details of reimbursement issues; also participates in the Patient Care Committee for patient care reviews, and in Utilization Review Staff... team throughout the review of patients, their placement in various levels of care and their receipt of necessary services...
during hospital stay beginning with the admission review of the case manager and reviews with the Case Manager Lead, as needed. Keeps..., or hospice settings. Experience as a case manager or discharge planner interacting with managed care payers. Experience...
and operational leadership to the day to day function of the Utilization Management Team. The UM Nurse Manager will ensure that the...Job Category: Support Services Job Description: The UM Nurse Manager is responsible for providing strategic...
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...
Utilization Management team is to control costs, improve revenue collection, and ensure data integrity. The Utilization Review (UR... for maintaining and reporting on all residential utilization metrics, outcomes, and overall efficiency of the program. The UM manager...
disorders, and other behavioral healthcare issues. To support the mission of Helio Health, the Utilization Case Manager... will enhance the program’s efforts to track, review, and analyze data relating to continuous quality improvement. The Utilization...
disorders, and other behavioral healthcare issues. To support the mission of Helio Health, the Utilization Case Manager... will enhance the program’s efforts to track, review, and analyze data relating to continuous quality improvement. The Utilization...
& Discharge Planning Utilization Management / Utilization Review (UM/UR) Acute hospital experience (inpatient setting...Immediate need for a talented Registered Nurse - Case Manager/ Utilization Manager. This is a 03+ Months Contract...
Behavioral Health Utilization Manager for Inpatient and 24-Hour Diversionary Services is responsible for overseeing the.... Experience: ·5-7 years experience in behavioral health utilization management within inpatient and residential treatment...
and safety. Thank you for considering our Utilization Review Manager position as we continue our successful opening...! More information about Southridge can be found online at: Position Description: The Utilization Manager is responsible...
and safety. Thank you for considering our Utilization Review Manager position as we continue our successful opening...! More information about Southridge can be found online at: Position Description: The Utilization Manager is responsible...
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...
Customer Success Utilization Manager Location: Field position, based in San Francisco (Travel up to 80%) Company.... As a Customer Success Utilization Manager (CSUM), you'll play a critical role in ensuring customers achieve maximum success...
interdisciplinary approach to providing continuity of care, including Utilization management, Transfer coordination, Discharge planning... for utilization/quality management activities based on guidelines/standards for patients in a variety of settings, including...
PURPOSE STATEMENT: Monitor utilization of services and optimize reimbursement for the facility while maximizing use... companies for inpatient treatment and continue to obtain authorizations for duration of patient stay. Evaluate the utilization...
PURPOSE STATEMENT: Monitor utilization of services and optimize reimbursement for the facility while maximizing use... companies for inpatient treatment and continue to obtain authorizations for duration of patient stay. Evaluate the utilization...
for additional review as determined by department standards. Additionally, the RN Utilization Management Nurse is responsible...RN Utilization Management Nurse – Frontline Opportunity Greater Orlando, Florida The RN Utilization Management Nurse...
Behavioral Health Utilization Management Clinician, Senior, will report to the Manager of Behavioral Health Utilization... Management team performs prospective & concurrent utilization reviews and first level determinations for members using BSC...
Behavioral Health Utilization Management Clinician, Experienced, will report to the Manager of Behavioral Health Utilization... Management team performs prospective & concurrent utilization reviews and first level determinations for members using BSC...
the Centralized Utilization Review department and collaborates with staff across the Southern California Region. Duties... to submit required documents. Retrieves and delivers messages from Utilization Review Dept phone review line at least 4 times...