…including appropriate billing, coding and treatment, fee schedule compliance, over- utilization , and erroneous charges. We pride ourselves on outstanding customer

…to attend committee meetings they have been selected to serve on. Review /Approval of time off requests for Lymphoma/Myeloma APP Research personnel. Assist APP

…availability, safety and status. + Expertly uses CAD Dispatch system to review trip requests, appropriately schedule transports to assure timely response and

…equipment, supplies, student education/training, maximizing efficiency, minimizing resource utilization , and fiscal responsibility. Supports operations and services

…reflect a commitment to the mission and values of the company. * Review Par levels and make recommendations to department staff concerning improvements. * Supervise

…Monday-Friday 0630-1430; no weekends or holidays **About The Job** The Utilization Review Case Manager responsibilities include case screening, insurance

…Experience Requirements Previous experience as in homecare, long term care or utilization review preferred. Discharge Planner or Case Manager preferred. Manager

…necessarily performed by each individual in the classification. 1. Coordinates all utilization review functions, including response to payor requests for

…and philosophy of the program. + Ensures compliance with payer systems, including utilization review functions. + Completes quality assurance and utilization

…are in compliance with governmental and regulatory requirements. + Implement utilization review and quality improvement systems. Implement educational programs