about life at Wellmark . Job Description Use Your Strengths at Wellmark as a Utilization Management Nurse! *This position... required. Average schedule of 8:00 am - 5:00 pm Central with some flexibility.* About the role: As a Utilization Management (UM) Nurse...
Utilization Management Nurse Job Description We are seeking a dedicated Utilization Management Nurse to provide... to resolve utilization review issues and explore alternative treatment options. Process utilization management requests using...
Utilization Management Nurse Job Description We are seeking a dedicated Utilization Management Nurse to provide... to resolve utilization review issues and explore alternative treatment options. Process utilization management requests using...
Employment Type: Full time Shift: Description: Are you an experienced Director of Care Management & Utilization... responsibilities include budgeting, strategic planning, patient care management and integration and achieve organizational goals. Acts...
. Responsibilities Support adherence to processes within Utilization Management and Case Management. Review and validate denial... assurance reviews of call interactions within Utilization Management and Case Management. Use AWS systems to listen to recorded...
. Responsibilities Support adherence to processes within Utilization Management and Case Management. Review and validate denial... assurance reviews of call interactions within Utilization Management and Case Management. Use AWS systems to listen to recorded...
. Responsibilities Support adherence to processes within Utilization Management and Case Management. Review and validate denial... assurance reviews of call interactions within Utilization Management and Case Management. Use AWS systems to listen to recorded...
: Monitors patient admissions to assure appropriate patient placement Focuses on efficient bed utilization when assigning beds... knowledge and teamwork to facilitate cohesive efforts to achieve continuous quality management and excellence in providing...
in specific areas. Demonstrates knowledge and understanding of management /supervisory responsibilities as identified.... Works with management and medical staff to evaluate, monitor and enforce specific protocols, procedures and objectives...
& Qualifications Prior medical criteria research and development experience. Knowledge of utilization management and understanding... program. Active and unrestricted Registered Nurse (RN) license in Iowa or South Dakota. 4+ years of related health plan...
Job Title: Quality Coach Job Description Support the company's adherence to processes within Utilization Management... and Case Management. This role includes reviewing and performing denial letter validation, ensuring quality in all aspects...
) and utilization management process in accordance with current federal, state, and local standards. Essential Functions Reasonable... for each need. 4. Assist nursing management with the coordination, management, and review of nurse’s notes to determine if the...