to management Assist in automating processes with Risk Management, Compliance and Digital teams Support the Specialized Services... management for Default Services Process Improvement Support and implement reporting mechanisms to keep management apprised...
support to workflows involving utilization management. Performs outreach contact to providers and written notification.... Is effective at building strong interpersonal work relationships. General Job Information Title Utilization Management Support...
at building strong interpersonal work relationships. General Job Information Title Utilization Management Support Specialist... involving utilization management. Performs outreach contact to providers and written notification to providers and members...
and Recovery Division (BHRD) of DCHS is looking for a Mental Health Utilization Management Specialist to support the Hospital... for the utilization management and quality assurance for mental health residential facilities within the King County...
. The Utilization Management Specialist collaborates with the care team to confirm the level of care and authorization... Social Worker (LICSW) in good standing/unrestricted 2+ years of case management experience, and/or Utilization Management...
communities and residents and to support the safety net required to achieve that purpose. Job Summary The Utilization... Management Nurse Specialist RN II facilitates, coordinates, and approves medically necessary referrals that meet established...
team, and The Power of Every One. Job Title Utilization Management Specialist Pharmacy - Specialty Pharmacy Location... Variable Schedule 8:00am-4:30pm Job Summary The Utilization Management Specialist, Pharmacy provides a high level...
JOB Title: Utilization Management Specialist- Hiring Now! 3+ Roles to be filled IMMEDIATELY...! Job Description Utilizing key principles of utilization management, the Utilization Review Specialist will perform prospective, concurrent...
Job Description Utilizing key principles of utilization management, the Utilization Review Specialist will perform.... Leveraging clinical expertise and critical thinking skills, the Utilization Review Specialist, will analyze clinical information...
in developing and revising policies to support utilization management activities, including criteria and guidelines for appropriate...Munson Medical Center Traverse City, Michigan Utilization Management Day shift Requisition #: 61107 Total hours...
to obtain authorization numbers for payment. Provides clerical support for Utilization Management; sorting faxes and mail... or inpatient status. Utilizes electronic medical record work queues that support Utilization Management functions. Answers...
The UR Specialist reviews and monitors patients’ utilization of health care services with the goal of maintaining high... continuity of care. Provides utilization management, transfer coordnation, discharge planning, and issuance of all appropriate...
, and compassion - must guide what we do, as individuals and professionals, every day. The Utilization Review Specialist (URS... is required, with at least two (2) years of experience in case management, care coordination, utilization review, or disease management preferred...
what we do, as individuals and professionals, every day. The Utilization Review Specialist (URS) performs utilization review activities... with Medicare and Medicaid regulations. 6. Acts as a resource to Care Management department regarding utilization, insurance...
Licensure Required Responsibilities: Job Summary The Utilization Review RN Specialist reviews and monitors utilization... utilization of available resources. Performs medical record reviews, as required by payer. Interfaces with Care Management team...
Description : San Jose Behavioral Health currently has an opportunity for a Utilization Review Specialist Per Diem... is currently seeking an experienced Utilization Review Specialist Per Diem to join our growing team. The Utilization Review...
Overview: The Senior Utilization Review Specialist collaborates with the healthcare team in the management... leadership to support, and provide assistance and support in overall medical management effectiveness, benchmarked utilization...
of the facility and previous experience in utilization management preferred. LICENSES/DESIGNATIONS/CERTIFICATIONS... and narrative information to report on utilization, non-certified days (including identified causes and appeal information...
of the facility and previous experience in utilization management preferred. LICENSES/DESIGNATIONS/CERTIFICATIONS... and narrative information to report on utilization, non-certified days (including identified causes and appeal information...
is required, or two or more years' experience working with the facility's population. Previous experience in utilization management... use disorders. PURPOSE STATEMENT: Proactively monitor utilization of services for patients to optimize reimbursement for the...