Job Category: Nursing Degree Level: Bachelor's Degree Job Description: Job Title: Director, Utilization Review... utilization review activities are completed accurately and timely. This includes the precertification and recertification, peer...
supervision of the Care Managment Supervisor or Manager or Director of Nursing and is responsible for patient evaluations of post..., physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge...
Committee (JOC), as requested by Utilization Management or Managed Care: Works with the Care Management Director and staff..., utilizing payer-specific tracking tools. The successful candidate will also collaborate cross-functionally with Utilization...