partners. Develop and oversee the Utilization Management process to ensure the review of medical appropriateness.... Supporting Responsibilities: Serve as back up to the Director of Utilization Management, as needed Meet department and company...
partners. Develop and oversee the Utilization Management process to ensure the review of medical appropriateness.... Supporting Responsibilities: Serve as back up to the Director of Utilization Management, as needed Meet department and company...
partners. Develop and oversee the Utilization Management process to ensure the review of medical appropriateness.... Supporting Responsibilities: Serve as back up to the Director of Utilization Management, as needed Meet department and company...
members. Submits all concerns through Utilization Management Director; be able to identify, analyze and make recommendations...Overview: ERP International is seeking a Utilization Management Registered Nurse (RN) for a full-time position...
partners. Develop and oversee the Utilization Management process to ensure the review of medical appropriateness.... Supporting Responsibilities: Serve as back up to the Director of Utilization Management, as needed Meet department and company...
partners. Develop and oversee the Utilization Management process to ensure the review of medical appropriateness.... Supporting Responsibilities: Serve as back up to the Director of Utilization Management, as needed Meet department and company...
partners. Develop and oversee the Utilization Management process to ensure the review of medical appropriateness.... Supporting Responsibilities: Serve as back up to the Director of Utilization Management, as needed Meet department and company...
partners. Develop and oversee the Utilization Management process to ensure the review of medical appropriateness.... Supporting Responsibilities: Serve as back up to the Director of Utilization Management, as needed Meet department and company...
, responsiveness and caring service. Complete other duties as assigned by the Director of Utilization Management and SVP Medical... Work Experience: Understand the Utilization Review process including census management Experienced with medical necessity...
criteria, escalating cases to secondary medical director review when necessary, and collaborating with leadership and medical... and appropriately escalates cases to secondary medical director review when necessary Collaborates with leadership to discuss...
requests by Providers. Acts as a department resource for medical service requests /referral management and processes. Receives... Required: At least 5 years of varied RN clinical experience in an acute hospital setting. At least 2 years of Utilization Management/Case...
as needed with the utilization management physician advisors and/or medical directors on problematic cases and documents his decisions...Job Category: Revenue_Cycle Job Description: Under broad direction from the Centralized Utilization Management...
, and maintains utilization management programs to facilitate the use of appropriate medical resources by health plan members/patients... criteria. Develops and reviews medical necessity criteria and utilization management practices including a formal process...
as needed with the utilization management physician advisors and/or medical directors on problematic cases and documents his decisions...Job Category: Revenue_Cycle Job Description: Under broad direction from the Centralized Utilization Management...
Director, Behavioral Health Utilization Management. In this role you will be responsible for managing all aspects of day-to-day...Job Category: Business Operations Job Description: Your Role The Behavioral Health Utilization Management...
necessity and hospital acquired conditions/never events. The Manager, Utilization Management Nurse Management will report...) team reviews post service prepayment facility claims for contract compliance, industry billing standards, medical...
and hospital acquired conditions/never events. The Utilization Management Nurse, Senior will report to the Senior Manager, Facility... and present cases to Medical Director (MD) for medical director oversight and necessity determination and communicate...
team, complex case management and disease management. The UM RN will work closely with the Medical Directors and refer... for extension of these services and if not meeting criteria, refer to the Medical Director. 3. Participates in Community Nursing...
team, complex case management and disease management. The UM RN will work closely with the Medical Directors and refer... for extension of these services and if not meeting criteria, refer to the Medical Director. 3. Participates in Community Nursing...
team, complex case management and disease management. The UM RN will work closely with the Medical Directors and refer... for extension of these services and if not meeting criteria, refer to the Medical Director. 3. Participates in Community Nursing...