Job Title : Utilization Management Coordinator Location : Remote Duration : 6 Months contract Payrate : $22/hr... Utilization Management Coordinator is a non-clinical role responsible for processing prior authorization requests from providers...
as a leader of positive change. The Care Management, Care Coordinator, Utilization Management is a member of the healthcare team... for a designated patient caseload; the Care Coordinator, Utilization Management plans effectively in order to manage length of stay...
as a leader of positive change. The Care Management, Care Coordinator, Utilization Management is a member of the healthcare team... for a designated patient caseload; the Care Coordinator, Utilization Management plans effectively in order to manage length of stay...
-clinical tasks related to processing Utilization Management prior authorization sand appeals. JOB RESPONSIBILITIES Monitor...The UM Coordinator assists and supports the clinical team (UM Nurses/Medical Director) with administrative and non...
Job Description: AS A UTILIZATION MANAGEMENT COORDINATOR/SOCIAL WORKER, you will be responsible for preadmission... appropriate cases to the Quality Management Team. Performs CDMP (Clinical Documentation Management Program) to obtain complete...
Job Description: Responsibilities HEALTH INFORMATION & UTILIZATION MANAGEMENT COORDINATOR OPPORTUNITY... of relevant work experience, preferred. Excellent time management and organizational skills. Proficient in Microsoft Office Word...
Job Description: Responsibilities HEALTH INFORMATION & UTILIZATION MANAGEMENT COORDINATOR OPPORTUNITY... of relevant work experience, preferred. Excellent time management and organizational skills. Proficient in Microsoft Office Word...
The Hospital Nurse Care Coordinator/Utilization Management Specialist will participate in providing work direction... appeals, denials, insurance communication and regulations. Responsible for utilization management plan. ESSENTIAL DUTIES...
management, or years utilization management experience. Shift time: Sunday- Thursday 8:00 am-4:30 pm Qualifications...-5 years of experience working in an acute inpatient psychiatric setting as a treatment team member and/or utilization...
management, or years utilization management experience. Shift time: Sunday- Thursday 8:00 am-4:30 pm Qualifications...-5 years of experience working in an acute inpatient psychiatric setting as a treatment team member and/or utilization...
of the Pharmacy Care Management Department by organizing, improving, and implementing pharmacy benefit management policies... and programs, organizing the prior authorization process and management of the various vendor/customer relationships. EDUCATION...
of the Pharmacy Care Management Department by organizing, improving, and implementing pharmacy benefit management policies... and programs, organizing the prior authorization process and management of the various vendor/customer relationships. EDUCATION...
for patient care reviews, and in Utilization Review Staff Committee, providing data and contributing to improvement of internal... of care utilization. Assures compliance with Managed Care Behavioral Health standards in the area of UM procedures...
risk patients requiring case management follow up. Attends clinical in-services or required operational/clinical training... related to inpatient management per requirements. Reviews patient medical record including, but not limited, to progress...
Weekly Hours: 32 Department: Utilization Management Overview of Position: Acts as part of a multidisciplinary team..., and assesses quality, identifying and reporting potential risk management issues. Utilization Management analyzes and trends...
established guidelines for Utilization Review, the Utilization Management Coordinator collaborates with members of the hospital... objectives related to hospital utilization and case management. Additional Information All your information will be kept...
established guidelines for Utilization Review, the Utilization Management Coordinator collaborates with members of the hospital... objectives related to hospital utilization and case management. Additional Information All your information will be kept...
: Utilization Management services supporting medical necessity and denial prevention Coordinating with payors to authorize... days Other duties as assigned. POSITION SPECIFIC RESPONSIBILITIES: Utilization Management Balances clinical...
but saving them. Together. The Manager, Utilization Management (UM) Coordination, oversees non-clinical inpatient and pre...-service operations under the direction of the Director of Utilization Management. This role provides leadership...
SUMMARY Provide a comprehensive utilization review (UR) and utilization management (UM) program for all TRICARE... for appropriate utilization of services. Perform utilization management/review for medical necessity for specialty referrals...