Job Description: Responsibilities The Utilization Management Specialist is responsible for executing the... UM function, which includes the implementation of case management scenarios, consulting with all services to ensure the provision...
of both open and closed accounts for multiple levels of Utilization Review and Case Management reporting. Able to work... Management and Treatment Team meetings. Serves as on-going educator to all departments. Responsible for reviewing patient charts...
) years Case Management/ Appeal/Utilization Management experience in lieu of bachelor's degree. CERTIFICATIONS/LICENSURES...GENERAL SUMMARY: Under minimal supervision, reviews and screens the appropriateness of services, the utilization...
Utilization Management Coordinator - PRN 5 years of hospital and/or medical insurance industry experience... to assist with the facilitation of Utilization Management functions. Communicates with insurance company to obtain pending...
Provides specialized case management/care coordination for patients requiring unique health care needs at Warm Valley... process of the Purchased and Referred Care (PRC) department, with emphasis on cost-efficient clinical management. DUTIES...
authorization determinations. Coordinate with other Utilization Review Specialists for daily management of department telephone...Job Description JOB TITLE Utilization Review Specialist I REPORTS TO Utilization Review Manager STATUS FT, Non-Exempt...
, and conflict management to maximize the achievement of utilization outcomes. Analytical skills necessary to independently collect... Career Areas Growth and Expansion Quality Utilization Specialist, Full-time, Days, Hybrid ($4,000 sign-on bonus...
the length of stay and utilization. Works with case management or discharge planning facilities to assist in discharge... in utilization review and/or case management in managed care, workers compensation or other health care setting is preferred...
Description : Utilization Management Specialist Seven Hills Hospital brings a world of compassion, hope... professionals. We are presently looking for a Full Time Utilization Management Specialist who will be responsible for: The...
Under the direction of the Case Management Coordinator, coordinates, negotiates, procures and manages the care... improvement initiatives related to the management of patient care. Works with physicians to ensure accurate and thorough...
Health experience helpful). Utilization review/management/quality experience preferred. Interpersonal skills to obtain... with people who care about making a difference – come join us! We have an exciting opportunity for a full-time Utilization...
position or related role Mastery of utilization management and level of care guidelines Demonstrated leadership skills... Career Areas Growth and Expansion Lead ED Quality Utilization Specialist, Full-time, Days ($4,000 sign-on bonus...
Description : Utilization Management Specialist Seven Hills Hospital brings a world of compassion, hope... professionals. We are presently looking for a Full Time Utilization Management Specialist who will be responsible for: The...
as a leader of positive change. The Care Coordinator, Care Management is a member of the healthcare team and is responsible... and handoff between acute and post-acute services. Responsibilities: A day in the life of a Care Coordinator, Care Management...
as a leader of positive change. The Care Coordinator for Care Management is a member of the healthcare team and is responsible... and handoff between acute and post-acute services. Responsibilities: A day in the life of a Care Coordinator for Care Management...
, willing to listen to your ideas. As a Tax Resource Management Coordinator, you will work closely with our Tax leadership... team to ensure optimal allocation of resources, monitor team utilization, and support successful delivery of client...
Immediate need for a talented RN Care Management Coordinator. This is a 03+months contract opportunity with long-term... services. Note: InterQual - It is the policy of the Medical Affairs Utilization Management (UM) Department to use InterQual...
. Providence Health Plan is calling a Care Management Clinical Support Coordinator who will: Be responsible for performing duties... regulations and care or utilization management functions Experience includes Lean principles, stewardship, programs...
as a leader of positive change. The Care Coordinator, Care Management is a member of the healthcare team and is responsible... and handoff between acute and post-acute services. Responsibilities: A day in the life of a Care Coordinator, Care Management...
as a leader of positive change. The Care Coordinator, Care Management is a member of the healthcare team and is responsible... and handoff between acute and post-acute services. Responsibilities: A day in the life of a Care Coordinator, Care Management...