FEATURED JOBS
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…must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US
…of experience in care/case management, disease management, population health management, utilization review , quality assurance or discharge planning (preferably
…measures including sentinel event review . + Actively participant of the Utilization Review process and follow proper procedures. + Other duties as
…practice. + As applicable to assigned area(s): performs the duties of Utilization Review , precertification, concurrent reviews, and retro reviews; completes data
…state guidelines. ARDs optimize the PDPM System. Facilitates and/or participates in weekly Utilization Review meetings and monthly triple check. + Adhere to
…2 years of critical care experience + Certification in case management or utilization review preferred + InterQual experience preferred **SCHEDULE** + Per Diem
Sharp Rees Stealy - Lead RN - OB-GYN - Grossmont - Full Time- Day Shift
Sharp HealthCare
…with 0-2 errors; Have the ability to proof work.Knowledge of insurance, utilization review , scheduling requirements and support of front desk
…efficient manner to ensure timely and compliant care coordination, discharge planning, utilization review and social work interventions resulting in quality
…regulatory agencies. + Conduct psychosocial assessments, participate in treatment planning, utilization review , and discharge planning. + Conduct individual,
…experience include but are not limited to: Experience in discharge planning, utilization review , treatment plan development for individuals in community or