- UNC Health Care (Chapel Hill, NC)
- …stay, and discharge reviews in accordance with federal regulations & the Hospitals? Utilization Management Plan. In addition, the Utilization Manager is ... case management referrals. Initiates appropriate social work referrals. 3. Utilization Management Process - Performs utilization management… more
- Intermountain Health (Raleigh, NC)
- …policies and Federal and State regulations. + Refers appeal cases to the designated Physician Advisor and works with them for obtaining support for appeals. + ... Collaborates with Care Management , Physician Advisors, Revenue Integrity, Compliance, legal counsel, and RSC teams to prepare appeals. + Identifies trends and… more