. JOB SUMMARY: Our Ethos Medical Management Team is seeking a full-time Utilization Review Specialist (REMOTE) to play a key role... in ensuring the efficient, accurate, and timely processing of Utilization Management and Independent Review requests...
in managed care, case management, utilization review, or discharge planning a plus.... with our patients and teammates. Job Summary The Utilization Management Manager plays a vital role in ensuring patients have timely...
Improvement Specialist Manager is responsible for providing CDI program oversight and day to day CDI implementation of processes... related to the concurrent review of the clinical documentation in the inpatient medical record of Optum 360 clients' patients...
to support personnel as identified by program (ex: Office Manager, Medicaid specialist, finance personnel). Maintain contact... in addition to regularly scheduled and required written reports. Review all client files pertaining to assigned caseload as part...
and implementation. Work with Clinical Education Program Specialist to develop customized clinical documents and product training tools... based on workflow processes. Work with Clinical Education Program Specialist to get customers set up with e-learning...