Responsibilities Responsible for the quality and resource management of all patients that are admitted to the... facility from the point of their admission and across the continuum of the health care management. Works on behalf of the...
Position Summary: Must have previous utilization management experience. A care manager is vital to the patient... utilization management and the transition to the next appropriate level of care. Essential Functions Initially...
Nature and Scope: This multifaceted role will focus on discharge planning, utilization review, and swing bed... on call schedule Qualifications: Experience: A Minimum of three (3) years' experience in case management and utilization...
healthcare field. At least 2 years of experience in utilization review, case management, or clinical healthcare roles...) systems and utilization management software. Certification in Utilization Review (e.g., Certified Professional in Utilization...
Job Description: Position Summary Must have previous utilization management experience. A care manager is vital... utilization management and the transition to the next appropriate level of care. Essential Functions Initially...
in Financial Services & Insurance RN Utilization Review PRIMARY PURPOSE: To utilize evidence based tools to evaluate the.../utilization management. Skills & Knowledge Knowledge of pharmaceuticals used to treat pain Knowledge of behavioral health...
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...
experience a plus. Managed care payor experience a plus either in Utilization Review, Case Management or Appeals. Interaction... Utilization Review/Appeals RN is responsible to facilitate effective resource coordination to help patients achieve optimal health...
experience a plus. Managed care payor experience a plus either in Utilization Review, Case Management or Appeals. Interaction... Utilization Review/Appeals RN is responsible to facilitate effective resource coordination to help patients achieve optimal health...
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...
as a leader of positive change. The Utilization Management Coordinator utilizes clinical knowledge and understanding... of behavioral health resource management to review and coordinate the care for a designated patient caseload. Collaborates with the...
healthcare field. At least 2 years of experience in utilization review, case management, or clinical healthcare roles...) systems and utilization management software. Certification in Utilization Review (e.g., Certified Professional in Utilization...
in-services staff meetings and formal educational settings in areas of utilization management. Demonstrate current knowledge... of State and Federal regulatory requirements as it pertains to the utilization review process. Identifies dynamics of neglect...
Job Description JOB TITLE Utilization Review Nurse REPORTS TO Utilization Review, Manager STATUS FT, Exempt WAGE RANGE... and applying nursing knowledge to support utilization review and care decisions. Utilization Management: Proficient in InterQual...
is looking for a Utilization Review Coordinator to coordinate patients’ services across the continuum of care by promoting effective utilization...'s degree preferred. Experience: Minimum of 2 years of utilization review experience in a hospital setting required. Minimum...
of Indianapolis and Medical Behavioral Hospital of Indianapolis are looking for a PRN Utilization Review Coordinator to coordinate..., Nursing or Psychology required. Master's degree preferred. Experience: Minimum of 2 years of utilization review experience...
with healthcare regulations. Key Responsibilities Leadership and Management - Directs the Utilization Review Staff and functions... year and we are only getting started We are in search of multiple Utilization Review Directors across the nation...
with healthcare regulations. Key Responsibilities Leadership and Management - Directs the Utilization Review Staff and functions... year and we are only getting started We are in search of multiple Utilization Review Directors across the nation...
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...
healthcare field. At least 2 years of experience in utilization review, case management, or clinical healthcare roles...) systems and utilization management software. Certification in Utilization Review (e.g., Certified Professional in Utilization...