clinical criteria to service requests or provides health management program interventions. Utilizes clinical proficiency... and determine medical necessity criteria and contract benefits. Collaborates with Care Management and other areas to ensure proper...
Medicare experience and /or UR experience/Process Appeals requests/can have experience in either Utilization management... health/chemical dependency, orthopedic, general medicine/surgery. OR, 4 years utilization review/case management/clinical...
health/chemical dependency, orthopedic, general medicine/surgery. OR, 4 years utilization review/case management/clinical.... Experience in case management or care coordination and telephonic care experience is preferred. A typical day...
Utilization Management Dept. Full Time Day Shift 8am-5pm Consistently named best hospital, Lexington Medical... role). Required Training: Experience in utilization review/case management Essential Functions Works in a cooperative...
education programs include family medicine and transitional year residencies. Job Summary The Nurse Practitioner Fellow... by both the nurse practitioner and practice physicians. Minimum Qualifications Minimum Education: Masters or higher degree...
education programs include family medicine and transitional year residencies. Job Summary The Nurse Practitioner Fellow... by both the nurse practitioner and practice physicians. Minimum Qualifications Minimum Education: Masters or higher degree...
education programs include family medicine and transitional year residencies. Job Summary The Nurse Practitioner Fellow... by both the nurse practitioner and practice physicians. Minimum Qualifications Minimum Education: Masters or higher degree...
health-illness continuum and lifespan within protocols set forth and approved by both the nurse practitioner and practice... by appropriate credentialing organization recognized by South Carolina as Nurse Practitioner; CPR, BLS. Required Training: None...
requests or provides health management program interventions. Responsibilities: Utilizes clinical proficiency and claims... and providers regarding health care delivery system, utilization on networks and benefit plans. Serves as member advocate through...
JOB PURPOSE: Senior Nurse Consultant serves as a member of the clinical and region team, to assist centers... practices for designated centers. The senior nurse consultant provides education, mentoring and validation of required systems...
continuum and life span within protocols set forth and approved by both the Nurse Practitioner and CMC Physicians... by appropriate credentialing organization recognized by South Carolina as Nurse Practitioner Required Training: None. Essential...
continuum and lifespan within protocols set forth and approved by both the nurse practitioner and practice physicians... organization recognized by South Carolina as Nurse Practitioner; CPR, BLS. Required Training: None Essential Functions...
continuum and lifespan within protocols set forth and approved by both the nurse practitioner and practice physicians... organization recognized by South Carolina as Nurse Practitioner; CPR, BLS. Required Training: None Essential Functions...
health-illness continuum and lifespan within protocols set forth and approved by both the nurse practitioner and practice... Carolina as Nurse Practitioner; CPR, BLS. Required Training: None Essential Functions Documents all situations...
clinical criteria to service requests or provides health management program interventions. Utilizes clinical proficiency... and providers regarding health care delivery system, utilization on networks and benefit plans. Serves as member advocate through...
Classification of Disease (ICD) coding. Manages clinic financials including efficient utilization of supplies or equipment.... Preferred but not required: + 3+ years supervisory or project/program management experience. + Med/surg or ICU/CCU experience...
Classification of Disease (ICD) coding. Manages clinic financials including efficient utilization of supplies or equipment.... Preferred but not required: + 3+ years supervisory or project/program management experience. + Med/surg or ICU/CCU experience...
Classification of Disease (ICD) coding. Manages clinic financials including efficient utilization of supplies or equipment.... Preferred but not required: 3+ years supervisory or project/program management experience. Med/surg or ICU/CCU experience...
Classification of Disease (ICD) coding. Manages clinic financials including efficient utilization of supplies or equipment.... Preferred but not required: 3+ years supervisory or project/program management experience. Med/surg or ICU/CCU experience...
Quality Management - Acute Full Time Day Shift 8-430 Consistently named best hospital, Lexington Medical Center... in quality or utilization review. Substitutable Education & Experience (Optional): None. Required Certifications/Licensure...