- Catholic Health Initiatives (Little Rock, AR)
- …communicating with internal stakeholders to ensure the accurate submission of clinical documentation to third party payers. The Utilization Management Assistant ... more
- FST Technical Services (Baltimore, MD)
- …labor share as required between teams and between regions. Collaboration with the Regional Director on meeting utilization and revenue targets. The Regional ... more
- CSL Behring (King Of Prussia, PA)
- Region: Mid South The Regional Sales Manager is responsible for providing leadership to regional members within an assigned geography. This includes leading the ... more
- Sevita (West Boylston, MA)
- …a regional business unit, review financial statements, oversees regional purchasing, and ensures billing compliance and documentation . + Provide ... more
- National Health Care Associates (Wethersfield, CT)
- …both + Experience in skilled nursing facilities, clinical reimbursement, concurrent review and/or utilization management is desirable + Experience/knowledge of ... more
- Emory Healthcare/Emory University (Atlanta, GA)
- …revisions. + Participates as a member of work groups related to clinical documentation , utilization and compliance, if required. + Performs other duties as ... more
- NANA Regional Corporation (Middleton, WI)
- …application support services to create and maintain systems and operational documentation , procedures, and methods for a suite of integrated applications. This ... more
- South Central Regional Medical Center (Laurel, MS)
- …Practical Nurse (LPN) license. Experience in prior authorization, case management, or utilization review preferably in an ambulatory setting. Knowledge of ... more
- LifePoint Health (Rutherfordton, NC)
- …execution, adaptation and outcome of care management as prescribed in the initial Utilization Review Plan with regard to resources, appropriateness of care and ... more
- Dignity Health (Prescott, AZ)
- …staff). Provide education to medical staff colleagues regarding best practices, the utilization review process, regulatory issues, use of clinical guidelines, ... more
- Catholic Health Initiatives (Chattanooga, TN)
- …the hospital through teaching, consulting, and advising the care management and utilization review departments, medical staff members, and the hospital ... more
- Billings Clinic (Billings, MT)
- …and coordinates care with the RN Care Manager, Social Services Care Manager, Utilization Review RN, Physician Advisor and Care Management Assistant. * Maintains ... more
- Banner Health (Tucson, AZ)
- …efficiency related to patient care delivery. This position provides medical case review , utilization and quality review and provides recommendations, ... more
- HCA Healthcare (Anchorage, AK)
- …family! Jump-start your career as a(an) Clinical Informaticist today with Alaska Regional Hospital. **Benefits** Alaska Regional Hospital, offers a total rewards ... more
- The County of Los Angeles (Los Angeles, CA)
- …and track the number of departmental contracts requiring the Board of Supervisor's review and approval. + Oversees the review and tracking of department-wide ... more
- Sevita (IA)
- …+ Oversee billing to ensure accuracy and compliance in practices and documentation ; monitor utilization between authorization, provision of service, and billing. ... more
- Magellan Health Services (Albuquerque, NM)
- …to an assigned interdisciplinary UM team. + Responsible for the quality of utilization review determinations, including appeals. + Reviews cases, makes medical ... more
- MyFlorida (Pensacola, FL)
- …activities. Ensure ADAP database is properly maintained. Ensure that ADAP staff review client files for the required documentation needed for determining ... more
- Humana (Lincoln, NE)
- …health insurance, other healthcare providers, clinical group practice management. + Utilization management experience in a medical management review ... more
- Trinity Health (Livonia, MI)
- …Serves as the Chief Clinical Leader for Quality working with the THMI regional and local boards to oversee quality, care management, risk, research, regulatory ... more