licensure within the State of Michigan. Certified Professional in Utilization Review/Management preferred. C Special Skill... management experience. Knowledge of regulations relative to utilization review. Knowledge of Federal, State and Local...
Trinity Healthuse disorders. 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...
Acadia Healthcareto utilization review, claims review, quality assurance, and medical review of complex, controversial, or experimental medical..., utilization management, care management, claims, network management, and finance. As the Medical Director for Utilization...
Intermountain Healthcareidentified as having the need for inpatient/outpatient precertification. ESSENTIAL DUTIES & RESPONSIBILITIES Review... precertification requests for medical necessity, referring to the Medical Director those that require additional expertise. Review...
KatmaiPURPOSE 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...
Acadia Healthcare, Utilization Management Specialist. This is a hybrid position (partially remote; and partially on-site at Harborview...). This position will have partial/variable involvement with Harborview's Emergency Department. The Utilization Management Specialist...
University of Washingtonmeaning behind Caring. Connecting. Growing together. The Market Medical Director for Utilization Management will support... WellMed Medical Management, Inc. by making utilization management determinations, identifying utilization trends suggesting...
UnitedHealth Groupmeaning behind Caring. Connecting. Growing together. The Market Medical Director for Utilization Management will support... WellMed Medical Management, Inc. by making utilization management determinations, identifying utilization trends suggesting...
UnitedHealth GroupA minimum of three years of supervisory/managerial experience in the health insurance industry, a utilization review firm...OVERVIEW Hendall is seeking an experienced Medical Review Manager with experience and subject matter expertise...
Hendall Inccompletion of appropriate clinical review of all applicable patients as stated in system utilization management plan. Oversees... Clinical Review Specialist as indicated. Maintains necessary documentation and communication with internal and external...
Children's Healthcare of Atlantaand/or utilization review for other healthcare services. Responsibilities include checking eligibility, verifying benefits, data entry... Diploma/GED Required Experience: 0-2 years of experience in a Utilization Review Department in a Managed Care Environment...
Morgan Stephens. PERFORMANCE APTITUDES Data Utilization: Requires the ability to review, classify, categorize, prioritize, and/or analyze data... UTILITY CLASSIFICATION SPECIFICATION CLASSIFICATION TITLE: COLLECTION SYSTEM SPECIALIST PURPOSE OF CLASSIFICATION The...
City of Henderson Kentuckyteam, and The Power of Every One. Job Title Patient Service Specialist - Emergency Department Location Mayfield Hts... Service Specialist, you will provide comprehensive, proactive and “Patient First” customer service to our patients...
Cleveland Clinicteam, and The Power of Every One. Job Title Patient Service Specialist PRN Location Stuart Facility CC Martin... Specialist, you will provide comprehensive, proactive and “Patient First” customer service to our patients and visitors through...
Cleveland Clinicas a Government Information Specialist located in the Joint Staff Secretariat, Information Management Division, Declassification... Branch (DB), responsible for administering declassification review processes. Overview Accepting applications Open...
Federal government of the United StatesDESCRIPTION Marine Application Engineer - Technical Specialist Our culture believes in POWERING YOUR POTENTIAL... is all about. We are looking for a talented Marine Application Engineer - Technical Specialist to join our team specializing in Tech Specialist for our BUSINESS...
Cummins; and performs other related duties as required. Distinguishing Characteristics: This class differs from the Program Specialist II... in that the Program Specialist III performs as a senior worker with the overall responsibility for the program planning...
County of Maui