Authorization Request. The Clinical Services Coordinator (CSC), Advanced will report to the Supervisor of Clinical Services Intake... metrics. Process Faxed /Web Portal /Phoned in Authorization or Hospital Admission Notification Requests, Utilization...
Summary Monitors the utilization of resources, risk management and quality of care for patients in accordance to established... payor authorization. Job Description Obtain and maintain appropriate documentation concerning services in accordance...
. Summary Monitors the utilization of resources, risk management and quality of care for patients in accordance to established... payor authorization. Job Description Obtain and maintain appropriate documentation concerning services in accordance...
Job Description: PeaceHealth is seeking a Referral Coordinator for a Part Time, 0.80 FTE, Day position. The salary... as we continue through the episode of care. May also be responsible for management of referrals; working closely with team members...
Overview: The Community Based Palliative Care Transition Care Coordinator (PTCC) serves as a professional... services (i.e. DME, home health care, hospice, etc.) as required either prior to the patient’s transition home from an acute...
of Treatment Authorization Request. The Clinical Services Coordinator (CSC), Advanced will report to the Supervisor of Clinical... Notification Requests, Utilization Management (UM)/Case Management (CM) requests and/or calls left on voicemail. Select support...
) Services benefits and authorization for services based on severity, need and availability of funds. MINIMUM QUALIFICATIONS..., assisting them with the enrollment process, act as an advocate and liaison in the effective utilization of alternate resources...
Management Experience (EX. Concurrent Review, Prior Authorization, Medical Audits, Appeals or Delegation) Experience working... Plan is calling a Clinical Program Coordinator RN who will: Support the commercial insurance based line of business...
for ensuring that insurance coverage is available and the scope of patient benefits are identified prior to services being rendered... coverage eligibility of patients prior to scheduling and delivery of services. Determine the scope of benefit coverage...
-related documentation. Works with administrative support and utilization management to facilitate scheduling, review... browser or exit your application prior to submitting, the application process will be saved as a draft. You will be able...
-related documentation. Works with administrative support and utilization management to facilitate scheduling, review... browser or exit your application prior to submitting, the application process will be saved as a draft. You will be able...
placement Diagnostics and Lab Result Management 1. Obtain Pre Authorization for all CT, MRI, Echo's ordered by providers (Pt... population/ chronic condition experience 2) Home Health experience 3) Triage experience 4) Case management experience 5...
placement Diagnostics and Lab Result Management 1. Obtain Pre Authorization for all CT, MRI, Echo’s ordered by providers (Pt... population/ chronic condition experience 2) Home Health experience 3) Triage experience 4) Case management experience 5...
placement Diagnostics and Lab Result Management 1. Obtain Pre Authorization for all CT, MRI, Echo’s ordered by providers (Pt... population/ chronic condition experience 2) Home Health experience 3) Triage experience 4) Case management experience 5...
placement Diagnostics and Lab Result Management 1. Obtain Pre Authorization for all CT, MRI, Echo’s ordered by providers (Pt... population/ chronic condition experience 2) Home Health experience 3) Triage experience 4) Case management experience 5...
placement Diagnostics and Lab Result Management 1. Obtain Pre Authorization for all CT, MRI, Echo’s ordered by providers (Pt... population/ chronic condition experience 2) Home Health experience 3) Triage experience 4) Case management experience 5...
; completes service-related documentation. Works with administrative support and utilization management to facilitate scheduling... browser or exit your application prior to submitting, the application process will be saved as a draft. You will be able...
of Care & Utilization Management, including insurance authorization, payer communications, Appeals and Denial information... Coordination Specialist at Hackensack Meridian Health includes: Utilization Management Payer communications - responds...