. Apply now to see where your career at CHOC can take you. Job Summary The Utilization Review Representative is responsible for utilization review.... Training Required: None required. Preferred: Certification in Utilization Review and/or Case Management; CPN...
progress of all open cases to the Medical Director, Director of Healthcare Services and Manager of Utilization Management. 16... with others. Excellent critical thinking skills related to nursing utilization review Knowledge of Medicare Managed Care Plans Effective...
review activities to provide resident appropriate, timely and cost effective care. Coordinate care with resident, care... residents/families/caretakers, physicians, nurse and other ancillary partners. Must have excellent time management skills...
review activities to provide resident appropriate, timely and cost effective care. Coordinate care with resident, care... residents/families/caretakers, physicians, nurse and other ancillary partners. Must have excellent time management skills...
from coast to coast. This position is 100% remote part time. Highlights of this role include: Ability to verify benefits... availability Facilitate intake, admissions, and utilization review process for incoming patients. Perform insurance benefit...