, utilization of equipment and facilities, safety oversight, quality of services and work product, timely delivery of services...: Certification or licensure in field of expertise. Terracon Authorized Project Reviewer status preferred. Exemption Exempt...
Planning/ Utilization Management / Case Management terminology and functions, in both managed care and non-managed care... Manager to assist with development and implementations of discharge plans. Assists with case management referrals...
1. Knowledge of Discharge Planning/ Utilization Management / Case Management terminology and functions, in both managed... with case management referrals and authorizations. Maintains and coordinates Medicaid state submission forms for presentation...
content for group sessions. Ensure communication with Billing company/utilization reviewer to complete concurrent reviews... in staff meetings-report to Management issues or concerns as needed, etc… Complete required trainings within orientation...
’s quality management process; reviews project deliverables before submitting to QA/QC reviewer. Actively participates in the... / conferences and/or write articles for trade magazines.) Meets or exceeds utilization goals and adheres to project budget...
’s quality management process; reviews project deliverables before submitting to QA/QC reviewer. Actively participates in the... / conferences and/or write articles for trade magazines.) Meets or exceeds utilization goals and adheres to project budget...
’s quality management process; reviews project deliverables before submitting to QA/QC reviewer. Actively participates in the... / conferences and/or write articles for trade magazines.) Meets or exceeds utilization goals and adheres to project budget...
’s quality management process; reviews project deliverables before submitting to QA/QC reviewer. Actively participates in the... / conferences and/or write articles for trade magazines.) Meets or exceeds utilization goals and adheres to project budget...
’s quality management process; reviews project deliverables before submitting to QA/QC reviewer. Actively participates in the... / conferences and/or write articles for trade magazines.) Meets or exceeds utilization goals and adheres to project budget...
’s quality management process; reviews project deliverables before submitting to QA/QC reviewer. Actively participates in the... / conferences and/or write articles for trade magazines.) Meets or exceeds utilization goals and adheres to project budget...
’s quality management process; reviews project deliverables before submitting to QA/QC reviewer. Actively participates in the... / conferences and/or write articles for trade magazines.) Meets or exceeds utilization goals and adheres to project budget...
the daily operations of a department including staff training, development, and performance review, utilization.... Preferred Certification: Certification or licensure in field of expertise. Terracon Authorized Project Reviewer status...
necessity and utilization review/management expertise Expanded credentials as an expert in Independent Medical Exams...As Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical expertise and reviews...
Requirements As Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical expertise... and reviews insurance appeals, and prospective and retrospective claims. The Physician Reviewer will provide an interpretation...
and consistency of nurse reviewer clinical decisions, compliance to department policies and procedures, and compliance to regulatory... Management systems (Examples: QNXT, Guiding Care MCG, JIRA, etc.) (10%) Coordinate training efforts with various cross...
from leadership and radiology IT Serves as a secondary template reviewer to support leadership and IT in template management via... service or department and is responsible for the streamlined and efficient access management for patients and providers alike...
Stantec’s quality management process; reviews project deliverables before submitting to QA/QC reviewer. Actively... / seminars / conferences and/or write articles for trade magazines.) Meets or exceeds utilization goals and adheres to project...
. Enhanced industry expertise, strengthening your medical practice with medical necessity and utilization review/management... Radiology is required. Requirements: As Physician Reviewer/Advisor supporting Dane Street Legal Services IMEs, the physician...
, Medical Policy and benefit determination. · Performs utilization review activities, including pre-certification, concurrent..., documents, and communicates all utilization review activities and outcomes including, but not limited to, all inquiries made...
management between physicians and hospital departments is achieved. Participates in the development and implementation of the... and other members of the healthcare team. Collects and reports variance trends to the Director or the appropriate Physician Reviewer...