, OR three (3) years of utilization/case management or third-party payer work experience. Skills and Abilities: Ability.... Experience: Three (3) years of critical care nursing experience, OR five (5) years of medical-surgical nursing experience...
, OR three (3) years of utilization/case management or third-party payer work experience. Skills & Abilities: Ability.... Experience: Three (3) years of critical care nursing experience, OR five (5) years of medical-surgical nursing experience...
details of reimbursement issues; also participates in the Patient Care Committee for patient care reviews, and in Utilization Review Staff... Improvement/Quality Director, to appropriate clinicians and to the UM Manager. Reviews eligibility and benefits of patients...
for medical necessity are issued under the direction of the Medical Director or designee. Assists with transfers, when necessary... related to inpatient management per requirements. Reviews patient medical record including, but not limited, to progress...
Unlimited PTO 8 Holidays Relocation Assistance Responsibilities Include: 1.Utilization Management & Medical Necessity...Overview: Director of Utilization Review (RN) – Midland/Odessa, Texas Signet Health is seeking an experienced...
today. Today, we are seeking a Utilization Review Director in the San Diego CA area FT Role and pay is set at around $115,000 with bonus... with healthcare regulations. Key Responsibilities Leadership and Management - Directs the Utilization Review Staff and functions...
of care support. How you make a difference The Medical Director of Utilization Management leads and oversees utilization... utilization of medical services. The Medical Director of Utilization Management serves as a key liaison with external partners...
of care support. How you make a difference The Medical Director of Utilization Management leads and oversees utilization... utilization of medical services. The Medical Director of Utilization Management serves as a key liaison with external partners...
today. Today, we are seeking a Utilization Review Director in the Norman OK area FT Role and pay is set at around $105,000 with bonus... with healthcare regulations. Key Responsibilities Leadership and Management - Directs the Utilization Review Staff and functions...
today. Today, we are seeking a Utilization Review Director in the Des Moines IA area FT Role and pay is set at around $105,000 with bonus... with healthcare regulations. Key Responsibilities Leadership and Management - Directs the Utilization Review Staff and functions...
Director of Utilization Review is a key member of the Lighthouse Case Management Team who will integrate and coordinate... with government regulation, licensing and accreditation requirements. The Director of Utilization Review is responsible for the...
Director of Utilization Review is a key member of the Lighthouse Case Management Team who will integrate and coordinate... with government regulation, licensing and accreditation requirements. The Director of Utilization Review is responsible for the...
Clinician responsible for utilization management services within the scope of licensure. Conducts primary functions of prior... authorization, inpatient review, concurrent review, retrospective review, medical director referrals and execution of member...
each and every day. Job Description: The Utilization Review RN performs activities which support the Utilization Management... functions. They are responsible for the delivery of the Utilization Management process including but not limited to: making...
, preferably in Case Management and/or Utilization Management. Specialized Training: Trained in Epic, InterQual, Midas..., and resource/utilization management. The position requires excellent communication, clinical skills, and professional rapport...
UM Medical Director and/or the Director of Medical Management. Ensure network provider steerage and happening on OON network... and operational leadership to the day to day function of the Utilization Management Team. The UM Nurse Manager will ensure that the...
of care to lower/higher levels of care, makes referrals for care management programs, and performs medical necessity reviews..., and retrospective review) for medical necessity referring to Medical Director as needed for additional expertise and review. Utilize...
under the supervision of the Manager/Director and is responsible for working in collaboration with the healthcare team... to coordinate the care and service to patients across the continuum of care. The care manager promotes effective utilization...
departments, including medical staff, finance, case management, and quality assurance, to achieve optimal patient outcomes... of Utilization Review requires the following: Bachelor's degree in Business Administration, Healthcare Management, or a related...
departments, including medical staff, finance, case management, and quality assurance, to achieve optimal patient outcomes... of Utilization Review requires the following: Bachelor's degree in Business Administration, Healthcare Management, or a related...