experience in chart analysis and in the utilization review field. Excellent oral and written communication skills... provides precertification and verification of benefits for incoming patients. Coordinates the utilization management functions...
experience in chart analysis and in the utilization review field. Excellent oral and written communication skills... provides precertification and verification of benefits for incoming patients. Coordinates the utilization management functions...
.org / The Lead Utilization Review Coordinator Key Responsibilities include: The Lead Utilization Review (UR... Review Coordinator Three Rivers Midlands is a comprehensive behavioral health facility treating children and adolescents...
.org / The Lead Utilization Review Coordinator Key Responsibilities include: The Lead Utilization Review (UR... Review Coordinator Three Rivers Midlands is a comprehensive behavioral health facility treating children and adolescents...
. Minimum Years of Experience: 5 Years of experience as a registered nurse, including at least 2 years of utilization review... Coordinator will guide efforts to assess and improve performance and coordinate use of measurement data to monitor, document...
medicine/surgery. Or, 4 years utilization review/case management/clinical/or combination; 2 of the 4 years must be clinical...Summary We are currently hiring for a Behavioral Health Case Management Coordinator to join BlueCross BlueShield...
Managed Care Coordinator UM II Job Summary: Talent Software Services is in search of a Managed Care Coordinator... and ensuring cost-effective outcomes for our members. Primary Responsibilities/Accountabilities: Review and evaluate medical...
change and increase member program engagement. Performs medical or behavioral review/authorization process. Ensures coverage... for appropriate services within benefit and medical necessity guidelines. Utilizes allocated resources to back up review...
to promote quality, cost effective outcomes. Performs medical or behavioral review/authorization process. Ensures coverage... resources to back up review determinations. Identifies and makes referrals to appropriate staff (Medical Director, Case Manager...
, cost-effective outcomes. 50%: Performs medical or behavioral review/authorization process. Ensures coverage... allocated resources to back up review determinations. Identifies and makes referrals to appropriate staff (Medical Director...
of managed care. We are seeking a dedicated professional to review and evaluate medical or behavioral eligibility regarding... or behavioral review/authorization processes, ensuring coverage for appropriate services within benefit and medical necessity...
of Columbia while contributing to impactful health management initiatives. Duties Review and evaluate medical or behavioral... and/or care plan compliance, options, and services required to support members. Perform medical or behavioral review...
is responsible for the placement of inpatient/observation patients, following the review of admission/discharge/transfer (ADT) orders.... Strengthens utilization of current systems to support patient throughput. Collaborates with the Emergency Department, inpatient...
is responsible for the placement of inpatient/observation patients, following the review of admission/discharge/transfer (ADT) orders.... Strengthens utilization of current systems to support patient throughput. Collaborates with the Emergency Department, inpatient...
. Bonus Eligible This position is eligible for a sign-on bonus of $7,500 for external candidates. Please review.../family involvement/participation), Computer resources and Micromedex utilization Communicates the patient/family's need...
. Bonus Eligible This position is eligible for a $15,000 sign-on bonus for external candidates only. Please review... utilization Communicates the patient/family's need for education/teaching to others in the healthcare continuum. Evaluates own...
. Bonus Eligible This position is eligible for a sign-on bonus of $7,500 for external candidates. Please review... utilization Communicates the patient/family's need for education/teaching to others in the healthcare continuum. Evaluates own...
candidates. Please review details . Prisma Health Richland Hospital Stepdown Unit A regional academic medical center.../family involvement/participation), Computer resources and Micromedex utilization Communicates the patient/family's need...
and on-call work. Bonus Eligible This position is eligible for a $7,500 sign-on bonus. Please review details . Prisma Health.../family involvement/participation), Computer resources and Micromedex utilization Communicates the patient/family's need...
. Bonus Eligible This position is eligible for a $7,500 sign-on bonus. Please review details . Prisma Health Richland... and evaluating teaching plan (encourages patient/family involvement/participation), Computer resources and Micromedex utilization...