outcomes, and promote health equity. Position Responsibilities: Specific Utilization Management & Review Conduct... on best practices in addiction medicine and utilization management. Serve as a thought leader in behavioral and addiction psychiatry...
experience in Utilization Management, Case Management or Quality Management. 2 years clinical nursing experience. Knowledge..., dual eligibles, and Medicaid products across medical management organizations; optimizing the clinical review process...
Shift, 8 Hours (United States of America) Hours: 40 Cost Center: 99940 - 5421 Utilization Management This position may... of utilization management staff, including level of care assignment and denials prevention, and supports staff in a manner...
management, utilization management, throughput, and post-acute services for payers and providers. Create client-ready... setting) Inpatient utilization review and denials management Payer care management, utilization management and quality...
development, direction and evaluation of an effective regional utilization management program that supports the delivery of high... effective coordination and integration between Utilization Management functions and Clinical Review, Contracting, and Claims...
management and utilization review in this position Case Management experience - Strongly preferred Utilization Review...Details Department: Case Management Schedule: Monday through Friday; Day shift Hospital: Ascension Borgess Hospital...
Details Department: Utilization Management Schedule: FT, Monday-Friday, 8am-5pm Hospital: Ascension St. John... management function within the insurance plan. Responsibilities: Ensure integration of utilization management functions...
Details Department: Utilization Management Schedule: FT, Monday-Friday, 8am-5pm Hospital: Ascension St. John... management function within the insurance plan. Responsibilities: Ensure integration of utilization management functions...
Details Department: Utilization Management Schedule: FT, Monday-Friday, 8am-5pm Hospital: Ascension St. John... management function within the insurance plan. Responsibilities: Ensure integration of utilization management functions...
Details Department: Utilization Management Schedule: FT, Monday-Friday, 8am-5pm Hospital: Ascension St. John... management function within the insurance plan. Responsibilities: Ensure integration of utilization management functions...
Details Department: Utilization Management Schedule: Monday - Friday. 40 hours week. Hospital: Ascension Saint... management function within the insurance plan. Ensure integration of utilization management functions with network strategy...
Details Department: Utilization Management Schedule: Monday - Friday. 40 hours week. Hospital: Ascension Saint... management function within the insurance plan. Ensure integration of utilization management functions with network strategy...
Description Summary: The Utilization Management Nurse II is responsible for determining the clinical... approved certification for services. The Utilization Management Nurse collaborates as necessary with other members of the...
WellMed, part of the Optum family of businesses, is seeking a LVN or LPN Pharmacy Utilization Management... medicine can be while Caring. Connecting. Growing together. The Utilization Management Nurse for Medical Management Pharmacy...
Description Summary: The Utilization Management Nurse II is responsible for determining the clinical... approved certification for services. The Utilization Management Nurse collaborates as necessary with other members of the...
and the additional medical, community, or financial resources available. Provide utilization management (UM) services... to Large Case Reinsurance RN and Care Management team as appropriate. Assist Medical Director in developing guidelines...
and the additional medical, community, or financial resources available. Provide utilization management (UM) services... to Large Case Reinsurance RN and Care Management team as appropriate. Assist Medical Director in developing guidelines...
and the additional medical, community, or financial resources available. Provide utilization management (UM) services... to Large Case Reinsurance RN and Care Management team as appropriate. Assist Medical Director in developing guidelines...
and the additional medical, community, or financial resources available. Provide utilization management (UM) services... to Large Case Reinsurance RN and Care Management team as appropriate. Assist Medical Director in developing guidelines...
services rendered to members for medical necessity and benefit validation. The Utilization Management Nurse, Senior will report... to the Manager, Utilization and Medical Review. In this role you will be performing post service review for members using BSC...