guidelines for nationally recognized levels of care. The Utilization Management Nurse, Senior will report to the Utilization...Your Role The Utilization Management team reviews the inpatient stays for our members and correctly applies the...
, industry billing standards, medical necessity and hospital acquired conditions/never events.. The Utilization Management Nurse..., Senior will report to the Senior Manager, Facility Compliance Review. In this role you will be reviewing medical documents...
, utilization management, disease management and community resources Able to operate PC-based software programs including... management and program evaluation skills and ability to interact with all levels including senior management and influence...
and correctly applies the guidelines for nationally recognized levels of care. The Utilization Management Nurse, Senior will report... to the Utilization Management Nurse Manager. In this role you will be assigned a list of inpatient facilities and then review...
Utilization Management Nurse, Senior will report to the Senior Manager, Facility Compliance Review. In this role... and aberrant billing. Responsibilities: Your Work In this role, you will: Perform retrospective utilization reviews...
+ years managed care experience preferred. Comprehensive knowledge of case management, discharge planning, utilization... and ability to interact with all levels including senior management and influence decision-making Demonstrates professional...
of case management, discharge planning, utilization management, disease management and community resources. Able to operate... including senior management and influence decision-making....
Registered Nurse Case Manager will report to the FEP Care Management Department Manager. In this role you will determine, develop..., discharge planning, utilization management, disease management and community resources preferred Behavioral health, oncology...
preferred. Comprehensive knowledge of case management, discharge planning, utilization management, disease management... and ability to interact with all levels including senior management and influence decision-making. Pay Range: The pay...
planning, utilization management, disease management and community resources Able to operate PC-based software programs... management and program evaluation skills and ability to interact with all levels including senior management and influence...
coordination of care with specialists, community resources. Care Managers perform a blended function of utilization management...Your Role The Care Management team will serve to support the mission of the department, which is to provide support...
Job Description: Your Role The Care Management team will serve to support the mission of the department..., which is to provide support to patients in maintaining health and wellness in the outpatient setting. The Senior Care Manager will report...
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