Regulatory Adherence Utilization Management Sr. Clinical Quality RN is responsible for monitoring and reporting compliance issues..., with Utilization Management (UM) organization determinations, both internal and external from vendors interfacing with health plans...
UnitedHealth GroupRegulatory Adherence Utilization Management Sr. Clinical Quality RN is responsible for monitoring and reporting compliance issues..., with Utilization Management (UM) organization determinations, both internal and external from vendors interfacing with health plans...
UnitedHealth Groupincludes review of the work of others that perform service delivery of delegated patient programs and providing feedback... participation in external audits of CCM, PHM, and MOC programs, monitoring policies and procedures, and preparation and review...
UnitedHealth Groupmeaning behind Caring. Connecting. Growing together. The Case Manager II - Inpatient Services performs onsite review... or telephonic clinical review of inpatient admissions in an acute hospital, rehabilitation facility, LTAC or skilled nursing...
UnitedHealth Groupmeaning behind Caring. Connecting. Growing together. The Case Manager II - Inpatient Services performs onsite review... or telephonic clinical review of inpatient admissions in an acute hospital, rehabilitation facility, LTAC or skilled nursing...
UnitedHealth GroupCase Manager II - Inpatient Services performs onsite review or telephonic clinical review of inpatient admissions in... participates in Patient Care Conferences to review clinical status, update/finalize transition discharge needs, and identify...
UnitedHealth Group