and Utilization Liaison will collaborate with the Utilization Manager and work closely with River Edge Behavioral Health’s clinical... to ensure high-quality client care. Additionally, this role supports utilization management functions for outpatient adult...
Anticipated End Date: 2026-01-23 Position Title: Utilization Management Representative III Job Description: Title...: Utilization Management Representative III Virtual: This role enables associates to work virtually full-time, with the exception...
Anticipated End Date: 2026-01-23 Position Title: Utilization Management Representative I Job Description: Title...: Utilization Management Representative I Location: Winston Salem, North Carolina or Durham, North Carolina Virtual: This role...
related to medical necessity. Promotes an open communication between utilization management and the health care team... level of service. Maintains timely and appropriate documentation of all utilization management activities. Utilizes...
benefits and the additional medical, community, or financial resources available. Provide utilization management (UM) services... programs. Maintain contact with the inpatient facility utilization review personnel to assure appropriateness of continued...
benefits and the additional medical, community, or financial resources available. Provide utilization management (UM) services... programs. Maintain contact with the inpatient facility utilization review personnel to assure appropriateness of continued...
benefits and the additional medical, community, or financial resources available. Provide utilization management (UM) services... programs. Maintain contact with the inpatient facility utilization review personnel to assure appropriateness of continued...
benefits and the additional medical, community, or financial resources available. Provide utilization management (UM) services... programs. Maintain contact with the inpatient facility utilization review personnel to assure appropriateness of continued...
benefits and the additional medical, community, or financial resources available. Provide utilization management (UM) services... programs. Maintain contact with the inpatient facility utilization review personnel to assure appropriateness of continued...
requests or provides health management program interventions. Utilizes clinical proficiency and claims knowledge/analysis... available resources to promote quality, cost effective outcomes. Performs medical or behavioral review/authorization process. Ensures...
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...
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...
The Medical Director, Utilization Management, provides organizational leadership in the operational areas of appeals..., utilization review, quality improvement, and related policy and practice initiatives in collaboration with the Corporate Medical...
Management/Utilization Management Review the treatment plan and advocate for additional services as indicated. Promote..., program manager, nurse manager, and various members of the team. Collaborate with the treatment team regarding continued...
Management/Utilization Management Review the treatment plan and advocate for additional services as indicated. Promote..., program manager, nurse manager, and various members of the team. Collaborate with the treatment team regarding continued...
as a leader of positive change. The Care Management, Care Coordinator, Utilization Management is a member of the healthcare team... for a designated patient caseload; the Care Coordinator, Utilization Management plans effectively in order to manage length of stay...
of community investment What You Will Do Provide strategic and operational leadership for Case Management, Utilization Review...Director of Case Management / Utilization Management / CDI Location: near Gratiot, OH Now is your chance...
is looking for a Utilization Management Reviewer to monitor the utilization of clinical services provided at Mental Health Resource Center (MHRC... oriented atmosphere. Responsibilities Reviews medical records and attends treatment team meetings to review utilization...
The Utilization Management (UM) RN performs utilization review activities, including, but not limited... review. PIH Health is a nonprofit, regional healthcare network that serves approximately 3 million residents in the...
recommendations to providers in emergency department setting. Utilize critical thinking and expertise in utilization review regarding... to succeed: QUALIFICATION REQUIREMENTS: Associate's of Nursing (Required), Bachelor's of NursingAccredited Case Manager (ACM...