…or regulation, must be in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US

…transfers from Avera facilities as Swing Bed transfers. + Supports compliance with Utilization Review Process. Case Manager will have ongoing conversation with

…with 0-2 errors; Have the ability to proof work.Knowledge of insurance, utilization review , scheduling requirements and support of front desk

…response to therapeutic interventions via collateral calls, conjoint therapy sessions, utilization review process, and/or referrals and revises care plan

…as needed by the Pharmacy Department and applicable accreditations such as Utilization Review Accreditation Commission, Joint Commission, NIOSH, OSHA, or other

…as needed by the Pharmacy Department and applicable accreditations such as Utilization Review Accreditation Commission, Joint Commission, NIOSH, OSHA, or other

…as needed by the Pharmacy Department and applicable accreditations such as Utilization Review Accreditation Commission, Joint Commission, NIOSH, OSHA, or other

…(pre-certifications, third-party authorizations, referrals) and contacts physicians and Case Management/ Utilization Review personnel, as needed. Obtains and

…years experience in a healthcare setting, ideally in a discharge planning, utilization review , registration, billing or financial counseling capacity. Knowledge

…as needed by the Pharmacy Department and applicable accreditations such as Utilization Review Accreditation Commission, Joint Commission, NIOSH, OSHA, or other