Director of Utilization Review is a key member of the Lighthouse Case Management Team who will integrate and coordinate... with government regulation, licensing and accreditation requirements. The Director of Utilization Review is responsible for the...
Job Category: Revenue Cycle Management Degree Level: High School Diploma/GED Job Description: Utilization Review... care to others. As a Utilization Review Clerk joining our team, you're embracing a vital mission dedicated to making...
and operational leadership to the day to day function of the Utilization Management Team. The UM Nurse Manager will ensure that the... UM Medical Director and/or the Director of Medical Management. Ensure network provider steerage and happening on OON network...
as an RN, preferably in a hospital setting 2+ years Utilization Management experience in a health plan UM department... as a "Great Place to Work" since 2015. Position Summary The Utilization Review Nurse is responsible for ensuring the receipt...
under the supervision of the Manager/Director and is responsible for working in collaboration with the healthcare team... to coordinate the care and service to patients across the continuum of care. The care manager promotes effective utilization...
Management team performs prospective & concurrent utilization reviews and first level determinations for members using BSC... Behavioral Health Utilization Management Clinician, Senior, will report to the Manager of Behavioral Health Utilization...
team, Director of Utilization Management, and the Medical Director. Review charts at identified review points and attend... as a leader of positive change. The Utilization Management Coordinator utilizes clinical knowledge and understanding...
management and/or utilization review experience Associate degree required; bachelor's Degree preferred. Strong problem-solving... Utilization Manager is responsible for the day-to-day functions of collaborative communication with external case managers...
Job Category: Revenue Cycle Management Degree Level: Bachelor's Degree Job Description: Position Summary The... Utilization Review Specialist is responsible for managing and coordinating the utilization review process for inpatient...
each and every day. Job Description: The Utilization Review RN performs activities which support the Utilization Management... functions. They are responsible for the delivery of the Utilization Management process including but not limited to: making...
patient needs from admission through discharge. Under the general supervision of the Director of Case Management, develops... job duties. Accountability: Reports to: Director of Case Management Supervises: None Qualifications: Current Licensure...
patient needs from admission through discharge. Under the general supervision of the Director of Case Management, develops... job duties. Accountability: Reports to: Director of Case Management Supervises: None Qualifications: Current Licensure...
Kingdom. www.uhs.com The UM Supervisor oversees the utilization management of the Behavioral Health Center including... UM goals and collaboration with the CBO as needed. This position oversees the Utilization Management Coordinator. The...
Kingdom. www.uhs.com The UM Supervisor oversees the utilization management of the Behavioral Health Center including... UM goals and collaboration with the CBO as needed. This position oversees the Utilization Management Coordinator. The...
: $71,612.39 - $110,999.20 Responsible for Utilization Management, Quality Screening and Delay Management for assigned patients. Completes Utilization... service. Recent experience in case management, utilization management and/or discharge planning/home care in a high volume...
management and/or utilization review experience Associate degree required; bachelor's Degree preferred. Strong problem-solving... Utilization Manager is responsible for the day-to-day functions of collaborative communication with external case managers...
: $71,612.39 - $110,999.20 Responsible for Utilization Management, Quality Screening and Delay Management for assigned patients. Completes Utilization... service. Recent experience in case management, utilization management and/or discharge planning/home care in a high volume...
Job Description: Responsibilities Willow Springs Center is looking for an experienced Utilization Management... work that you do, Willow Springs Center is the place for you. Position Overview The Utilization Management Manager...
Job Description: Responsibilities Willow Springs Center is looking for an experienced Utilization Management... work that you do, Willow Springs Center is the place for you. Position Overview The Utilization Management Manager...
setting. Works with the UR Director and facility contacts on case reviews for pre-service, concurrent, and retrospective... instructions and respond to upper management directions accurately Demonstrates thoroughness, looks for ways to improve...