condition through the comprehensive review of medical records, including medical history and treatment documentation... medical need for services. Review treatment plans with providers for requested services, inpatient admissions, or continued...
skills and ability to provide feedback. Knowledge of utilization review processes and InterQual. Excellent communication...GHR healthcare is ready to help you Unlock Your Career: Join Us as a Utilization Management Specialist in Healthcare...
Utilization Management (UM) Review Team, the [ design title] is responsible for conducting daily and weekly associate oversight... as a critical subject matter expert for all CHC LTSS UM review activities and conduct ongoing standardized quality monitoring...
with insurance companies. Negotiates and advocates for patient length of stay and level of care. Oversees utilization review...: Must possess knowledge of psychiatric care, utilization review, insurance reimbursement procedures, etc. Basic computer skills...
with insurance companies. Negotiates and advocates for patient length of stay and level of care. Oversees utilization review...: Must possess knowledge of psychiatric care, utilization review, insurance reimbursement procedures, etc. Basic computer skills...
and ensure efficient patient scheduling and staff utilization in accordance with the TAP scheduling tool. Maintain and review... Services RN, for a limited period of time, and for specific additional duties, as assigned by the Program Manager. The...
and ensure efficient patient scheduling and staff utilization in accordance with the TAP scheduling tool. Maintain and review... Services RN, for a limited period of time, and for specific additional duties, as assigned by the Program Manager. The...
PURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 2 may be an entry level designation into the... Clinical Advancement Program (CAP) for new employees who meet the RN CAP 2 criteria or attained through advancement from RN CAP...
Management or Utilization Review Certification - Highly Preferred MediTech - Highly preferred Benefits Day 1 Health...Specialty: RN Case Management Job Details: Responsible for coordinating medical care, and matching patient needs...
Annual Standing Order Review and ICD coding. Checks correspondence whether electronic, paper or voice mail, and responds... utilization of medication, laboratory, inventory, supplies and equipment to achieve supply cost goals following all guidelines...
Annual Standing Order Review and ICD coding. Checks correspondence whether electronic, paper or voice mail, and responds... utilization of medication, laboratory, inventory, supplies and equipment to achieve supply cost goals following all guidelines...
Annual Standing Order Review and ICD coding. Checks correspondence whether electronic, paper or voice mail, and responds... utilization of medication, laboratory, inventory, supplies and equipment to achieve supply cost goals following all guidelines...
Annual Standing Order Review and ICD coding. Checks correspondence whether electronic, paper or voice mail, and responds... utilization of medication, laboratory, inventory, supplies and equipment to achieve supply cost goals following all guidelines...
and updating all FMS manuals. Accountable for completion of the Annual Standing Order Review and ICD coding. Checks... as required supporting billing and collection activities. Responsible for efficient utilization of medication, laboratory, inventory...
PURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 2 may be an entry level designation into the... Clinical Advancement Program (CAP) for new employees who meet the RN CAP 2 criteria or attained through advancement from RN CAP...
care, and next steps. Coordinate with the Utilization Management team to review medical and payer records to ensure...Description Company: Oak Street Health Title: Embedded Transitional Care Manager - RN (Hospital-based) Location...
The Care Management Coordinator primary responsibility is to evaluate a member’s clinical condition through the review... services determined to be medically necessary based on their personal review. For those cases that do not meet established...
The RN Coordinator serves as the key contact point for the patient to coordinate and streamline all services offered... members 3. Educate patients about their care options and make specific recommendations based on their goals 4. Review...
The RN Coordinator serves as the key contact point for the patient to coordinate and streamline all services offered... members 3. Educate patients about their care options and make specific recommendations based on their goals 4. Review...
professionals. The Case Manager performs daily utilization review and conveys pertinent telephonic information to third party payers...RN Case Manager I - Special Needs & Ambulatory Dept Philadelphia PA Full-time Industry: Healthcare / Health...