FEATURED JOBS
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…position requires the ability to combine clinical/quality considerations with regulatory/financial/ utilization review demands to assure patients are receiving
Case Manager I - Case Management - Sharp Memorial Hospital - FT- 8Hr Days
Sharp HealthCare
…position requires the ability to combine clinical/quality considerations with regulatory/financial/ utilization review demands to assure patients are receiving
…review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and
…and regulatory agencies. MINIMUM QUALIFICATIONS Must possess knowledge of case management or utilization review as normally obtained through the completion of a
… issues in appropriate locations, including but not limited to: case management/ utilization review software and the multidisciplinary plan of care document
…and case management within a managed care environment. + Comprehensive knowledge of Utilization Review , levels of care, and observation status. + Awareness of
…utilization management. Knowledge of federal, state and local regulations affecting the utilization review program and payment as well as current knowledge of
…and referrals for psychosocial needs + Participates in Quality Assurance and Utilization Review activities, as directed + Empowers patients in decision-making
Supervisor - Substance Use Disorder Professionals and Admissions
Swedish Health Services
…(CDPs) for quality and acceptability. This position is also responsible for utilization review functions and staff within ARS. Responsible for operational
…in an acute care setting preferred. + Previous case management or utilization review experience preferred. CJW Medical Center (http://www.cjwmedical.com/) is