. · 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...
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...
PURPOSE STATEMENT: Proactively monitor utilization of services for patients to optimize reimbursement for the.... Gather and develop statistical and narrative information to report on utilization, non-certified days (including identified...
by regulatory agencies. Assists with utilization review and blood administration education and auditing. Observes and critique.... Assists with utilization review and blood administration education and auditing. Observes and critique of blood transfusion...
authorizations for duration of patient stay. Evaluate the utilization program for compliance with regulations, policies... and procedures. Review clinical documentation from denied stays against criteria to determine if documentation is adequate...
information to report on utilization, non-certified days (including identified causes and appeal information), discharges... necessity and services provided. Facilitate peer review calls between facility and external organizations. Initiate...
Employment Type: Full time Shift: Description: Summary: This position is responsible for coordinating administrative/clerical support to department staff to ensure smooth and efficient departmental operations. Requirements: 1. Hig...
more at HonorHealth.com. Responsibilities: Job Summary The Utilization Review RN Specialist reviews and monitors utilization of health... comprehensive review for medical necessity of extended stay, outpatient observation, and inpatient stays and the utilization...
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...
Description : We are looking for a Utilization Review Assistant to join the SRC team! For over 66 years, Starlite... and schedule peer review. Informs management about the status of current patients; documents utilization activities as instructed...
Description : We are looking for a Utilization Review Assistant to join the SRC team! For over 66 years, Starlite... and schedule peer review. Informs management about the status of current patients; documents utilization activities as instructed...
development specialist to develop standard work and expectations for the utilization review process, including timely medical...SUMMARY: We are currently seeking a Utilization Review Manager to join our Transitional Care Team. This is a full...
Join our team at TrustPoint Hospital as a Utilization Specialist! We are seeking passionate professionals... opportunities for career advancement PURPOSE STATEMENT: Proactively monitor utilization of services for patients to optimize...
liaison for case management, physicians, documentation improvement specialist, clinical and operational departments... members. 8. Performs final review of records being submitted to the RACs and tracks the appeal process and outcomes for RAC...
Health is currently seeking a Utilization Review Specialist - Full Time to assist the Utilization Department staff... and a national family of hospitals and facilities PURPOSE STATEMENT: The Utilization Review Specialist coordinates and assesses...
Utilization Specialist has achieved a mastery of utilization review principles and facilitates improvement in the overall... Specialist applies clinical and utilization review expertise, knowledge of the national quality agenda, professional nursing...
education, review, and data analysis. Communicate with Utilization Manager and program supervisors/managers regarding team... a dedicated and knowledgeable Clinical Training Specialist for our Emery Highway Outpatient location. The successful candidate...
Job Description: Description Insurance Specialist Mount Sinai West Utilization Mgmt FT Days EOW To maintain front... as specified by Insurance / State & Federal regulation. Enters concurrent review information for Review Nurses in Allscripts...
Overview: PURPOSE STATEMENT: Proactively monitor utilization of services for patients to optimize reimbursement.... Gather and develop statistical and narrative information to report on utilization, non-certified days (including identified...
Overview: PURPOSE STATEMENT: Proactively monitor utilization of services for patients to optimize reimbursement.... Gather and develop statistical and narrative information to report on utilization, non-certified days (including identified...