. Connecting. Growing together. As a Utilization Management Representative you will be responsible for initial triage of members.... We're committed to delivering innovative leadership in health care management, continuously improving services...
. Connecting. Growing together. As a Utilization Management Representative you will be responsible for initial triage of members.... We're committed to delivering innovative leadership in health care management, continuously improving services...
and Medi-Cal regulations. ICD-9, RVS and CPT 4 coding. Basic computer functions. Basic utilization management. Accurately... compliance. MEASUREMENT: Knowledge of identification of non-compliance reported to management immediately. No formal corrective...
but are not limited to: time-management, effective verbal and written communication, and organization. Job Duties: Creates a well..., good time management practices, and continuous learning. Embraces and promotes new technology; finds efficiencies...
Relations Representatives include but are not limited to: time-management, effective verbal and written communication.... Contributes to a culture of excellence, good time management practices, and continuous learning. Embraces and promotes new...
progress, problem and plans. Participate in Patient Care Conferences, Utilization Review meetings and Rehabilitation... environment characteristics described here are representative of those an employee encounters while performing the essential...
Representative staff. Serves as technical nursing expert for assigned areas. Required Qualifications California Registered Nurse... assistance to PSRs in resolving issues related to front desk responsibilities including scheduling and telephone management. Acts...
, problem and plans. Participate in Patient Care Conferences, Utilization Review meetings and Rehabilitation Conferences.... Work Environment The work environment characteristics described here are representative of those an employee encounters...
Care Conferences, Utilization Review meetings and Rehabilitation Conferences as needed. Participate in in services training... here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may...
population. Assists with the Leadership of the Nursing and Patient Service Representative staff. Serves as technical nursing... in the assessment and management of chronic wounds, ostomies and issues with continence. Required Qualifications 3 Years...
leadership and management to Risk Team - Risk Coordinators and Contract Administrators. Monitors subcontractor insurance... utilization for each region. Responsible for organizing negotiated Prime and Subcontract MSA's and Labor Agreements in a way...
leadership and management to Risk Team - Risk Coordinators and Contract Administrators. Monitors subcontractor insurance... utilization for each region. Responsible for organizing negotiated Prime and Subcontract MSA's and Labor Agreements in a way...
progress, problem and plans. Participate in Patient Care Conferences, Utilization Review meetings and Rehabilitation... environment characteristics described here are representative of those an employee encounters while performing the essential...
, problem and plans. Participate in Patient Care Conferences, Utilization Review meetings and Rehabilitation Conferences.... Work Environment The work environment characteristics described here are representative of those an employee encounters...
Management and Operations to stay current with events and activities at the University. In addition, there will daily... efficiency in the utilization of University resources. Makes minor modifications to improve form, fit, and function of equipment...
utilization of PDPM tools (including but not limited to Physician Diagnosis Verification, Admission/Discharge CSR(GG), Weekly CSR... Board of Nursing at all times. Physical Demands The physical demands described here are representative...
progress, problem and plans. Participate in Patient Care Conferences, Utilization Review meetings and Rehabilitation... environment characteristics described here are representative of those an employee encounters while performing the essential...
Care Conferences, Utilization Review meetings and Rehabilitation Conferences as needed. Participate in in services training... here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may...
utilization of PDPM tools (including but not limited to Physician Diagnosis Verification, Admission/Discharge CSR(GG), Weekly CSR... here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable...
, problem and plans. • Participate in Patient Care Conferences, Utilization Review meetings and Rehabilitation Conferences.... Work Environment The work environment characteristics described here are representative of those an employee encounters...