as appropriate. Also responsible for maintaining compliance with the CMS Conditions of Participation for Utilization Management...
in compliance with HIPPA Ability to identify and report problems that need to be escalated to the Utilization Management Supervisor... Experience 2+ years of experience in utilization management in the health plan or medical group environment Experience...
with your values. Utilization Management Specialists are responsible for: Obtaining initial and subsequent authorizations... and presentations on utilization management data Other duties as assigned Job Requirements: Current IL licensure as a Registered...
with your values. Utilization Management Specialists are responsible for: Obtaining initial and subsequent authorizations... and presentations on utilization management data Other duties as assigned Job Requirements: Current IL licensure as a Registered...
Responsible for performing daily operations of Utilization Management (UM) program including certification management...
application of clinical knowledge in various utilization management activities with a focus on post-service benefit and coverage... with a multidisciplinary team and is actively involved in the management of medical benefits. The collaboration often involves the member...
application of clinical knowledge in various utilization management activities with a focus on post-service benefit and coverage... with a multidisciplinary team and is actively involved in the management of medical benefits. The collaboration often involves the member...
policy. X Accept Cookies Utilization Management Nurse Job Details Job Location CB PACE - Virginia - Alexandria... Recognition #PACE Position Summary Job Summary: The RN Utilization Management Nurse, under the general direction of the...
Utilization Management System to prepare reports for users, and other stakeholders. Proficient use of Computer Applications... utilization management of service authorizations. Educational and Experience Requirements: * MA/MS - master’s degree Counseling...
with our patients and teammates. Job Summary The Utilization Management Manager plays a vital role in ensuring patients have timely.... By combining attention to detail with proactive collaboration, the Utilization Management Manager safeguards revenue integrity...
Utilization Management System to prepare reports for users, and other stakeholders. Proficient use of Computer Applications... utilization management of service authorizations. Educational and Experience Requirements: * MA/MS - master’s degree Counseling...
application of clinical knowledge in various utilization management activities with a focus on pre-service benefit and coverage... with a multidisciplinary team and is actively involved in the management of medical benefits. The collaboration often involves the member...
application of clinical knowledge in various utilization management activities with a focus on pre-service benefit and coverage... with a multidisciplinary team and is actively involved in the management of medical benefits. The collaboration often involves the member...
of two (2) years of prior experience in Utilization Management. Must possess a current, active, full, and unrestricted... checklist, sent by Katmai's Credentialing Specialist, for this position for initial hire. Must obtain and maintain...
, other requirements for the position, and employer business practices. What You Will Do The Sr Specialist Integrated Care Management... agent with a high degree of expertise. The Sr Specialist Integrated Care Management plays a vital role in advancing the...
. JOB SUMMARY/PURPOSE Responsible for overseeing and coordinating case management and utilization review activities across the... healthcare system. Ensures that the clinical and operational processes related to case management and utilization review align...
Hospital Job Title: Utilization Review Specialist Job Type: Full Time What we offer Fundamental to providing great care..., and financial wellness Professional development and growth opportunities How you'll contribute Utilization Review Specialist...
Behavioral Health is currently seeking a Utilization Review Specialist - Full Time to assist the Utilization Department staff... and a national family of hospitals and facilities PURPOSE STATEMENT: The Utilization Review Specialist coordinates and assesses...
Job Description: The Utilization Review Specialist (URS) exercises independent judgment and professional discretion... of responsibility and management of patients in that area: Utilization management principles; excellent verbal and written communication...
Job Description JOB TITLE Utilization Review Specialist I REPORTS TO Utilization Review Manager STATUS FT, Non-Exempt... authorization determinations. Coordinate with other Utilization Review Specialists for daily management of department telephone...