FEATURED JOBS
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…+ AHA BLS card + Ability to pass annual Inter-rater reliability test for Utilization Review product(s) used. + Able to apply clinical guidelines to ensure
Behavioral Health Inpatient UM Care Manager - Evernorth Health Services - Remote
The Cigna Group
…input on utilization management, and attending all required trainings impacting utilization review and accreditation procedures. + Manage own caseload and
**Position specific details: This is a utilization review /appeals role where the successful candidate will be a** **board-certified psychiatrist** **and reside
…duties with attention to detail and in a timely manner. + Collaborates with Utilization Review Nurses. + Referrals: + Primary Care Physicians + Behavioral Health
…care is delivered. The Care Management RN Supervisor effectively resolves utilization review issues, provides leadership in resolving psychosocial issues,
…(BLS or BCLS) and Certification. + Certification in case management or utilization review preferred. + InterQual experience preferred. HCA Healthcare's Alaska
…service delivery documentation (including counseling/treatment planning), HIPAA/Confidentiality standards, utilization review , and data management. + Ability
…Day Habilitation services and training certifications. + Partners with Quality Assurance on utilization review and utilization management for Day Services to
…meaningful contributions to the rehab team conferences, patient care conferences, utilization review meetings, family conferences, and caregiver training
…must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US