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...
, 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...
, 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...
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...
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...
1 year of recent professional Emergency Department nursing (RN) experience or 2 years of recent utilization review...: The Utilization Review (UR) Registered Nurse is responsible for evaluating the medical necessity, appropriateness...
Description : PURPOSE STATEMENT: Proactively monitor utilization of services for patients and optimize... reimbursement for the facility. Review for quality of services provided and medical necessity. ESSENTIAL FUNCTIONS: Act...
and/or National Certification in Utilization Review or Case Management Minimum Experience: 1 - 3 years of directly related RN... experience Preferred Experience: 3 - 5 years acute care nursing experience Completion of Utilization Review/Case Management...
Role Overview The Utilization Management Review Supervisor manages a remote team of clinical reviewers who process...) Responsibilities Team supervision: Provide daily oversight, support, and direction to a remote team of Utilization Management...
and/or Utilization Review experience required. Certifications/Licenses: Current license as a RN in the State of California...: The Southwest Healthcare Regional office in Temecula, CA is seeking a Full-Time Central Utilization Review Nurse who...
and/or Utilization Review experience required. Certifications/Licenses: Current license as a RN in the State of California...: The Southwest Healthcare Regional office in Temecula, CA is seeking a Full-Time Central Utilization Review Nurse who...
and may require up to Every Other Weekend coverage. SPECIFIC RESPONSIBILITIES: The Utilization Review (UR) Registered...: Promotes quality through evidence-based utilization review processes and actively contributes to performance improvement...
Utilization Review Specialist – Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site - No Remote About Exact.... Requirements About the Role As a Utilization Review Specialist, you will play a pivotal role in ensuring the efficient...
case management/utilization review programs to maintain current knowledge of UR practices. Acts as a role model... development/skills required to function as a Utilization Review Case Manager Completes all mandatory learning assignments...
and social services on a 24-hour basis, under physician-directed care and RN supervision. We service a multitude of patients... development of clinical guidelines and protocols for utilization management. Maintain up-to-date knowledge of medical terminology...
The RN Case Manager is to support the physician and interdisciplinary team in facilitating patient care, with the... and providing timely and accurate information to payers. This role integrates and coordinates Utilization management, care...
RN Utilization & Care Management – Emergency Dept Location: Bronx, NY 10461 Assignment Length: 13 Weeks Schedule... with strong care management and utilization review experience to support patient flow and safe discharge processes within the Emergency...
RN Utilization & Care Management – Emergency Dept Location: Bronx, NY 10461 Assignment Length: 13 Weeks Schedule... with strong care management and utilization review experience to support patient flow and safe discharge processes within the Emergency...