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...
and in the utilization review field. Excellent oral and written communication skills required in order to communicate in a clear... provides precertification and verification of benefits for incoming patients. Coordinates the utilization management functions...
and in the utilization review field. Excellent oral and written communication skills required in order to communicate in a clear... provides precertification and verification of benefits for incoming patients. Coordinates the utilization management functions...
, cost effective outcomes. 50% 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 determinations...
utilization records. Expedite orders and, when necessary, obtain items from alternate sources, or look for alternative... standardization. Make recommendations on product review, replacement, or potential substitution. Participates in and recommends...
. A typical day would like in this role: Employee will be providing telephonic case management and utilization management... assessment to elicit behavior change and increase member program engagement. Performs medical or behavioral review/authorization...
utilization review/case management/clinical/or combination; 2 of the 4 years must be clinical. Required License/Certificate... or behavioral review/authorization process. Ensures coverage for appropriate services within benefit and medical necessity...
dependency, orthopedic, general medicine/surgery. Or, 4 years of utilization review/case management/clinical/or combination; 2... Review and evaluate medical or behavioral eligibility regarding benefits and clinical criteria by applying clinical expertise...
. 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 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...
position incumbents periodically (at least bi-annually) and makes any changes necessary. Oversees the merit review process... General Manager. Processes Accounts Payable accurately and timely for General Manager Review. Ensure that all fixed assets...
. Bonus Eligible This position is eligible for a sign-on bonus of $7,500 for external candidates. Please review... and evaluating teaching plan (encourages patient/family involvement/participation), Computer resources and Micromedex utilization...
. 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...
. 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 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...
. 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...
. Bonus Eligible This position is eligible for a $7,500 sign-on bonus for external candidates only. Please review.../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...