: The Utilization Review Specialist is responsible for the pre-certification, concurrent, and discharge review process... Field or RN. Knowledge of Utilization Review Processes, insurance plans, mental health and chemical dependency treatment...
: The Utilization Review Specialist is responsible for the pre-certification, concurrent, and discharge review process... Field or RN. Knowledge of Utilization Review Processes, insurance plans, mental health and chemical dependency treatment...
lives. Utilization Review Specialist Olathe, Kansas Req ID 2024-18909 Post Date Sep. 12, 2024 CategoryUtilization.... Â As a Utilization Review Specialist, you will accurately and timely complete utilization review activities. Acts as a liaison...
lives. Utilization Review Specialist Olathe, Kansas Req ID 2024-18874 Post Date Sep. 10, 2024 CategoryUtilization.... Â As a Utilization Review Specialist, you will accurately and timely complete utilization review activities. Acts as a liaison...
of professionalism, ethics, and transparency. Join Our Team The Utilization Review Specialist (UR Specialist) is responsible... and fulfilling work environment. Requirements To be considered for the Utilization Review Specialist position, you will need...
The Senior Utilization Review Specialist collaborates with the healthcare team in the management and resolution... but are not limited to utilization review, hospital reimbursement, clinical compliance, case management, and transitions of care...
Overview: The Senior Utilization Review Specialist collaborates with the healthcare team in the management... include but are not limited to utilization review, hospital reimbursement, clinical compliance, case management...
on substance use disorder. Who We’re Looking For A successful Utilization Review Specialist enjoys working with people...
Education : Bachelors Experience : 2 years: At least 2 year of working in a Utilization Management or Review role.... and narrative information to report on utilization, non-certified days (including identified causes and appeal information...
: Qualifications: Bachelor’s degree required. Master’s degree preferred. * Previous utilization review experience in a psychiatric...
Description : PURPOSE STATEMENT: Proactively monitor utilization of services for patients to optimize reimbursement... and narrative information to report on utilization, non-certified days (including identified causes and appeal information...
The UR Authorization (Auth) Coordinator is the key position for reviewing admissions and utilization authorizations... and ensures timely review for acceptance/notification of denials. Ensures all coordination of care & authorizations...
. · Gather and develop statistical and narrative information to report on utilization, non-certified days (including identified... office. · Conduct quality reviews for medical necessity and services provided. · Facilitate peer review calls...
utilization review, tracking and evaluation and objectively compare criteria with written documentation. Track and trend timely... required for utilization review activities and processes. Collaborate with medical, nursing and other professional personnel to help interpret...
. Responsibilities: Reviews application for patient admission and approves admission or refers case to facility utilization review.... May supervise and coordinate activities of utilization review staff. Research clinical records, appropriate insurance...
Description : PURPOSE STATEMENT: Proactively monitor utilization of services for patients and optimize... reimbursement for the facility. Review for quality of services provided and medical necessity. ESSENTIAL FUNCTIONS: Act...
and narrative information to report on utilization, non-certified days (including identified causes and appeal information... for medical necessity and services provided. Facilitate peer review calls between facility and external organizations. Initiate...
and narrative information to report on utilization, non-certified days (including identified causes and appeal information... for medical necessity and services provided. Facilitate peer review calls between facility and external organizations. Initiate...
authorizations for duration of patient stay. Evaluate the utilization program for compliance with regulations, policies... and procedures. Review clinical documentation from denied stays against criteria to determine if documentation is adequate...
Utilization Management Dept. PRN Rotating variable Consistently named best hospital, Lexington Medical Center... and concurrent stay medical record review to determine appropriateness of admission, continued stay, and setting. Follows patient...