UTILIZATION MANAGEMENT RN MOSTLY jobs in MANHATTAN NY, United Kingdom

needs as appropriate. • For Utilization Management Only: • Issues Determinations, Notices of Action, and other forms... notification detailing clinical decisions. Coordinates with management, subject matter experts, physicians, member representatives...

needs as appropriate. • For Utilization Management Only: • Issues Determinations, Notices of Action, and other forms... notification detailing clinical decisions. Coordinates with management, subject matter experts, physicians, member representatives...

Overview Our clinical care management services are anchored in evidence-based practices to optimize the utilization... of benefits and services for all members on his/her caseload. Completes care management and disease specific assessments...

Overview Our clinical care management services are anchored in evidence-based practices to optimize the utilization... for all members on his/her caseload. Completes care management and disease specific assessments. Makes timely telephonic care...

preferred, however will also consider Utilization Review, Managed Care, Case Management experience 2-5 years in either Medical... for: Qualifications Must be a registered nurse with active RN license BSN or equivalent required 2-5 years auditing experience...

documentation as requested for utilization management reviews of clients on caseload including completion of LOCADTRs. Participate... fully in a multidisciplinary team including MD, RN, LPN, CASAC, LMHC, Peer specialists and LCSW. Provide emergency first aid...

Validation and Readmission review. We are seeking a clinically experienced, registered nurses with utilization management... years’ experience in inpatient coding, utilization management, and/or clinical validation Knowledge of health insurance...