- Prime Healthcare (Philadelphia, PA)
- …Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC\_KnowYourRights\_screen\_reader\_10\_20.pdf Responsibilities The Utilization review tech ... review and appeals process as part of the denial management initiatives. Utilization review tech is responsible for coordinating phone calls, data entry… more
- US Tech Solutions (Chicago, IL)
- …+ Do you have experience with Prior Authorization? + Do you have experience with Utilization Review ? + Do you have an Active Registered Nurse License? **About US ... and Medicare/Medicaid knowledge. + MUST HAVE UM experience, inpatient utilization management review . + MUST HAVE 1... Tech Solutions:** US Tech Solutions is a… more
- US Tech Solutions (Columbia, SC)
- …mental health/chemical dependency, orthopedic, general medicine/surgery. OR, 4 years utilization review /case management/clinical/or combination; 2 of 4 years ... promote quality, cost effective outcomes. Performs medical or behavioral review /authorization process. Ensures coverage for appropriate services within benefit and… more
- US Tech Solutions (May, OK)
- …HAVE MANAGED CARE exp and Medicare/Medicaid knowledge. . MUST HAVE UM experience, inpatient utilization management review . . MUST HAVE 1 YEAR OF UTILIZATION ... policy, regulatory and accreditation guidelines. . Responsible for the review and evaluation of clinical information and documentation. ....in state of residence . Must have prior authorization utilization experience . Able to work in multiple IT… more
- Prime Healthcare (Elgin, IL)
- …skillset, years of applicable experience, education, credentials and licensure. Responsibilities The Utilization Review Tech essentially works to coordinate ... and appeals process as part of the denial management initiatives. + Utilization review tech is responsible for coordinating phone calls, data entry,… more
- Prime Healthcare (Aurora, IL)
- …skillset, years of applicable experience, education, credentials and licensure. Responsibilities The Utilization Review Tech essentially works to coordinate ... and appeals process as part of the denial management initiatives. + Utilization review tech is responsible for coordinating phone calls, data entry,… more
- Prime Healthcare (Chicago, IL)
- …skillset, years of applicable experience, education, credentials and licensure. Responsibilities The Utilization Review Tech essentially works to coordinate ... and appeals process as part of the denial management initiatives. + Utilization review tech is responsible for coordinating phone calls, data entry,… more
- Prime Healthcare (Joliet, IL)
- …skillset, years of applicable experience, education, credentials and licensure. Responsibilities The Utilization Review Tech essentially works to coordinate ... and appeals process as part of the denial management initiatives. + Utilization review tech is responsible for coordinating phone calls, data entry,… more
- Prime Healthcare (Evanston, IL)
- …skillset, years of applicable experience, education, credentials and licensure. Responsibilities The Utilization Review Tech essentially works to coordinate ... and appeals process as part of the denial management initiatives. + Utilization review tech is responsible for coordinating phone calls, data entry,… more
- Prime Healthcare (Chicago, IL)
- …skillset, years of applicable experience, education, credentials and licensure. Responsibilities The Utilization Review Tech essentially works to coordinate ... and appeals process as part of the denial management initiatives. + Utilization review tech is responsible for coordinating phone calls, data entry,… more
- Prime Healthcare (Joliet, IL)
- …Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC\_KnowYourRights\_screen\_reader\_10\_20.pdf Responsibilities The Utilization review tech ... plans and scan all related correspondence to the respective EMR/ tracking tool. Utilization review tech will follow up on all denials while working closely… more
- Veterans Affairs, Veterans Health Administration (Seattle, WA)
- …patient care Bachelor of Science in Nursing Case Management Experience Utilization Management/ Review experience Physical Requirements: Heavy lifting (45 lbs), ... Summary Registered Nurse (RN) Utilization Management (UM) delivers knowledge-based care to clients...United States, or the District of Columbia. Graduate Nurse Technician (GNT) Exception: Candidates who otherwise meet the basic… more
- Ventura County (Ventura, CA)
- …+ Experience with managed care. + Experience and current knowledge of Quality Assurance, Utilization Review and Peer Review systems and programs. + At ... Ventura has a diverse economic base from tourism to high- tech enterprises in beautifully planned communities, making the region...care + Experience and current knowledge of Quality Assurance, Utilization Review and Peer Review … more
- G-TECH Services, Inc. (Detroit, MI)
- …which may include acute patient care, discharge planning, case management, and utilization review , etc. Demonstrated clinical knowledge and experience relative ... Associate Degree or nursing diploma required, Triage, case management or utilization review experience, Expertise in the use of medical terminology, InterQual… more
- Ventura County (Ventura, CA)
- …that establish, expand, and maintain the pool of eligible service providers. + Utilization review : uses professional skills in quality management activities such ... Psychiatric Technician - IPU (Regular, Per Diem, Sr. Per...Health. NOTE: If appointed as a Per Diem Psych Tech , incumbent may be promoted to Per Diem Sr...as utilization review , monitoring and evaluation procedures, and… more
- G-TECH Services, Inc. (Detroit, MI)
- …which may include acute patient care, discharge planning, case management, and utilization review with another insurance provider, etc. Demonstrates clinical ... specialized field such as NICU/OB/BH/Substance Abuse * * InterQual/MCG or other utilization review experience preferred Required Skills/Experience - The rest of… more
- Veterans Affairs, Veterans Health Administration (Providence, RI)
- …not limited to: Receives and manages a community specialty care assignment. Provides utilization management and utilization review services. Provides care ... and licensure/certification. Preferred Experience: Outpatient care management/clinical care coordination Utilization review Utilization management Grade… more
- US Tech Solutions (Columbia, SC)
- …mental health/chemical dependency, orthopedic, general medicine/surgery. Or, 4 years utilization review /case management/clinical/or combination; 2 of the 4 ... mental health/chemical dependency, orthopedic, general medicine/surgery. Or, 4 years utilization review /case management/clinical/or combination; 2 of the 4… more
- Hartford HealthCare (Willimantic, CT)
- …clinical nursing required. Two years experience with case management, discharge planning, utilization review and/or home care required. Knowledge of the ... more than 75 years, Windham Hospital has treated patients with the latest high- tech equipment, operated by some of the most skilled and compassionate medical… more
- HCA Healthcare (Plantation, FL)
- …pharmacist the Intern may also participate in, the provision of pharmaceutical care, drug utilization review ; ensuring the proper and safe storage of drugs and ... growth, we encourage you to apply for our Pharm Tech Student Intern PRN opening. We promptly review... Tech Student Intern PRN opening. We promptly review all applications. Highly qualified candidates will be contacted… more