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...Job Description
Job Description The Utilization Management Nurse Reviewer plays a crucial role in healthcare systems by ensuring that medical services are used efficiently and appropriately. They review medical records, treatment plans, and patient information to determine...
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...Responsibilities
Utilization Review Manager Opportunity
Emerald Coast Behavioral Hospital provides inpatient treatment services to children, adolescents and adults at our 86-bed facility in Panama City, FL and outpatient services to adolescents and adults at our...
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...learn how to apply for a faculty or staff position using the Career worklet, please review this tip sheet.
The University of Miami is currently seeking Utilization Review Case Manager to work at Sylvester Support Service Building in Miami. The incumbent conducts...
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...dignity, respect, responsibility and clinical excellence.
Utilization Physician Reviewer position details:
Facility: St. Joseph's Hospital... ...collegial interaction with Utilization Review, Case Management, and Clinical Providers while aligning with organizational...
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...partnership with physicians, nurse case managers, and other disciplines to ensure the appropriateness... ...for the corresponding level of care utilizing evidence-based criteria.... ...Discharge Planning, and Case Management.
Reviews the appropriateness of Severity Index/Intensity...
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...pleased to announce the following available position: PRN Utilization Review Coordinator
This position is responsible for monitoring... ...offered to the patient, interfacing with the treatment team/managed care organizations to ensure quality patient care and collaborating...
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...Utilization Management Coordinator (RN)
Under the general supervision of the Director of Health Services, the position is responsible for... ...responsible for managing all denials by conducting a comprehensive review of clinical documentation, clinical criteria/evidence-based...
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The Process Review Manager will report into the Business Control Head team for Branded Cards. The role will lead efforts to create standard methodology and processes for control execution across Branded Cards. Excellent communication skills required in order to negotiate...
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Join our team as a Utilization Management Nurse Reviewer, where you'll play a pivotal role in healthcare delivery by ensuring the efficient and appropriate utilization of medical services. As part of our dedicated team, you will review medical records, treatment plans,...
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...Job Description
Job Description The Utilization Review Specialist proactively monitors and assesses clinical documentation and medical... ...continued authorization. The focus of our UR Specialist is to manage the review and approval process allowing the clients clinical...
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About the job Utilization Review Specialist
About Us
Congress Billing is a sophisticated Billing Management Company that strongly believes in the best interest of their clients. Our mission is to ensure that all Congress Billing's clients have a proven low-cost...
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...PURPOSE STATEMENT:
Proactively monitor utilization of services for patients to optimize... ...ESSENTIAL FUNCTIONS:
Act as liaison between managed care organizations and the facility professional clinical staff.
Conduct reviews, in accordance with certification...
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...responsibility of this position is to implement the organization’s Utilization Review(UR) process to ensure appropriate usage of available... ...provides regular reports to facilitate decision-making by senior management. The Coordinator also assists in other key administrative...
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...Halifax Health is seeking a Utilization Review (UR) Case Manager for the Discharge Planning/Case Management Department.
The primary responsibility of the Utilization Review Case Manager is to review medical records, document medical necessity and prepare concurrent...
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Flexible hours
...Responsibilities
The Registered Nurse (RN) Case Manager works within an interdisciplinary team... ...of care by ensuring appropriate utilization management, care coordination, resource... ...experience preferred.
Utilization review experience preferred.
Additional Qualifications...
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...assessments, continued stays assessments, and payer requested reviews are performed using evidence based criteria as designed,... ...from the physician(s).* Escalates cases to the Utilization Review Manager and/or Physician Advisor if physicians are unable to provide...
...DESCRIPTION
The purpose of this position is to manage the planning, budgeting, organizing, and... ...(design, planning, and development plan review); project management and procurement; GIS... ...systems maintenance; and general/utility construction.
ESSENTIAL JOB FUNCTIONS...
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...Job Description
Job Description Develops, manages and directs the Utilization Management programs for the primary care clinics. The key objective... ...admissions as well as concurrent and retrospective review of care. Responsible for other integrated functions such...
...Quality, and Stormwater Permits and successful permit compliance Knowledge of safe work practices; principles and methods of biological and chemical analyses, effects, and problems of utility systems Knowledge of principles of budge Manager, Utilities, Technology, Utility...
...Under general supervision of the Building Services Division Manager / County Building Official, the purpose of the position is to assist... ...activities of assigned operational section (building plans review or building inspections) in the Building Services Division of the...
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