Job Description: Live the Mission An Equal Opportunity Employer...
and substance abuse preferred. Knowledge of mental health and substance abuse utilization review process preferred. Experience... perspective on workplace flexibility. Position Purpose: Performs a clinical review and assesses care related to mental health...
in utilization management is preferred. LICENSES/DESIGNATIONS/CERTIFICATIONS: Preferred Licensure: LPN, RN, LMSW, LCSW, LPC, LPC...Description : PURPOSE STATEMENT: Proactively monitor utilization of services for patients to optimize reimbursement...
and substance abuse preferred. Knowledge of mental health and substance abuse utilization review process preferred. Experience... perspective on workplace flexibility. Position Purpose: Performs a clinical review and assesses care related to mental health...
and substance abuse preferred. Knowledge of mental health and substance abuse utilization review process preferred. Experience... perspective on workplace flexibility. Position Purpose: Performs a clinical review and assesses care related to mental health...
, coordinates, and performs daily activities to provide utilization review services. Utilizes current trends and developments... in utilization review using federal, state, and other regulations for guidance. This position is responsible for establishing...
, coordinates, and performs daily activities to provide utilization review services. Utilizes current trends and developments... in utilization review using federal, state, and other regulations for guidance. This position is responsible for establishing...
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...
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...
) required. Two (2) years of clinical experience as an RN in a varied clinical setting required. Previous utilization review... Utilization Review Nurse (URN) performs clinical review to determine the medical necessity of requested services. The URN obtains...
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...
will proactively monitor utilization of services for patients to optimize reimbursement for the facility. Responsibilities... information to report on utilization, non-certified days (including identified causes and appeal information), discharges...
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...
Responsible for utilization review work for emergency admissions and continued stay reviews Responsibilities Review... criteria Apply evidence-based clinical guidelines and criteria to assess and ensure proper utilization of healthcare...
Director Utilization Management-Clinical Review Are you looking for a rewarding career with family-friendly hours... Utilization Management required 3 years previous leadership experience required Licenses and Certifications RN - Registered...
Description Under the direction of the Assistant Director, the ICM Medicare Advantage Utilization Review Nurse... performs utilization review of medical necessity and appropriateness, cost containment and efficiency, compliance...
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...
The Manager of Utilization Review is responsible for overseeing the utilization review process to ensure the.... Be on their team. Leadership & Oversight Lead and mentor a team of Utilization Review Nurses. Develop and implement utilization...
. · Gather and develop statistical and narrative information to report on utilization, non-certified days (including identified... office. · Conduct quality reviews for medical necessity and services provided. · Facilitate peer review calls...
is preferred Experience: Must have one (1) year experience in the Utilization Review process and/or two (2) years’ clinical... admission and continued stay reviews according to the Utilization Review Plan diagnostic criteria. Works closely with the...