perspective on workplace flexibility. Centene is Hiring! We’re looking for a Remote Concurrent Review Nurse to support... Directors as needed to discuss member care being delivered Collects, documents, and maintains concurrent review findings...
member care being delivered Collects, documents, and maintains concurrent review findings, discharge plans, and actions... and concurrent review findings Assists with providing education to providers on utilization processes to ensure high quality...
member care being delivered Collects, documents, and maintains concurrent review findings, discharge plans, and actions... and concurrent review findings Assists with providing education to providers on utilization processes to ensure high quality...
member care being delivered Collects, documents, and maintains concurrent review findings, discharge plans, and actions... and concurrent review findings Assists with providing education to providers on utilization processes to ensure high quality...
, documents, and maintains concurrent review findings, discharge plans, and actions taken on member medical records in health... medical determinations or provide recommendations based on requested services and concurrent review findings Assists...
, documents, and maintains concurrent review findings, discharge plans, and actions taken on member medical records in health... medical determinations or provide recommendations based on requested services and concurrent review findings Assists...
Job Description: Your Role The Utilization Management Concurrent Review team ensures accurate and timely... authorization of designated healthcare services clinical review determinations for Medicare Line of Business. The Manager...
position to all audiences Performs other duties as assigned Position: UM Outpatient Clinical Review Nurse /Utilization... level of care, using applicable coverage documents and clinical guidelines Collects, documents, and maintains review...
Scheduled Bi-Weekly Hours 80 Work Shift Day: 8 hours Job Description The Clinical Utilization Review and Appeals... Coordinator combines clinical, business and regulatory knowledge and skill to reduce financial risk and exposure caused...
Under general supervision of the Director of Case Management, the Utilization Review Nurse provides a clinical review.... Experience: Two years of clinical nursing experience and utilization review experience preferred. Licensure/Certification...
Job Description: Under general supervision of the Director of Case Management, the Utilization Review Nurse provides... a clinical review of cases using medical necessity criteria to determine the medical appropriateness of inpatient and outpatient...
, Preservice Review Nurse, you will be responsible for performing pre-service clinical coverage review of services that require... remotely* as you take on some tough challenges. Primary Responsibilities: Perform utilization and concurrent review using...
, Preservice Review Nurse, you will be responsible for performing pre-service clinical coverage review of services that require... remotely* as you take on some tough challenges. Primary Responsibilities: Perform utilization and concurrent review using...
Cottage Health seeks a Utilization Review Manager, Registered Nurse for their Clinical Denials and Appeals department... responsible for the overall management of utilization review processes and clinical denials between Cottage Health and outside...
Job Category: Revenue Cycle Job Description: Cottage Health seeks a Utilization Review Manager, Registered Nurse... for their Clinical Denials and Appeals department responsible for the overall management of utilization review processes and clinical...
in discharge. Documents all Avoidable Days in CANOPY system. Performs clinical review on admission and/or continued stay using...UPMC is hiring a part time Professional Care Manager for our Utilization Review department in Hanover! This is a part...
Utilization Review Nurse – LTSS (Contract-to-Perm) Location: Remote however Candidates must reside in one of the... for professional growth across the country. Position Overview The Utilization Review Nurse (LTSS) supports the Utilization...
in the life of a Utilization Review RN/Integrated Care Manager with Sentara Health. As a Utilization Review Nurse... specializing in Utilization review, the registered nurse will be responsible for utilization review services within the scope...
status Enter clinical review information into system for transmission to insurance companies for authorization Review...Responsible for utilization review work for emergency admissions and continued stay reviews Responsibilities Review...
Job Description Use established medical policy and guidelines to perform prospective, concurrent, and retrospective... medical necessity review of post-acute care services to ensure medical necessity for appropriate setting, appropriate length...