include: Current unencumbered clinical license (LMSW, LCSW, LPC, RN) Previous utilization review experience in a psychiatric.... How you'll contribute A Utilization Review Specialist who excels in this role: Displays knowledge of clinical criteria...
Job Description: Responsibilities Utilization Review (UR) Coordinator (Licensed Therapist or RN) The Utilization... Review Coordinator works closely with the other staff of Utilization Review/Management, Intake, Business Office, Medical...
Job Description: Responsibilities Utilization Review (UR) Coordinator (Licensed Therapist or RN) The Utilization... Review Coordinator works closely with the other staff of Utilization Review/Management, Intake, Business Office, Medical...
Role Overview The Supervisor Behavioral Health Utilization Management Review manages a remote team of 10 Behavioral... Health Utilization Management Reviewers who process prior authorization requests and concurrent reviews across multiple...
Utilization Review Specialist is responsible for managing and coordinating the utilization review process for inpatient.... This position requires a minimum of three years of utilization review experience within a behavioral health hospital setting...
of medical management experience in a managed care setting including utilization review RN experience in a clinical setting... utilization review clinical team, in the areas of authorization requests, organizational determinations/ disputes, and auditing...
just invest in our patients—we invest in our people. About the Role: The Utilization Review Specialist plays a critical.... Ultimately, the Utilization Review Specialist contributes to the integrity and sustainability of healthcare delivery systems...
utilization monitoring activities. 8. Works under the guidance of and in collaboration with the hospital utilization review... committee to maintain appropriate standards of utilization review and support the implementation of the hospital utilization...
: 8 am- 4 pm Summary: The Registered Nurse (RN), Utilization Review, as an active member of the Middle Revenue Cycle... levels of care and to facilitate movement of the patient through the continuum. The Utilization Review RN identifies...
SCOPE OF POSITION: The Utilization Review Case Manager (UR CM) works in collaboration with the physician.... Minimum of 1 year Utilization Review experience preferred via industry clinical standards, i.e., InterQual, Milliman Care...
, coordinates, and performs daily activities to provide utilization review services. Utilizes current trends and developments... in utilization review using federal, state, and other regulations for guidance. This position is responsible for establishing...
, coordinates, and performs daily activities to provide utilization review services. Utilizes current trends and developments... in utilization review using federal, state, and other regulations for guidance. This position is responsible for establishing...
for inpatient admission or observation in Community Hospitals and UTMB-TDCJ Hospital. Performs utilization review procedures... as needed. Participates in research activities/projects Provides assistance regarding clinical issues to non-nursing utilization review staff...
, but not limited to ensuring timely authorizations and filing, utilization review, case documentation, payer relationships, denial... Kingdom. www.uhs.com The UM Supervisor oversees the utilization management of the Behavioral Health Center including...
Overview: Under the general supervision of the Regional Director of Utilization Review the Regional Utilization... Review Coordinator is responsible for overseeing and coordinating the utilization review processes across multiple healthcare...
, but not limited to ensuring timely authorizations and filing, utilization review, case documentation, payer relationships, denial... Kingdom. www.uhs.com The UM Supervisor oversees the utilization management of the Behavioral Health Center including...
of and in collaboration with the hospital utilization review committee to maintain appropriate standards of utilization review and support the... implementation of the hospital utilization review plan 9. Ensure compliance with all federal, state, and local regulations, as well...
Overview: Under the general supervision of the Regional Director of Utilization Review the Regional Utilization... Review Coordinator is responsible for overseeing and coordinating the utilization review processes across multiple healthcare...
of and in collaboration with the hospital utilization review committee to maintain appropriate standards of utilization review and support the... implementation of the hospital utilization review plan 9. Ensure compliance with all federal, state, and local regulations, as well...
Utilization Review Coordinator to join our team! In this role as UR Coordinator you will perform admission and concurrent review... required. Experience in patient assessment, family motivation, treatment planning and communication with external review organization...