in the UM Department. The Utilization Review Coordinator is responsible for executing the UR function, which includes the... review organizations or comparable entities. Licensure: None required unless RN. Additional Requirements: May...
Behavioral Health is currently seeking a Utilization Review Specialist - PRN to assist the Utilization Department staff..., and Alameda County. PURPOSE STATEMENT: The Utilization Review Specialist coordinates and assesses the inpatient census...
Utilization Review process. · Collaborates with physicians, therapist and nursing staff to provide optimal review based..., regarding utilization review and specific managed care issues. · Provide staff management to including hiring, development...
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...
appropriate patient status. - Makes sound decisions in complex utilization review cases. - Identifies issues and develops...The Utilization Management (UM) team at UVM Health is searching for a UM Manager to join their leadership team...
appropriate patient status. - Makes sound decisions in complex utilization review cases. - Identifies issues and develops... Department: Network Utilization Management Full Time Standard Hours: 40 Biweekly Scheduled Hours: 80 Shift: Day Primary...
Anticipated End Date: 2026-01-23 Position Title: Behavioral Health Care Manager I, Utilization Management... Job Description: Behavioral Health Care Manager I, Utilization Management Work Hours M-F 8am-5pm PST Work Location: Virtual, California...
Word, Excel, Outlook and Teams Strong understanding of utilization review processes, including medical necessity criteria...-volume utilization review environment Maintains a strong working knowledge of federal, state, and organizational regulations...
utilization review/utilization management experience preferred. Familiarity with manager health care process, medical terminology..., experience in case management, discharge planning, and/or utilization review preferred. EEO Statement All UHS subsidiaries...
Utilization Management team is to control costs, improve revenue collection, and ensure data integrity. The Utilization Review (UR... members of your community, then consider a career with Pioneer Human Services! We are currently looking for a Utilization...
utilization review/utilization management experience preferred. Familiarity with manager health care process, medical terminology..., experience in case management, discharge planning, and/or utilization review preferred. EEO Statement All UHS subsidiaries...
: The role of Utilization Management Manager oversees the integration of utilization review, clinically appropriate care... members achieve positive health outcomes through access to high quality care and services. You serve as the utilization...
identified as having the need for inpatient/outpatient precertification. ESSENTIAL DUTIES & RESPONSIBILITIES Review... precertification requests for medical necessity, referring to the Medical Director those that require additional expertise. Review...
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...
POSITION SUMMARY: The Nurse Manager for Utilization Review and Clinical Appeal Management is responsible... with hospital policies, regulatory requirements, and payer guidelines while supporting efficient and effective utilization review...
& Discharge Planning Utilization Management / Utilization Review (UM/UR) Acute hospital experience (inpatient setting...Immediate need for a talented Registered Nurse - Case Manager/ Utilization Manager. This is a 03+ Months Contract...
programs. Maintain contact with the inpatient facility utilization review personnel to assure appropriateness of continued... benefits and the additional medical, community, or financial resources available. Provide utilization management (UM) services...
programs. Maintain contact with the inpatient facility utilization review personnel to assure appropriateness of continued... benefits and the additional medical, community, or financial resources available. Provide utilization management (UM) services...
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...
programs. Maintain contact with the inpatient facility utilization review personnel to assure appropriateness of continued... benefits and the additional medical, community, or financial resources available. Provide utilization management (UM) services...