…acute clinical experience in a hospital setting required. Critical care, utilization review or coding experience required. Requires excellent communication

…opportunities including emergencies and backfill patients into student provider open slots, review phone call and utilization reports to aid in optimal

…and SSI contracts; Quality and Population Health functions; Prior Auth and Utilization Mgmt; and Pharmacy. Has fiscal responsibility for trend management across all

…include: 1) implementation and support of division wide standardization, utilization , integration, and optimization activities related to advanced clinical

…the Quality Review nurses. * IRE monitoring and tracking and Utilization Management Strategy support. * Develop subject matter expertise on Medicare policy for

…as a resource to help reduce costs, enhance revenues, achieve effective utilization and quality goals and objectives, analyze and utilize information to develop

…determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply.

…case order for accuracy and completeness. Ensures diagnoses and procedure match. Review all OpTime case data for errors and ommissions. b. Reconciles laterality

…(Fully Remote) **Responsibilities:** + Access assignments via work queues to review insurance information registered for accuracy and completeness and places

…by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Responsibilities A. Administrative Duties: 1. Leadership