UTILIZATION REVIEW RN jobs in PHILADELPHIA PA, United Kingdom

condition through the comprehensive review of medical records, including medical history and treatment documentation... medical need for services. Review treatment plans with providers for requested services, inpatient admissions, or continued...

and medical necessity. Performs utilization review in accordance with all state mandated regulations. Consults with Physician..., preferably in area of population specialty. Experience in utilization management or review preferred. Knowledge...

with insurance companies. Negotiates and advocates for patient length of stay and level of care. Oversees utilization review...: Must possess knowledge of psychiatric care, utilization review, insurance reimbursement procedures, etc. Basic computer skills...

for coverage, state regulations, and accrediting agency standards where applicable. Participate in review business and finances... and integrity of facility Responsible for efficient utilization of medication, laboratory, inventory, supplies and equipment...

and statistical ability Organizational skills Typing and computer knowledge- able to type 35WPM Knowledge of utilization review...) years recent experience in an acute-care environment, case-management or utilization management position (experience can...

professionals. The Case Manager performs daily utilization review and conveys pertinent telephonic information to third party payers...RN Case Manager I - Special Needs & Ambulatory Dept Philadelphia PA Full-time Industry: Healthcare / Health...

and other healthcare professionals. The Case Manager performs daily utilization review and conveys pertinent telephonic information...RN Case Manager-Philadelphia PA Overview Our client is a 188-bed facility that provides exceptional care...

The Care Management Coordinator primary responsibility is to evaluate a member’s clinical condition through the review... services determined to be medically necessary based on their personal review. For those cases that do not meet established...

and statistical ability Organizational skills Typing and computer knowledge- able to type 35WPM Knowledge of utilization review...) years recent experience in an acute-care environment, case-management or utilization management position (experience can...

and statistical ability Organizational skills Typing and computer knowledge- able to type 35WPM Knowledge of utilization review...) years recent experience in an acute-care environment, case-management or utilization management position (experience can...

policies - Colleague Responsibility Policy #60-18-08 as well as all other Human Resources Policies. - Review MHS policies... with utilization guide sheets and packs them for sterilization Maintains and places sterilized items in sterile storage area...

system Validate what the customer requested and complete their design through the following methods: review (and document... auditing and review processes to ensure project goals and deliverables are met. Collaborates with analysts to define system...

. Manages costs through appropriate utilization and management of labor and supply across the wound care continuum. Works.... The CPD partners with the for review of clinical practice. As needed, serves as case manager to a group of wound care...