FEATURED JOBS
Showing 90-100 of 2135
…reviews within 24 hours of admission; and when warranted by length of stay, utilization review plan, and/or best practice guidelines, on a continuing basis. .
…See More Events General Summary Provides direct supervision of case management and utilization review activities performed by the WellSpan Case Management staff.
…and regulatory agencies. MINIMUM QUALIFICATIONS Must possess knowledge of case management or utilization review as normally obtained through the completion of a
…+ Develops, reviews and maintains programs for monitoring of practice, credentials review , privilege delineation and utilization review of members
…managed care (Medicare and/or Medicaid) Experience with managed care (Medicare and Medicaid) utilization review preferred MD or DO; Board certification in an
The Utilization Review Coordinator conducts utilization reviews to determine if patients are receiving care appropriate to illness or condition. Monitors
…and referrals for psychosocial needs + Participates in Quality Assurance and Utilization Review activities, as directed + Empowers patients in decision-making
…information documentation and transmission vital to the effectiveness of utilization review and supporting Baptist's reimbursement strategy. Specifically
Masters Prepared Social Worker/Clinician- Our Lady of Fatima Hospital
Charter Care Health Partners
…other specialties on the unit. Performs functions related to Patient Advocacy; Utilization Review ; Resource Management; Continuum of Care Management, Discharge
…SNF, respite care, pediatrics, monitored beds, pharmacy, social services, utilization review , discharge planning, employee health, infection control,