offer. Responsibilities Manage effective utilization review processes, including management of patient statusing processes and monitoring... programs and key performance indicators for all utilization review activities. Interact with medical, nursing, and executive...
but not limited to: Access Authorization and pre-certification, utilization review and denial management, Care Coordination... of utilization criteria, appeal and review process, and case management system documentation. Develop staff schedule and revises...
as motivating, training, and developing of the team. Under the direction of an Operations Manager or General Manager, the... supervises the daily activities of the warehouse including personnel scheduling, supervision and proper and safe utilization...
benefits. Works on reviews that are routine having limited or no previous medical review experience requiring guidance... if initial clinical information presented meets medical necessity criteria or requires additional medical necessity review...
: Skills: IT Systems Management, Microsoft Endpoint Configuration Manager, Microsoft Endpoint Configuration Manager Reporting... status, service performance, and utilization Implement and maintain continuous compliance to information security...
: Skills: IT Systems Management, Microsoft Endpoint Configuration Manager, Microsoft Endpoint Configuration Manager Reporting... status, service performance, and utilization Implement and maintain continuous compliance to information security...
, manufacturing facilities or other heavy construction projects. The Inspector will report to a Construction Manager...: In this role, you will observe and inspect construction work performed by contractors, perform punch list inspections, review...