determines are necessary or desirable to meet its business needs Assist and support the Director and Utilization Management... with the Utilization Management Nurse Manager to identify patient utilization trends to assist the Bassett Healthcare Network...
Overview: NaphCare is hiring experienced Utilization Management Registered Nurse just like you at the Corporate... for Utilization Management Registered Nurse: Develop, implement, and administer the quality assurance and utilization review...
, RN is responsible for providing clinically efficient and effective Inpatient utilization management. Reviews inpatient... Utilizes care management system and resources to track and analyze utilization, variances and trends, patient outcomes...
Overview NaphCare is hiring experienced Utilization Management Registered Nurse just like you at the Corporate Office... for Utilization Management Registered Nurse: Develop, implement, and administer the quality assurance and utilization review...
, experience and growth. The Product Manager - Utilization Management and Prior Authorization will report to the Senior Director... products Requires expertise and thought leadership in Utilization Management and Prior Authorization solutions Experience...
in the UM Department. The Utilization Review Coordinator is responsible for executing the UR function, which includes the... implementation of case management scenarios, consulting with all services to ensure the provision of an effective treatment plan...
in the UM Department. The Utilization Review Coordinator is responsible for executing the UR function, which includes the... implementation of case management scenarios, consulting with all services to ensure the provision of an effective treatment plan...
but saving them. Together. The Senior Manager, Inpatient Utilization Management (California LVN / RN Required) under the... direction of the Director of UM, is responsible for ongoing management of the UM Department, oversees clinical staff, ensuring...
Job Category: Revenue_Cycle Job Description: Under broad direction from the Centralized Utilization Management... Manager, is responsible for the hospital-wide Utilization Management Programs in a general acute care hospital which serves...
but saving them. Together. **** MUST HAVE CALIFORNIA LICENSE*** *** Utilization Management Experience*** The Physician..., utilization and case management, or medical staff governance required. Preferred: Experience as a Physician Advisor...
Sr. Director, Quality and Utilization Management in developing, implementing, monitoring and updating quality improvement...Quality and Utilization Management Specialist What you will be doing: The Quality and Utilization Management...
to policies and procedures. Communicates utilization plans to case management team. Evaluates concurrent and retrospective denials... in acute care setting required 2 years Case Management or Utilization Management experience preferred 1-2 years leadership...
to the Director of Utilization Review and will be responsible to provide quality case management services to all patients...) currently has an opening for Part-time Utilization Management Coordinator. The Utilization Management Coordinator will report...
of two (2) years of prior experience in Utilization Management. Must possess a current, active, full, and unrestricted... precertification requests for medical necessity, referring to the Medical Director those that require additional expertise. Review...
POSITION SUMMARY: The Nurse Manager for Utilization Review and Clinical Appeal Management is responsible... for overseeing the daily operations of the Utilization Management (UM) and Clinical Appeal teams. This role ensures compliance...
requests or provides health management program interventions. Utilizes clinical proficiency and claims knowledge/analysis... Director, Case Manager, Preventive Services, Subrogation, Quality of Care Referrals, etc.). Participates in data collection...
Required: At least 5 years of varied RN clinical experience in an acute hospital setting. At least 2 years of Utilization Management/Case...) requirements for Utilization Management or Care Management (CM). Knowledge of Department of Health Care Services (DHCS...
established guidelines for Utilization Review, the Utilization Management Coordinator collaborates with members of the hospital... Reports to the Director of Care Management. Qualifications Education:Graduation from an accredited nursing education...
We are recruiting for a Utilization Management Coordinator (UMC) to join an established healthcare organization... School Diploma or GED is required. AA degree in related field is preferred. 2+ years utilization management coordination...
of two (2) years of prior experience in Utilization Management. Must possess a current, active, full, and unrestricted... precertification requests for medical necessity, referring to the Medical Director those that require additional expertise. Review...