FEATURED JOBS
Showing 110-120 of 2123
…Preferred Qualifications + Case management in an integrated model + Managed care/ utilization review experience + Discharge planning experience + Experience
…(ICU, ED, Critical Care, strong Med/Surg Specialty) or equivalent case management, utilization review , denials management, or progressive leadership in an
…to all Corporate Compliance and Quality Assurance procedures, cooperates with utilization review procedures, and follows established procedures, rules, and
…and cost effectiveness through the integrating and functions of case management, utilization review and discharge planning. The Inpatient Care Management Social
Licensed Master Social Worker (40 Hour)
State of Connecticut, Department of Administrative Services
…Social Worker in the state of Connecticut. PREFERRED QUALIFICATIONS + Experience with utilization review , utilization management and managed care principles.
…authorizations for Home Health services from insurance company. 7. Attend quarterly Utilization Review meetings as designated by the Director of Professional
…field + Graduate of an accredited nursing program preferred + 3 years of utilization review preferred Methodist Hospital Metropolitan houses 370 bed. We house
…Qualifications* Managed care experience, as a provider and manager of care* Utilization review or physician advisor experienceEducation* Active and current state
…with demonstration of medical administration duties. Thorough knowledge of customer service, utilization review or claims processing practices in a managed care
…medical terms, diagnosis, medication codes and supporting clinical documentations are met. Utilization review to facilitate the sending of clinical information