Responsible for utilization review work for emergency admissions and continued stay reviews. Responsibilities... Review electronic medical records of emergency department admissions and screen for medical necessity, using InterQual or MCG...
Responsible for utilization review work for emergency admissions and continued stay reviews. Responsibilities... Review electronic medical records of emergency department admissions and screen for medical necessity, using InterQual or MCG...
. 2 years of utilization review (UR) experience Must live within one hour of the BJC Learning Institute in St. Louis... and quality care. Evaluate the cost and quality of medical services provided by the medical team. Ensure appropriate utilization...
as required at Quality and MEC meetings for any Utilization Management needs Write, review, update departmental Policies and Procedures... Nursing. Current state RN licensure 5 years Utilization Review experience preferred Experience in a fast paced environment...
on age, culture, and willingness to learn. Performs job duties in accordance with the Nurse Practice Act. Qualifications... required within 5 years of employment in this position No experience required RN - Licensed as a Registered Nurse. Eligible...
on age, culture, and willingness to learn. Performs job duties in accordance with the Nurse Practice Act. Qualifications... required within 5 years of employment in this position No experience required RN - Licensed as a Registered Nurse. Eligible...
Job Description: MetroWest Medical Center is the largest community health care system between Worcester and Boston. MetroWest Medical Center is committed to providing high quality, comprehensive care, at a location close to home. The 307-...
abuse utilization review process preferred. Experience working with providers and healthcare teams to review care services... ON A VOLUNTARY BASIS AS NEEDED. Position Purpose: Performs a clinical review and assesses care related to mental health...
Job Description: Overview Full Time Position Monday - Friday 8am-5:30pm Performs utilization review functions... appropriate and efficient hospital services. The Utilization Review (UR) Coordinator evaluates the appropriateness of level...
Carrus Care mental health clinic serving the pediatric and adolescent population, is seeking a Utilization Review... Coordinator (RN) ESSENTIAL FUNCTIONS: 1. Responsible for coordinating and monitoring day-to-day operations of the utilization...
Employment Type: Part time Shift: Day Shift Description: Position Purpose: The Utilization Review Case Manager... weekends or holidays Minimum Qualifications: Education Licensed registered nurse in the state of Iowa. Bachelor...
Anticipated End Date: 2024-11-22 Position Title: Licensed Utilization Review II Job Description: Title: Licensed... Utilization Review II Location: Candidates must reside within 50 miles or 1-hour commute each way of an Elevance Health location...
utilization review experience. Under general supervision, and in collaboration with other members of the clinical team... Manager (SUD utilization review preferred) - REMOTE USA Grade 24 Work Experience - Required Clinical Work Experience...
current knowledge of State and Federal regulatory requirements as it pertains to the utilization review process. Identifies... Experience in acute care setting required 2 years experience in case management, insurance, utilization review or related...
About Us: Per Diem Utilization Review Coordinator (PRN) HEALING THE BODY AND MIND Founded fifteen (15) years ago... of care. Overview: NeuroPsychiatric Hospitals of Indianapolis is looking for a Utilization Review Coordinator to coordinate...
current knowledge of State and Federal regulatory requirements as it pertains to the utilization review process. Identifies... Experience in acute care setting required 2 years experience in case management, insurance, utilization review or related...
personnel to review resource utilization data and trends to identify outliers who may benefit from real time coaching to improve... Why work as a Utilization Review Specialist at Munson Healthcare? Our dynamic work environment includes many opportunities...
on issues that may impact length of stay. Gather and develop statistical and narrative information to report on utilization.... Facilitate peer review calls between facility and external organizations. Initiate and complete the formal appeal process...
Description: As a part of the Utilization Management team the Utilization Review RN is a member of the Care... care as it relates to acute inpatient stay and post-acute facility stay. The Utilization Review RN Coordinates continuing...
and substance abuse preferred. Knowledge of mental health and substance abuse utilization review process preferred. Experience... Purpose: Performs a clinical review and assesses care related to mental health and substance abuse. Monitors and determines...