be based outside of the greater Chicagoland area. The Manager of Utilization Review (UR) provides leadership and oversight... health system, external utilization review vendors, and internal stakeholders including physicians, case management...
be based outside of the greater Chicagoland area. The Manager of Utilization Review (UR) provides leadership and oversight... health system, external utilization review vendors, and internal stakeholders including physicians, case management...
development/skills required to function as a Utilization Review Case Manager Completes all mandatory learning assignments... case management/utilization review programs to maintain current knowledge of UR practices. Acts as a role model...
The RN Case Manager is responsible for comprehensive coordination of care and service of individual patients..., coordinates, and performs daily activities to provide utilization review services. Utilizes current trends and developments...
) - Virginia Department of Health Professions (VDHP) (Required) Certified Case Manager (CCM) - Commission for Case Manager... Certification (Preferred) or Accredited Case Manager (ACM) - American Case Management Association (ACMA) (Preferred...
Job Category: Health Information Management Job Description: RN Utilization Review at Irvine, CA. This position... as an acute hospital case manager. Preferred Qualifications: Bachelor's Degree or Master's Degree in Nursing. Experience...
Job Category: Health Information Management Job Description: RN Utilization Review at Irvine, CA. This position... as an acute hospital case manager. Preferred Qualifications: Bachelor's Degree Nursing. Master's Degree Nursing. Experience...
Job Category: Health Information Management Job Description: RN Utilization Review at Irvine, CA. This position... in Utilization Management, medical necessity, and patient status determination. The Utilization Management RN must effectively...
. Experience:Five years of clinical nursing and three years quality management, utilization review or discharge planning experience..., utilization review or discharge planning experience. CPHQ, CCM, ACM or CPUR preferred. Special Training:Basic computer skills...
of clinical nursing and three years quality management, utilization review or discharge planning experience. Other Credentials...:Registered Nurse - NJ Knowledge and Skills:Five years of clinical nursing or three years quality management, utilization review...
review or other activities. Reviews, analyses and identifies utilization patterns and trends, problems or inappropriate... interdisciplinary approach to providing continuity of care, including Utilization management, Transfer coordination, Discharge planning...
review or other activities. Reviews, analyses and identifies utilization patterns and trends, problems or inappropriate... interdisciplinary approach to providing continuity of care, including Utilization management, Transfer coordination, Discharge planning...
review or other activities. Reviews, analyses and identifies utilization patterns and trends, problems or inappropriate... interdisciplinary approach to providing continuity of care, including Utilization management, Transfer coordination, Discharge planning...
., issues related to clinical processes and triage for other potential issues related to physician advisor case review... or hospitalist teams). Triage case review requests, to determine which cases need be sent for secondary review by the physician...
attending LIP, Clinical Case Manager, nurse, and other members of the treatment team, ACCESS center staff and PFS department... to ensure appropriate utilization of resources and benefits on a case by case basis. Applies case management and utilization...
each and every day. Job Description: The Utilization Review RN performs activities which support the Utilization Management... timely admission and concurrent utilization review for all patients of designated medical services; certifies medical...
Utilization Review/Appeals RN is responsible to facilitate effective resource coordination to help patients achieve optimal health... or policy. Active RN license for state(s) covered. Experience in writing appeals. Preferred: Accredited Case Manager (ACM...
Utilization Review/Appeals RN is responsible to facilitate effective resource coordination to help patients achieve optimal health... or policy. Active RN license for state(s) covered. Experience in writing appeals. Preferred: Accredited Case Manager (ACM...
. Indentifies abnormal patterns of utilization and refers to Manager/Director. Recommends changes to system/processes to eliminate...Utilization Management Dept. Full Time Day Shift 8-4:30 Lexington Health is a comprehensive network of care...
of benefits · May oversee work delegated to Central Utilization Review LVN/LPN Case Manager and/or Central Utilization... Preferred Requirements Education: BSN Certifications: Accredited Case Manager (ACM) preferred. #LI-CB4...