Quality and Utilization Management Specialist What you will be doing: The Quality and Utilization Management... Sr. Director, Quality and Utilization Management in developing, implementing, monitoring and updating quality improvement...
JOB RESPONSIBILITIES Utilization Management- Utilization Management: Independently working more complex prospective... necessity and administrative review process while maintaining productivity and turnaround time. Quality- Work with management...
Behavioral Health Utilization Management Specialist Location: Utah (Hybrid & Remote Options... Health division is growing, and we’re looking for a Behavioral Health Utilization Management Specialist who shares...
. The Utilization Management Specialist (UMS) screens patients to determine the appropriate level of care through the use... of clinical criteria, the Medicare Inpatient Only List, and individual payer requirements. The Utilization Management Specialist...
The Clinical Support Specialist - Utilization Management (CSS-UM) will work in-person and remotely to perform all aspects...: Utilization Management Physical Strength: Light (L) Reports To: Utilization Management Manager Work Location Type: Hybrid...
Utilization Management - Inpatient Clinical Specialist Work from home within WA, OR, ID, UT Build a career... and requests from a variety of sources related to Inpatient Utilization Management (UM) cases. The UM Inpatient Clinical...
Behavioral Health Utilization Management Clinical Support Specialist Work from Home within Oregon, Washington, Idaho... administrative support to the Behavioral Health Utilization Management (UM) team. This includes working with facilities and providers...
Management Nurse Specialist RN II facilitates, coordinates, and approves medically necessary referrals that meet established... Required: At least 5 years of varied RN clinical experience in an acute hospital setting. At least 2 years of Utilization Management/Case...
with our patients and teammates. Job Summary The Utilization Management Manager plays a vital role in ensuring patients have timely.... By combining attention to detail with proactive collaboration, the Utilization Management Manager safeguards revenue integrity...
with our patients and teammates. Job Summary The Utilization Management Manager plays a vital role in ensuring patients have timely.... By combining attention to detail with proactive collaboration, the Utilization Management Manager safeguards revenue integrity...
with our patients and teammates. Job Summary The Utilization Management Manager plays a vital role in ensuring patients have timely.... By combining attention to detail with proactive collaboration, the Utilization Management Manager safeguards revenue integrity...
of two (2) years of prior experience in Utilization Management. Must possess a current, active, full, and unrestricted...SUMMARY Responsible for assuring the receipt of high quality, cost efficient medical outcomes for those enrollees...
of two (2) years of prior experience in Utilization Management. Must possess a current, active, full, and unrestricted...SUMMARY Responsible for assuring the receipt of high quality, cost efficient medical outcomes for those enrollees...
Utilization Review Specialist Department: Claims Administration & Adjusting Employment Type: Permanent - Full Time... insurance and regulated sectors. The Utilization Review Specialist is responsible for performing utilization review services...
working with the facility's population. Previous experience in utilization management is preferred Preferred Licensure: LPN... offers comprehensive training, dynamic leadership, and personalized support so you can achieve your greatest potential. The UR Specialist...
is designed to address the growing need for high-quality behavioral health services in the region. The Utilization Specialist...'s population. Previous experience in utilization management is preferred LICENSES/DESIGNATIONS/CERTIFICATIONS: Preferred...
Job Category: Revenue Cycle Management Degree Level: Bachelor's Degree Job Description: Job Title: Utilization.... How you'll contribute Utilization Review Specialist facilitates clinical reviews on all patient admissions and continued stays...
Charge and Utilization Specialist manages all aspects of laboratory charges to ensure accuracy, compliance, and consistency... specialist provides operational support by monitoring quality metrics, managing key laboratory documentation (like the specimen...
Overview: Mirror Lake is hiring for a Utilization Specialist! Proactively monitor utilization of services... with the facility's population. Previous experience in utilization management is preferred LICENSES/DESIGNATIONS...
Behavioral Health is currently seeking a Utilization Review Specialist - PRN to assist the Utilization Department staff..., and Alameda County. PURPOSE STATEMENT: The Utilization Review Specialist coordinates and assesses the inpatient census...