and management use. Identify and resolve employee and department operational issues in a timely manner. Manage, identify... and implement billing system tools for monitoring collections for timeliness and accuracy. Manage utilization of external...
to getting the right drug to the right patient at the right time! We are currently seeking a 340B Pharmacy Supervisor to lead... and manage our 340B Drug Pricing Program. In this role, you will oversee compliance and operational management...
Role Overview The Utilization Management Review Supervisor manages a remote team of up to 12 clinical reviewers who... oversight, support, and direction to a remote team of Utilization Management Reviewers Clinical and technical support...
Role Overview The Supervisor Behavioral Health Utilization Management Review manages a remote team of 10 Behavioral... Health Utilization Management Reviewers who process prior authorization requests and concurrent reviews across multiple...
Role Overview The Utilization Management Review Supervisor manages a remote team of clinical reviewers who process...) Responsibilities Team supervision: Provide daily oversight, support, and direction to a remote team of Utilization Management...
review and OMPP site visits, pertaining to the Utilization Management Department. Partner with community agencies...Role Overview As the Manager, Utilization Management you will direct the day to day activities of the Clinical Care...
and Supports (LTSS) Review Utilization Management program and staff under the supervision of the Director, LTSS Clinical Services... activities of the LTSS Review Utilization Management staff. Oversee staff performance with regard to medical necessity...
of medical management experience in a managed care setting including utilization review RN experience in a clinical setting... utilization review clinical team, in the areas of authorization requests, organizational determinations/ disputes, and auditing...
. Supervise and oversee the Utilization Review Team. Use available data to monitor effective team behavior in compliance... more frequent individual feedback as necessary. Provide utilization review support for inpatient and outpatient adolescent services...
in Financial Services & Insurance RN Utilization Review PRIMARY PURPOSE: To utilize evidence based tools to evaluate the.../utilization management. Skills & Knowledge Knowledge of pharmaceuticals used to treat pain Knowledge of behavioral health...
and applying nursing knowledge to support utilization review and care decisions. Utilization Management: Proficient in InterQual..., or debarment from Medicare/Medicaid. Preferred Qualifications Two (2) years of utilization review or case management...
supervisor and clinical educator for quality assurance purposes. Demonstrates competency in utilization review process...’s. Job Description Participates as a team leader to proactively support efforts that ensure effective and efficient utilization review services...
Kingdom. www.uhs.com The UM Supervisor oversees the utilization management of the Behavioral Health Center including..., but not limited to ensuring timely authorizations and filing, utilization review, case documentation, payer relationships, denial...
Kingdom. www.uhs.com The UM Supervisor oversees the utilization management of the Behavioral Health Center including..., but not limited to ensuring timely authorizations and filing, utilization review, case documentation, payer relationships, denial...
Job Description: Responsibilities ***Join Our Team as a Utilization Review Coordinator!*** North Spring... Behavioral Healthcare is looking for a fulltime Utilization Review Coordinator (on-site) to join our compassionate and dynamic...
Job Description: Responsibilities ***Join Our Team as a Utilization Review Coordinator!*** North Spring... Behavioral Healthcare is looking for a fulltime Utilization Review Coordinator (on-site) to join our compassionate and dynamic...
to coordinate the care and service to patients across the continuum of care. The care manager promotes effective utilization... of Practice as foundation of Care Management. Care Managers complete annual competencies to ensure care is evidence based. Non...
Imagine360 is seeking a Supervisor, Utilization Management to join the team! The Supervisor, Utilization Management... Utilization Management Nurses and associated programs and processes, as directed by the Senior Manager, Patient Review and Intake...
Clinical Supervisor and Utilization Liaison Company Overview: River Edge Behavioral Health is recognized for its... to ensure high-quality client care. Additionally, this role supports utilization management functions for outpatient adult...
is seeking a Utilization Management, Supervisor - PT, OT or SLP (Remote within Arkansas) to join our growing team. Job Summary...: The Utilization Management, Supervisor (Remote within Arkansas) role will oversee and manage the Utilization Management...