Job Description: Coordinates utilization review activities to ensure clinical documentation is accurate to secure... and address denials of care. Initiates appeal process and monitors response. Communicates utilization review and reimbursement...
Job Description: Coordinates utilization review activities to ensure clinical documentation is accurate to secure... and address denials of care. Initiates appeal process and monitors response. Communicates utilization review and reimbursement...
, and in Utilization Review Staff Committee, providing data and contributing to improvement of internal processes. Provides staff education... eligibility and benefits of patients, matching the level of care utilization. Assures compliance with Managed Care Behavioral...
Job Description: POSITION SUMMARY The Utilization Management Administrative coordinator role provides... administrative coordination to the Utilization Management staff and Revenue Integrity Team. This position is primarily responsible...
As a Utilization Management Nurse, you will play a vital role in delivering comprehensive, patient-centered care by assessing..., underutilization, or improper utilization of healthcare services. Identify potential catastrophic, high-risk, and disease management...
Weekly Hours: 40 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...
” encounters with providers and appropriate others to facilitate and coordinate the Utilization Management process(es) activities... management and specialty pharmacy services, behavioral health services, and other administrative services. Discover...
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...
. We are in search of a highly motivated candidate to join our talented Team. Job Title: Utilization Management Technician Location... information and ensure the delivery of outstanding service and quality. Required Experience: Coordinator experience, Health...
Utilization Management Tech Location: Remote Shift: M-F 8-5 PST Duration: 13 weeks Required Experience...: Coordinator experience, Health Plan Experience, EMR experience, EPIC preferred Job Description: You will receive urgent, routine...
. We are in search of a highly motivated candidate to join our talented Team. Job Title: Utilization Management Technician (3...: Coordinator experience, Health Plan Experience, EMR experience, EPIC preferred. Ampcus is an Equal Opportunity Employer...
. We are in search of a highly motivated candidate to join our talented Team. Job Title: Utilization Management Technician Location... and obtain information and ensure the delivery of outstanding service and quality. Required Experience: Coordinator...
a variety of admission, concurrent and retrospective utilization management-related reviews and functions to ensure... compliance portion of the level of care. Review data specific to utilization management functions and reports as requested...
The Revenue Integrity Recovery Coordinator is responsible for performing in-depth analysis of patient clinical... with Management, Physicians, and Clinical leaders throughout the system. AGE OF PATIENTS SERVED Cares for patients in the age...
Summary: The Behavioral Health Intake and Utilization Review Coordinator is responsible for bed management, reviewing... intake assessments, verifying clinical appropriateness for services, coordinating admissions, and overseeing utilization...
of Indianapolis is looking for a Utilization Review Coordinator to coordinate patients’ services across the continuum of care... by promoting effective utilization, monitoring health resources and elaborating with multidisciplinary teams. Benefits of joining...
. What you will do: We are looking for a UTILIZATION SERVICE COORDINATOR who can help shape our vision and support our mission. The Schedule for this particular position... (i.e. documentation, authorization letters, etc.) regarding authorizations, utilization management and coordination of inpatient acute...
in Financial Services & Insurance Utilization Review Coordinator This is a hybrid position, that requires 2 days in office... (Tuesday/Wednesday) at 4445 Lake Forest Drive. Blue Ash, OH 45242. PRIMARY PURPOSE: To assign utilization review requests...
Utilization Management Review Coordinator Location: Fully Remote (Must support Central Time Zone and work CST business... a Utilization Management Review Coordinator to support our clients behavioral health operations. This fully remote position...