in-house utilization review with emphasis on determining medical necessity for prospective, concurrent, retrospective... is directly related to the compensable injury and for adhering to multi-jurisdictional Utilization Review criteria...
experience, or insurance utilization review experience in either a Case Manager or Nurse Manager role preferred KNOWLEDGE..., homecare, long-term care, subacute and acute rehab operations. Three (3) years of experience in utilization review in an acute...
initiatives aimed at enhancing patient satisfaction is essential. Experience in case management, quality, utilization review...Bring Better to the Bedside as a Clinical Performance Registered Nurse in Buffalo, NY at Mercy Hospital of Buffalo...
required Five (5) years of clinical experience in an acute care setting as an Inpatient nurse or Case/Utilization Manager preferred... and mentoring new and current staff with regard to compliant documentation. The lead also serves as a secondary review/escalation...
of the Middle Revenue Cycle and interdisciplinary care team and works in conjunction with the Utilization Review Manager... and mentoring Utilization Review, Clinical Documentation Integrity and Clinical Denials and Appeals teams. They ensure the teams...