…Director** **Carelon Medical Benefits Management** **Radiology Benefit** **Management/ Utilization ** ** Review ** **Schedule:** **Monday-Friday 9AM-5PM Central

…principal liaison between emergency services, surgical services, nursing, finance, physicians, utilization review and medical records to ensure appropriate

…+ Experience developing performance improvement plans, field staff orientation, clinical chart review , and utilization review reporting + Strong assessment

…entry (CPOE). 3. Oversees and collaborates on care coordination, social work, utilization review and accreditation processes. 4. Partners with Medical Staff

…Course (BLS or BCLS) and Certification. + Certification in case management or utilization review preferred. + InterQual experience preferred. At Mountain View

…matriculated into a BSN program may be considered.Prior experience in utilization review , discharge planning and/or case management preferred.3-5years of

…research psychology, industrial psychology, organizational psychology, health psychology, utilization review , guidance counseling, pastoral counseling, or

…including Process Improvement, Facility Maintenance, Security, Information Technology Services, and Utilization Review , among others. + Develop and implement

…transform healthcare? Bring your true colors to blue. The Role The Clinical Utilization Reviewer is responsible for facilitating care for members who may have

…patient/family assessment and multidisciplinary collaboration. 2. Ensures daily chart review , utilization reviews, coordination of discharge planning activities