UTILIZATION REVIEW SPECIALIST jobs in UNITED STATES, United Kingdom #3

-party payers to (?). Assist in admissions review, concurrent reviews and discharge planning. Assist physician in peer... review by serving as information resource, gather data to support review and schedule peer review. Informs management...

review of all applicable patients as stated in system utilization management plan. Oversees Clinical Review Specialist... utilization review Education Graduation from an accredited school of nursing Certification Summary Licensure...

​PURPOSE STATEMENT: ​Provide administrative support to the Utilization department. Responsibilities ESSENTIAL... to (?). ​Assist in admissions review, concurrent reviews and discharge planning. ​Assist physician in peer review by serving...

communication between payers, review agencies and health care team. Identifies delays in treatment or appropriate utilization... Care Nurse McKesson Certified Professional in Utilization Management AAMCN Utilization Review Professionals RNCB Certified...

The Senior Utilization Review Physician Specialist collaborates with the healthcare team in the management... include but are not limited to utilization review, hospital reimbursement, clinical compliance, case management...

Position Information: The Behavioral Health Case Manager for Utilization Review is responsible for assisting patients... etc. Functions as a resource and placement specialist for the team with strong working knowledge of MH/SU levels of care. Assists...

Description: Under the direct supervision of the HIM manager, the UR specialist monitors the utilization of resources... certifications are also acceptable such as certified coding specialist (CCS), certified coding specialist physician (CCS-P...

Description : Utilization Management Specialist *Remote* *working collaboratively with the treatment team... treatment. As a Utilization Management Specialist II, you will need to exhibit excellent communication and documentation...

The Utilization Management Nurse Specialist LVN II will facilitate, coordinate and approve medically necessary referrals... and/or on site admission and concurrent review, and collaborates with onsite staff, physicians, providers, member/ family interaction...

for better? Job Description The Quality Utilization Specialist reflects the mission, vision, and values of NM, adheres to the organization's Code... admission and thereafter continuing stay reviews for all hospitalized patients. Facilitates utilization review concurrent...

Email Submit Quality Utilization Specialist, Full-time, Days, Hybrid ($4,000 sign-on bonus) Location Chicago, Illinois Business..., come help us shape the future of medicine. Description The Quality Utilization Specialist reflects the mission, vision...

job Description Utilization Review Specialist facilitates clinical reviews on all patient admissions and continued stays. UR analyzes patient... Worth, TX to build a career that touches lives. Utilization Management Specialist PRN - Behavioral Health Plano, Texas...

. JOB SUMMARY Our Ethos Risk team is seeking a full-time Utilization Management (UM) Intake Specialist (REMOTE) to play a crucial... role in handling and coordinating the administrative functions of the utilization review process. This is a non-clinical...

the electronic medical record through education, review, and data analysis. Communicate with Utilization Manager...River Edge is seeking a dedicated and knowledgeable Clinical Training Specialist for our Emery Highway Outpatient...

The Utilization Management Nurse Specialist RN II will facilitate, coordinate, and approve medically necessary referrals... and/or on site admission and concurrent review, and collaborates with onsite staff, physicians, providers, member/family interaction...

experience What a day of a Utilization Management Rep would look like: Review’s member eligibility and benefit structure...Our Utilization Management Rep will coordinate and manage incoming and outgoing correspondence to include referrals...

necessity reviews within patient s medical records. Performs utilization management (UM) activities in accordance with UM plan... to determination of medical necessity, authorization, continued stay review including diagnosis and procedural coding for working...