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...
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...
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...
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...
Overview: Cross Creek Hospital in Austin, TX is looking to add a Utilization Specialist to our team! This role is 100.... The Utilization Specialist is responsible for proactively monitoring utilization of services for patients to optimize...
Cross Creek Hospital in Austin, TX is looking to add a Utilization Specialist to our team! This role is 100% onsite.... The Utilization Specialist is responsible for proactively monitoring utilization of services for patients to optimize...
available resources to promote quality, cost effective outcomes. Performs medical or behavioral review/authorization process. Ensures.... Utilizes allocated resources to back up review determinations. Identifies and makes referrals to appropriate staff (Medical...
: Proactively monitor utilization of services for patients to optimize reimbursement for the facility. Responsibilities... information to report on utilization, non-certified days (including identified causes and appeal information), discharges...
/ Mental Health Care Advocate you will be responsible for case management and utilization review of behavioral health... in. Required Qualifications: Master's degree in psychology, Social Work, Counseling, or an RN with 2+ years of experience in behavioral health...
and safety. Thank you for considering our Utilization Review Manager position as we continue our successful opening...! More information about Southridge can be found online at: Position Description: The Utilization Manager is responsible...
and safety. Thank you for considering our Utilization Review Manager position as we continue our successful opening...! More information about Southridge can be found online at: Position Description: The Utilization Manager is responsible...
/ Mental Health Care Advocate you will be responsible for case management and utilization review of behavioral health... in. Required Qualifications: Master's degree in psychology, Social Work, Counseling, or an RN with 2+ years of experience in behavioral health...
. Licensure: CA RN license required. License in Social Work, AMFT, Mental Health Counseling preferred Experience: A minimum of 3...-5 years of experience working in an acute inpatient psychiatric setting as a treatment team member and/or utilization...
. Licensure: CA RN license required. License in Social Work, AMFT, Mental Health Counseling preferred Experience: A minimum of 3...-5 years of experience working in an acute inpatient psychiatric setting as a treatment team member and/or 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...
, and other internal and external teams. The goal of this partnership is to improve utilization review processes, improve efficiency... strategic and operational leadership. This leadership is for SFHP's Utilization Management (UM) program, ensuring members...
in either Case Management or Utilization Management. Responsibilities Review patient files and treatment information... There are five new RN vacancies at the West Los Angeles VA Medical Center. Service Line | Unit | Position Title | Tour...
PURPOSE STATEMENT: Monitor utilization of services and optimize reimbursement for the facility while maximizing use... companies for inpatient treatment and continue to obtain authorizations for duration of patient stay. Evaluate the utilization...
of community investment What You Will Do Provide strategic and operational leadership for Case Management, Utilization Review... of: Prospective payment systems Managed care Utilization review Discharge planning CDI and mid-revenue cycle Payor relations...