offer. Responsibilities Manage effective utilization review processes, including management of patient statusing processes and monitoring... programs and key performance indicators for all utilization review activities. Interact with medical, nursing, and executive...
but not limited to: Access Authorization and pre-certification, utilization review and denial management, Care Coordination... of utilization criteria, appeal and review process, and case management system documentation. Develop staff schedule and revises...
or case management experience and requires a minimum of 2 years clinical, utilization review, or managed care experience... within 50 miles of the PulsePoint site listed above. The Med Management Nurse will be responsible for review of the...
, such as equipment maintenance, scheduling, supply utilization monitoring etc. Leads NEST based peer review processes. Leads.... Under the direction of the Nurse Manager, the RN will work in conjunction with the bedside team at all UMMS L&D units to provide...
benefits. Works on reviews that are routine having limited or no previous medical review experience requiring guidance... if initial clinical information presented meets medical necessity criteria or requires additional medical necessity review...
: Skills: IT Systems Management, Microsoft Endpoint Configuration Manager, Microsoft Endpoint Configuration Manager Reporting... status, service performance, and utilization Implement and maintain continuous compliance to information security...
: Skills: IT Systems Management, Microsoft Endpoint Configuration Manager, Microsoft Endpoint Configuration Manager Reporting... status, service performance, and utilization Implement and maintain continuous compliance to information security...
, manufacturing facilities or other heavy construction projects. The Inspector will report to a Construction Manager...: In this role, you will observe and inspect construction work performed by contractors, perform punch list inspections, review...