…high levels of patient satisfaction. The Care Coordinator consistently conducts the utilization review process and the discharge planning process as required

…agencies, etc., assists social worker(s) with specific problems, and assists with utilization review functions as needed. Education: RN Licensure required

…nursing, medical case management, occupational health, orthopedics, home health care, utilization review , or quality assurance + Familiarity with regional

…staff's mutual interests. + Responsibility for quality assurance, appropriate utilization review , process improvement teams, credentialing and appointment

…documentation of admissions to the Business Office, Admitting Unit and the Utilization Review Department. + Maintains knowledge of the developmental tasks

…+ Ability to interact with clinicians and office staff, administration, utilization review , provider operations, customer service and finance departments

…ensure the delivery of safe and therapeutic treatment. Demonstrates competency in utilization review and insurance authorization. Expertly plans and facilitates

…Reviewer to join our growing team in California. Job Summary As a Utilization Clinical Reviewer, you will leverage your expertise to meticulously assess medical

… Utilization , Monthly Revenue, Denials, Late/Missing Charges, administrative write-offs, and utilization by book of business + Review , Remediation, and

…Health at Home is seeking an experienced RN remote Clinical Quality Review Specialist with ICD10 HCS-D certification which is Required. OASIS COS-C certification