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…from patient records. Working knowledge of laws, rules, and regulations regarding utilization review and discharge planning functions of government programs such
…(5) years clinical experience as a Registered Nurse. Prior Case Management and/or Utilization Review experience preferred. Experience in a payer environment is
Valley Health System Consolidated Services
…minimum three years experience in varied clinical settings. Two years experience in Utilization Review , Utilization Management or Case Management preferred.
MMC Group LP
…kind, as I will be asking this upon Interview SUMMARY Conducts document-based utilization review if individuals seeking admission to Medicaid-certified NFs to
Brighton Health Plan Solutions
…our partners in powerful and unique ways. About this Role: MagnaCare provides Utilization Review / Medical Management/Claims Review services to its clients.
…date. Preferred Credential(s): Certified Case Manager. Certification specializing in Utilization Review . Education/Experience: Bachelor's degree in a health
…transfer date. Preferred Credential(s):Certified Case Manager. Certification specializing in Utilization Review . Education:Bachelor's degree in a health related
Mainland Medical Center
…Director (RN) - Case Management has overall responsibility for hospital utilization performance improvement and operational management of the Case Management
…in collecting and retrieving material from medical records. Knowledgeable in utilization review , medical terminology, appropriate levels of care, treatment,
…in the Emergency Department or outpatient setting years of proven knowledge of utilization review case management and discharge planning is desired Candidate