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...
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...
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...
Job Description: Responsibilities Utilization Review Specialist Opportunity Emerald Coast Behavioral Hospital... reviews based on utilization review criteria. Refers and consults with the Social Services to promote appropriate continued...
of stay. Gather and develop statistical and narrative information to report on utilization, non-certified days (including... or corporate office. Conduct quality reviews for medical necessity and services provided. Facilitate peer review calls...
required. Knowledge of ABA services and BH utilization review process required. Experience working with providers and healthcare teams... utilization of services Interacts with BH healthcare providers as appropriate to discuss level of care and/or services provided...
Job Details: Under the supervision of the Manager of Utilization Management, the Utilization Review RN conducts medical record review... Physician Advisor role will support the Utilization Review RN for second level clinical reviews for cases that do not meet...
Job Description: Responsibilities Utilization Review Specialist Opportunity Emerald Coast Behavioral Hospital... reviews based on utilization review criteria. Refers and consults with the Social Services to promote appropriate continued...
for inpatient admission or observation in Community Hospitals and UTMB-TDCJ Hospital. Performs utilization review procedures... as needed. Participates in research activities/projects Provides assistance regarding clinical issues to non-nursing utilization review staff...
about Parkwood Behavioral Health System, please visit our website at Utilization Review Case Manager Full-Time Monday - Friday... (flexible days) Flexible Hours The Case Manager provides utilization review services in a manner consistent with the...
Skills in a New Way RN Utilization Review Nurse Bring your clinical expertise beyond the bedside! As a Utilization Review... of America) Scheduled Weekly Hours: 40 Salary Range: $34.00 - $51.00 Union Position: No Department Details Use Your RN...
management team to validate the medical necessity of the hospital care. Using the concepts of utilization review, clinical... of utilization review monitoring/trending reports for review with physicians and hospital leadership. 9. Educates members of the...
care. Using the concepts of utilization review, clinical documentation improvement and revenue integrity, these...) to trend, track and educate to improve outcomes. 8. Assists with preparation and presentation of utilization review monitoring...
about Parkwood Behavioral Health System, please visit our website at Utilization Review Case Manager Full-Time Monday - Friday... (flexible days) Flexible Hours The Case Manager provides utilization review services in a manner consistent with the...
years of experience in utilization review and case management. RN, LCSW, LPC, LMFT, or LCP in Virginia preferred. Current... of Utilization Review (UR) and Case Management!*** The UR and Case Management Director assists admissions in screening patients...
years of experience in utilization review and case management. RN, LCSW, LPC, LMFT, or LCP in Virginia preferred. Current... of Utilization Review (UR) and Case Management!*** The UR and Case Management Director assists admissions in screening patients...
is looking for a Utilization Review Nurse (RN) to coordinate patients’ services across the continuum of care by promoting effective utilization..., monitoring health resources and elaborating with multidisciplinary teams. This will provide service to our utilization review...