurse (RN) for a Full-Time position in Utilization Management... technology, strategic sourcing, and management solutions to DoD and federal civilian agencies in 40 states. Founded in 2006, ERP...
Sentara Health is seeking to hire a qualified individual to join our team as a Behavioral Health Utilization Management... - 9:00AM Overview Behavioral Health Utilization Management Clinician is responsible for review of clinical information...
Sentara Health is seeking to hire a qualified individual to join our team as a Behavioral Health Utilization Management... Behavioral Health Utilization Management Clinician is responsible for review of clinical information received from providers...
. For Utilization Management Only: • Issues Determinations, Notices of Action, and other forms of communication to members and providers..., and other communications required by state or federal regulations are saved in the Utilization Management System. Reviews, evaluates...
Review Clinical Review team to ensure appropriate care to members. Supervises day-to-day activities of utilization management... Collaborates with utilization management team to resolve complex care member issues Maintains knowledge of regulations...
utilization management position that has core responsibilities in the areas of inpatient concurrent review, pre and post service... and support for the prior authorization registered nurse (RN) team, facilitating appropriate use of resources, including safe...
care to members. Oversees and works with senior leadership on utilization management issues related to member care..., provider interactions, and facilitates operations within utilization management. Oversees the behavioral health (BH...
Sentara Health Plans is hiring a Behavioral Health Utilization Management Care Coordinator (LCSW/LPC/LMFT/RN) remotely.... Job Description Summary: Behavioral Health Utilization Management clinician is responsible for review of clinical information received...
Management Lead supports the daily operations of utilization review activities, ensuring timely and accurate documentation... required. Registered nurse licensure or licensed as an LMSW, LCSW, LPC, MFT or similar AZ Board of Behavioral Health licensure preferred...
RN Executive Director of Utilization Management and CDI Gainesville, GA As the Executive Director of Utilization... Utilization Management and Clinical Documentation Integrity to ensure accurate documentation, appropriate resource use...
utilization management to patients, families, and other members of the care team as needed. Maintains current knowledge of health... and Certifications Registered Nurse (RN) - Virginia Department of Health Professions (VDHP) (Required) Certified Case Manager (CCM...
management. Licenses and Certifications Required: NJ State Professional Registered Nurse License. AHA Basic Health Care Life... as a leader of positive change. The Care Management, Care Coordinator, Utilization Management is a member of the healthcare team...
management. Licenses and Certifications Required: NJ State Professional Registered Nurse License. AHA Basic Health Care Life... as a leader of positive change. The Care Management, Care Coordinator, Utilization Management is a member of the healthcare team...
management. Licenses and Certifications Required: NJ State Professional Registered Nurse License. AHA Basic Health Care Life... as a leader of positive change. The Care Management, Care Coordinator, Utilization Management is a member of the healthcare team...
Management Team consisting of Registered Nurses, Social Workers, and Clinical Coordinators. This leader will oversee all facets... of utilization management, discharge planning, and care coordination to ensure patiens receive timely, appropriate, and efficient...
Case Management Team consisting of Registered Nurses, Social Workers, and Clinical Coordinators. This leader will oversee... all facets of utilization management, discharge planning, and care coordination to ensure patiens receive timely, appropriate...