abuse utilization review process preferred. Experience working with providers and healthcare teams to review care services... perspective on workplace flexibility. Position Purpose: Performs a clinical review and assesses care related to mental health...
of communities across Arizona. Learn more at HonorHealth.com. Responsibilities Job Summary The Utilization Review RN Specialist... reviews and monitors utilization of health care services with the goal of maintaining high quality cost-effective care...
health and substance abuse utilization review process preferred. Experience working with providers and healthcare teams... NORTH CAROLINA BEHAVIORAL HEALTH LICENSURE*** Position Purpose: Performs a clinical review and assesses care related...
’s. Job Description Provides leadership and oversight of the Utilization Review department, ensuring appropriate utilization of healthcare... resources. Effectively manages all utilization review functions, including clinical reviews, concurrent authorization...
and BH utilization review process required. Experience working with providers and healthcare teams to review care services... data to improve quality and appropriate utilization of services Interacts with BH healthcare providers as appropriate...
/ CRITICAL TASKS: Implements Utilization review procedures by prospectively, concurrently, and retrospectively assessing the.../Assistant Director of Utilization Management. Maintains a documentation system of all review activities and enters appropriate...
Director Utilization Management-Clinical Review Are you looking for a rewarding career with family-friendly hours... The Director will be the department leader for system services for wholly owned and Partner hospitals for utilization...
Way RN Utilization Review Nurse Bring your clinical expertise beyond the bedside! As a Utilization Review Nurse, you’ll.... What You’ll Do: Review records for medical necessity & level of care Collaborate with physicians, case managers & payors...
of both open and closed accounts for multiple levels of Utilization Review and Case Management reporting. Able to work... in a Health and Human Services field is highly preferred. 2. Utilization Review experience is highly preferred. 3. Clinical...
health and substance abuse utilization review process preferred. Experience working with providers and healthcare teams... Purpose: Performs a clinical review and assesses care related to mental health and substance abuse. Monitors and determines...
utilization review and case referrals on patients, consistent with the approved Utilization Review Plans. Works with medical...: Two Years acute hospital Utilization Review experience. BSN preferred. or Foreign Medical Graduate with Utilization...
.com. This position manages all elements of the Community Health Choices Long Term Services and Supports (LTSS) Review Utilization... Utilization Management staff. Oversee staff performance with regard to medical necessity determinations, concurrent review...
Job Description: Responsibilities Utilization Review Specialist Rivendell Behavioral Health Services is an 80-bed.... Rivendell Behavioral Health Services of Arkansas is seeking a Utilization Review Specialist for full time status. The...
Job Description: Responsibilities Utilization Review Specialist Rivendell Behavioral Health Services is an 80-bed.... Rivendell Behavioral Health Services of Arkansas is seeking a Utilization Review Specialist for full time status. The...
Position Summary: Under the direct supervision of the HIM manager, the UR specialist monitors the utilization... in Practice: Performs preadmission review on admissions when required by insurance companies/agencies to comply with policies...
information, medical necessity standards, and/or and InterQual guidelines. The Utilization Review Nurse utilizes clinical... experience preferred. Minimum of 2 years of Med Surgical experience preferred; Utilization Review experience preferred...
. Position Summary: The Utilization Review (UR) LVN uses clinical judgement in providing utilization management (UM )services... facility review or in concurrent review. Responsibilities may include: - Manages assigned queues on a daily basis working...
: Registered Nurse - NJ Knowledge and Skills: Three years of clinical nursing or two years quality management, utilization review..., to the UR physician advisor for review and determination. Gathers clinical information to conduct continued stay utilization...
range as permitted by law. Requisition ID 2025-428303 Employment Type Full Time Department Utilization Review Hours/Pay...: The Utilization Review (UR) LVN uses clinical judgement in providing utilization management (UM )services. The focus...
: Registered Nurse - NJ Knowledge and Skills: Three years of clinical nursing or two years quality management, utilization review... to conduct continued stay utilization review activities with payers on a daily basis. Performs concurrent and retrospective...