- Desert Parkway Behavioral Healthcare Hospital (Las Vegas, NV)
- …that all days are authorized and identify denied days, coordinate with Director of Utilization Review and add to Denial Tracker when appropriate. Monitor and ... update file for accounts without discharge diagnosis. KEY RESPONSIBILITIES: Initial Authorizations Runs the morning report and identifies all accounts where an authorization doesn't exist and enters appropriate data in the appropriate field to identify the… more
- Cleveland Clinic (Las Vegas, NV)
- …prep, pt. tracking, record tracking, cash collection for screening exams). + Performs utilization review functions for Regional radiology imaging site with an ... + None required. **Complexity of Work:** + Knowledge and skills related to utilization review and outpatient precertification and referral management. + Working… more
- ERP International (Nellis AFB, NV)
- …Case Management Society of America (CMSA); American Accreditation Healthcare Commission/ Utilization Review Accreditation Commission (URAC); CAMH; (AAAHC); Health ... identified program areas; analyzes and trends results, including over- and under- utilization of healthcare resources. Identifies areas for improvement and cost… more