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...
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...
concurrent review process. E. Develops a working relationship with the nurse reviewers coming onsite from the larger local... experience, with experience in a patient care setting and two years performing Utilization Review/Quality Assurance/Case...
concurrent review process. E. Develops a working relationship with the nurse reviewers coming onsite from the larger local... experience, with experience in a patient care setting and two years performing Utilization Review/Quality Assurance/Case...
: Doctors NeuroPsychiatric Hospitals is looking for a PRN Utilization Review Coordinator to coordinate patients’ services... across the continuum of care by promoting effective utilization, monitoring health resources and elaborating...
: Rivercrest Hospital is looking for a PRN Utilization Review Coordinator to coordinate patients’ services across the continuum... of care by promoting effective utilization, monitoring health resources and elaborating with multidisciplinary teams...
: Medical Behavioral Hospital of Clear Lake is looking for a Utilization Review Coordinator to coordinate patients’ services... across the continuum of care by promoting effective utilization, monitoring health resources and elaborating...
The Manager of Utilization Review provides administrative and operational support to the Director of Case Management.... The Manager of Utilization Review provides direct supervision to the Utilization Review Specialists, Utilization...
for Utilization Review. Position: Registered Nurse Department: Denial/Appeal Administrator Schedule: Weekend, Days, 6a-6:30p... addition to Utilization Review, to validate the patient’s placement to be at the most appropriate level of care based...
for Utilization Review. Position: Registered Nurse Department: Denial/Appeal Administrator Schedule: Weekend, (Saturday, Sunday... addition to Utilization Review, to validate the patient’s placement to be at the most appropriate level of care based...
for Utilization Review. Position: Registered Nurse Department: Denial/Appeal Administrator Schedule: Weekend, Days, 6a-6:30p... addition to Utilization Review, to validate the patient’s placement to be at the most appropriate level of care based...
.uoflhealth.org. Job Summary: The Clinical Appeals Nurse plays an integral role in the recovery of denied reimbursement... for hospital services rendered to a patient by providing a comprehensive review of a members’ clinical information and comprising...
.uoflhealth.org. Job Summary: The Clinical Appeals Nurse plays an integral role in the recovery of denied reimbursement... for hospital services rendered to a patient by providing a comprehensive review of a members’ clinical information and comprising...
Description As the Appeals & Grievances Nurse, you will play a key role in managing and resolving New Century Health... Plan member appeals and grievances. You will: Ensuring timely, accurate, and thorough review of member and provider...
& Appeals Nurse Specialist to join our team. The Grievance and Appeals Nurse Specialist participates in managing medical appeals... care experience required. Preferably in the following related areas of responsibility: Grievances and Appeals, Utilization...
Grievance and Appeals Nurse - Hybrid HealthCare Support is actively seeking a Grievance and Appeals Nurse - Hybrid... office 3 days a week Daily Responsibilities for Grievance and Appeals Nurse - Hybrid: Work closely with the Grievance...
guidelines (MA, MC, Commercial, MCO, HMO). Experience with case manager or utilization review nurse * Electronic Health Systems...Your job is more than a job Reporting to the Audit and Appeals Supervisor, the Audit and Appeals Nurse plays...
Clinical Appeals and Grievance Coordinator (RN) is an integral part of our Appeals and Grievance review process. Under the... all types of clinical issues across the clinical/pharmacy appeal landscape. Essential Functions Clinical Appeals Review In...
that have a strong clinical utilization management background. Medicare experience is a plus. Founded in 1934, Medical Mutual is the oldest... of care Extrapolates and summarizes medical information for physician review or other external review Generates appropriate...
required 3-5 years as progressive utilization review nurse and knowledge of payers and managed care contracts preferred...Facility: Work From Home - Ohio Department: Utilization Review Team Schedule: Full time Hours: 40...