Description As the Utilization Management & Quality Review Specialist, you will be responsible for: Managing service... communication is provided to all stakeholders. Working closely with medical director, utilization management and quality review...
Description As the Utilization Management & Quality Review Specialist, you will be responsible for: Managing service... communication is provided to all stakeholders. Working closely with medical director, utilization management and quality review...
Job Summary: The Quality Assurance (QA) Specialist for Third Party Administrator (TPA)-Care First, Community... range of constituencies in the community and within the organization. Title: TPA Quality Assurance Specialist Reports To: TPA Project Director...
Job Summary: The Quality Assurance (QA) Specialist for Third Party Administrator (TPA)-Care First, Community... range of constituencies in the community and within the organization. Title: TPA Quality Assurance Specialist Reports To: TPA Project Director...
Specialist II utilizes clinical skills and training to perform essential functions of care management for identified and assigned...'s utilization review vendors, members, Call Center, claims staff, Health Homes Program (HHP) eligibility or other data sources...
the A&G system of record. Work with Utilization Management and PNO to facilitate completion of resolution determination.... Mission: L.A. Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income...
, such as ambulatory care, home care, or case management. OR experience in Utilization Review or Care Management will be considered in lieu... in a case/care management environment. Preferred: Experience in utilization review, skilled nursing, home health...
medical information from patient records. Working knowledge of laws, rules, and regulations regarding utilization review... search of a highly motivated candidate to join our talented Team. Job Title: CDI Specialist (Clinical Document Improvement...
Management and the Quality team, you will gather/analyze information to provide comprehensive medical record documentation... or more years of clinical hospital experience; or equivalent of education and experience in case management, utilization management...
Management and the Quality team, you will gather/analyze information to provide comprehensive medical record documentation... or more years of clinical hospital experience; or equivalent of education and experience in case management, utilization management...
Management and the Quality team, you will gather/analyze information to provide comprehensive medical record documentation... or more years of clinical hospital experience; or equivalent of education and experience in case management, utilization management...
Management and the Quality team, you will gather/analyze information to provide comprehensive medical record documentation... or more years of clinical hospital experience; or equivalent of education and experience in case management, utilization management...
Management and the Quality team, you will gather/analyze information to provide comprehensive medical record documentation... or more years of clinical hospital experience; or equivalent of education and experience in case management, utilization management...
, Authorization Technician supports the Utilization Management (UM) Specialist by handling all administrative and technical functions... Utilization Management department in meeting regulatory time lines by maintaining an accurate database inventory of referral...