or three (3) years utilization/case management or 3rd party payer work experience. Ability to adjust priorities quickly... skills. Scheduled work hours and days may vary depending upon departmental needs determined by department director/manager...
or three (3) years utilization/case management or 3rd party payer work experience. Ability to adjust priorities quickly... skills. Scheduled work hours and days may vary depending upon departmental needs determined by department director/manager...
with Director and participates in staff evaluation and performance activities Represents Utilization Management and attends...RN Manager of Utilization Management San Diego, California The RN Manager of Utilization Management is responsible...
Collaborates with Director and participates in staff evaluation and performance activities Represents Utilization Management...RN Manager of Utilization Management West Los Angeles, California The RN Manager of Utilization Management balances...
or three (3) years utilization/case management or 3rd party payer work experience. Ability to adjust priorities quickly... skills. Scheduled work hours and days may vary depending upon departmental needs determined by department director/manager...
Director of Utilization To manage and coordinate the Utilization Review process , to assess the medical... in psychiatric or behavioral health treatment setting. Outpatient clinical experience highly desirable. Utilization Management/UR...
Job Description: Responsibilities Position Summary: Oversees utilization management including, but not limited... to: utilization review, case documentation, payer relationships, regulatory requirements, staff management and department...
Job Description: Responsibilities Position Summary: Oversees utilization management including, but not limited... to: utilization review, case documentation, payer relationships, regulatory requirements, staff management and department...
of Utilization Review /Case Management: The Director will have 24-hour 7 day a week responsibility for the operational management... and assesses and ensures competency and active license status (if appropriate) of the clinical staff Utilization Management...
of Utilization Review /Case Management: The Director will have 24-hour 7 day a week responsibility for the operational management... and assesses and ensures competency and active license status (if appropriate) of the clinical staff Utilization Management...
Overview: The Director of Utilization Review is accountable for managing the Utilization Review functions of the..., department heads, senior management, nursing staff, social services, and state and federal agencies. Serves as the Director...
the Utilization Review program and makes recommendations to the Director on how to improve the quality of patient care... managers and hospitals and medical staff. Manages and leads the Case Management, Social Service, and Utilization Management...
today! This job is responsible for upholding the strategic vision, direction and overall accountability for the Utilization Management Department.... Develops, implements and monitors strategies for cost reduction and utilization management. Implements and leads...
denied claims, writing appeals and supplying supporting documentation. Connects the roles of utilization management.... Certification in case management and/or utilization review preferred Minimum of three (3) years clinical experience, including...
and supplying supporting documentation. Connects the roles of utilization management with clinical documentation and makes... with and conversing with physicians, required. Skills: Must have knowledge of utilization review and management as well as clinical...
required; BSN preferred. 3+ (total) years clinical nursing experience Utilization management experience in a managed care... as a "Great Place to Work" since 2015. Position Summary The Utilization Review Nurse works as a member of a team responsible...
Job Summary: Coordinates quality, utilization and risk management activities for the Home Care Agency; provides... in the coordination of the quality management/utilization management department activities. Acts as a consultant...
Director, Care Coordination, the Utilization Review RN performs activities which support the Utilization Management functions.... The Utilization Review RN is responsible for the delivery of the Utilization Management process not limited...
Director, Care Coordination, the Utilization Review RN performs activities which support the Utilization Management functions.... The Utilization Review RN is responsible for the delivery of the Utilization Management process not limited...
reports for state, federal, and local agencies. Assists the director of quality and utilization management for QM...Job Summary: Coordinates quality, utilization and risk management activities for the Home Care Agency; provides...