Under the direction of the Case Management Coordinator, coordinates, negotiates, procures and manages the care... improvement initiatives related to the management of patient care. Works with physicians to ensure accurate and thorough...
within the utilization management team reviewing authorizations for medical necessity in various mental health programs... to eligible Advanced Practice Nurse, Nurse Consultant, Nursing Supervisor, Compliance Nurse, Registered Nurse, Licensed Practical...
and/or Manager/Supervisor of Medical Management. The primary role involves reviewing requests for service authorizations to ensure... reports on department activities as assigned. Essential Skills Utilization management Behavioral Health Mental Health...
for Utilization Management, data analysis and reporting. 7.Educate counseling staff regarding data needed to adequately document..., but not required. Two years minimum experience in utilization review preferred. Must possess good grammatical and communication skills...
surrounding utilization and denials management. Use effective relationship management, coordination of services, resource... disorders, and other behavioral healthcare issues. To support the mission of Helio Health, the Utilization Case Manager...
Job Title: Behavioral Health Utilization Review Nurse Job Description The Utilization Management Nurse (UMN) plays... supervision of the Director and/or Manager/Supervisor of Medical Management, and in collaboration with the interdisciplinary team...
of practice surrounding utilization and denials management. Use effective relationship management, coordination of services... disorders, and other behavioral healthcare issues. To support the mission of Helio Health, the Utilization Case Manager...
and/or Manager/Supervisor of Medical Management. The primary role involves reviewing requests for service authorizations to ensure... reports on department activities as assigned. Essential Skills Utilization management Behavioral Health Mental Health...
Job Title: Behavioral Health Utilization Review Nurse Job Description The Utilization Management Nurse (UMN) plays... supervision of the Director and/or Manager/Supervisor of Medical Management, and in collaboration with the interdisciplinary team...
Job Title: Behavioral Health Utilization Review Nurse Job Description The Utilization Management Nurse (UMN) plays... supervision of the Director and/or Manager/Supervisor of Medical Management, and in collaboration with the interdisciplinary team...
Under the direction of the Case Management Coordinator, coordinates, negotiates, procures and manages the care... improvement initiatives related to the management of patient care. Works with physicians to ensure accurate and thorough...
Job Description: Responsibilities Utilization Review Specialist Rivendell Behavioral Health Services is an 80-bed.... Rivendell Behavioral Health Services of Arkansas is seeking a Utilization Review Specialist for full time status. The...
Job Description: Responsibilities Utilization Review Specialist Rivendell Behavioral Health Services is an 80-bed.... Rivendell Behavioral Health Services of Arkansas is seeking a Utilization Review Specialist for full time status. The...
JOB DESCRIPTION SUMMARY Reports to the Nurse Supervisor and assists in the process of health management and utilization review (UR). The...Johnson Service Group (JSG) is seeking a Bilingual Utilization Review Coordinator. This position is remote - MUST WORK...
and Appeals Coordinator will perform activities to help facilitate utilization management and appeals functions to include... for utilization management and appeals processes, performs data management and coordinates communication between members of the...
Utilization Review Specialist Join Our Team: As a Utilization Review Specialist, you will play a pivotal role.... If you are organized, efficient, and dedicated to maintaining the highest standards of quality in medical records management, we invite...
Grade 20 (2024) DEPARTMENT Utilization Management WORK LOCATION Remote (occasional travel as required) POSITION PURPOSE... The Utilization Management Nurse is responsible for evaluating clinical service requests to ensure medically necessary...
, identifies and reports on specific cases, and provides information regarding utilization management requirements and operational...We are recruiting for a motivated RN Registered Nurse, Utilization Coordinator Denver Health Medical Plan - Remote...
-Bargaining Unit, BEZ - Utilization Management - WST, Mount Sinai West Employer Description Strength through Unity...Job Description: Description Insurance Specialist Mount Sinai West Utilization Mgmt FT Days EOW To maintain front...
. Contacts physicians regarding problems with utilization management agencies approval of hospital stays. Follows appropriate... and requirements along with the precertification/concurrent review monitoring requirements for the various utilization management...