FEATURED JOBS
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…review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and
…will be responsible for ensuring that those measures are met. In addition to utilization review , the physician teams participate as physician members of CMDM
…reimbursement. + Oversees the operations of the referral management, telephonic utilization review , prior authorization, and case management functions. +
…(ICU, ED, Critical Care, strong Med/Surg Specialty) or equivalent case management, utilization review , denials management, or progressive leadership in an
…and referrals for psychosocial needs + Participates in Quality Assurance and Utilization Review activities, as directed + Empowers patients in decision-making
SRS Medical Assistant - ENT Float Pool - Per Diem - Day Shift - Travel Required to Multiple Sites
Sharp HealthCare
…with 0-2 errors; Have the ability to proof work.Knowledge of insurance, utilization review , scheduling requirements and support of front desk
…and administration of the activities of clinical review , discharge planning, resource utilization and utilization review . **What we offer:** Our nurses
…Rights, AB1203 and other Federal or State regulatory agency requirements specific to Utilization Review and Discharge Planning. The Case Manager partners with
…our Team at Devereux Advanced Behavioral Health!_ **Being an** **Admissions & Utilization Review Coordinator** **at Devereux has its Advantages** We offer:
…+ Negotiates with third party payers relative to benefit levels, eligibility, utilization review , and reimbursement. + Identifies actual and potential delays