Description Company: Oak Street Health Title: Full-Time Utilization Management Physician Reviewer Location... determinations for inpatient and outpatient services by applying utilization management (UM) criteria, clinical judgment...
with patients and providers. Physician-led, Guidehealth empowers our partners to deliver high-quality healthcare focused on outcomes... and value inside and outside the exam room for all patients. Job Description WHAT YOU’LL BE DOING Performing utilization...
(s) required. Preferred Skills, Capabilities, and Experiences : Familiarity with Utilization Management Guidelines, ICD-9 and CPT-4 coding...Anticipated End Date: Position Title: Nurse Reviewer I-5 Job Description: Location: This is a Virtual role...
appropriateness of services provided by other healthcare professionals in compliance with Concentra Physician Review policies... AND RESPONSIBILITIES: Reviews medical files and provides recommendations for utilization review, chart reviews, medical necessity...