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…care is being delivered. * Participates in the Outcomes Management and annual program review . * Performs utilization review of continuous care and inpatient
Borgess Health, MI
…date.-- Preferred Credential(s): Certified--Case Manager.-- Certification--specializing in-- Utilization Review .-- Education/Experience: Bachelor's degree
Cameron Craig Group
…License. Minimum 1-3 years Management experience preferred, 3-5 years in Case Management/ Utilization Review preferred BLS certification required. The pay depends
…other medical personnel, and patients. Participate in rounds, hospital committees, utilization review and quality management programs. Respond to medical
…to facilitate the administrative aspects of care coordination, discharge planning and utilization review in accordance with established standards and procedures.
…and case management within a managed care environment. * Comprehensive knowledge of Utilization Review , levels of care, and observation status * Some awareness
Methodist Specialty & Transplant Hospital
…(if applicable). 4. Preferred: Preferatleast one year experience in utilization review , resourcemanagement, dischargeplanning or case management.
Asheville Specialty Hospital
…and effectively with all team members and customers, including insurance companies, utilization review representatives, and third party payers to obtain coverage
…and Case Management teams with any behavioral health questions. Performs medical review activities pertaining to utilization review , quality assurance,
Alaska Regional Hospital
…days/week) The Case Manager RN is responsible for the following functions: * Utilization Review * Care Coordination * Resource Management and Discharge Planning.