with Optum Enterprise Clinical Services Medical Directors on performing utilization management Participation in discussions... management experience 1+ years of experience that involves utilization review and evidence-based guidelines (InterQual...
for Medical Director (LTAC, AIR and SNF) decision Approves SNF cases where RN’s clinical review indicates that member’s condition... for other roles you may be interested in. Required Qualifications: High School Diploma / GED (or higher) RN license/certificate...
for Medical Director (LTAC, AIR and SNF) decision Approves SNF cases where RN’s clinical review indicates that member’s condition... for other roles you may be interested in. Required Qualifications: High School Diploma / GED (or higher) RN license/certificate...
/ Mental Health Care Advocate you will be responsible for case management and utilization review of behavioral health..., Counseling, or an RN with 2+ years of experience in behavioral health Arizona licensure and residency; Licenses...
/ Mental Health Care Advocate you will be responsible for case management and utilization review of behavioral health..., Counseling, or an RN with 2+ years of experience in behavioral health Arizona licensure and residency; Licenses...
instructions, direction to the appropriate level of care, and providing utilization management review of worker's compensation..., we'll build a legacy of trust and triumph in the dynamic world of risk management. We believe that every candidate brings...
with other departments, including but not limited to, Care Management, Utilization Review, and Revenue Cycle. 7. Facilitates and supports... on matters related to CDI. This position is considered a hybrid position requiring some on-site and some remote work...