FEATURED JOBS
Showing 50-60 of 6085

…service. Coordinates service delivery with other community resources. Participates in utilization review process. Responds to emergent situations as necessary

…nursing experience in an acute care or surgical setting is required.Experience in utilization review , knowledge of managed care rules and regulations, government

…care experience, as a provider and a manager of care.? Utilization Review experience. Accreditation experience (NCQA, AAHCC/URAC).CompetenciesLanguage(s)Magellan

…explain continuing care procedures and process. Coordinate with clinical team, utilization review specialist, families, outside consultants and continuing care

…to various organizational departments including academics, human resources, medical services, and utilization review . . Acts as a liaison to appropriate

…participates in office staff meetings, patient care conferences, record audits, utilization review , performance improvement, in services, workshops, and

…participates in office staff meetings, patient care conferences, record audits, utilization review , performance improvement, in services, workshops, and

…nursing and inpatient rehab facilities, home health care, care management, and utilization review . The Care Coordinator is responsible for the implementation,

…requirements: Licensed Florida Registered Nurse 1-3 Year hospital based Behavioral Health experience required and 1 year Utilization Review experience preferred

…physicians, healthcare professionals, patients and families. * Possess working knowledge of utilization review , case management and DRGs. * Demonstrate knowledge