The Utilization Review Medical Director is responsible for conducting clinical reviews of Durable Medical Equipment...-based decision making. The Utilization Review Medical Director’s responsibilities include but are not limited to: Conduct...
as operational needs require. The Senior MD provides clinical oversight to the Utilization Review Medical Director(s), ensures... stakeholders. The Senior Utilization Review Medical Director’s responsibilities include but are not limited to: Clinical...
The UM Coordinator assists and supports the clinical team (UM Nurses/Medical Director) with administrative and non...-clinical tasks related to processing Utilization Management prior authorization sand appeals. JOB RESPONSIBILITIES Monitor...
meet accreditation standards and achieve high-quality outcomes. The position will report to the Director of Medical..., documentation review, and reporting of findings. Support external audits as a shared responsibility with the Medical Management...