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As a Utilization Review Specialist, you will accurately and timely complete utilization review activities. Utilization Review team members advocate on behalf of our patients to managed care providers for necessary treatment.
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Qualifications Registered Nurse, LPN, and/or a minimum of a Bachelor's Degree in Social Work or Psychology with experience in Utilization Review preferred. We are currently looking for a qualified Utilization Review Coordinator to join our team of dedicated Behavioral Health professionals.
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Ocean View Utilization Review Coordinator in our psychiatric health facility plays a crucial role and is responsible for evaluating the necessity, appropriateness, and efficiency of the use of medical services, including inpatient psychiatric care.
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Six months psychiatric utilization review either for hospital or external review organization preferred. Headquartered in King of Prussia, PA, UHS has 89,000 employees and through its subsidiaries operates 26 acute care hospitals, 334 behavioral health facilities, 39 outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 38 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom.
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He/she consults with the CEO, Physician, and Utilization Review Department as needed. Works with Utilization Review Department. Come join a rapidly expanding, leading national substance abuse organization who is currently seeking a Clinical Director for their growing Intensive Outpatient Counseling program.
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Is a130-bed facility with inpatient, outpatient and partial hospitalization programs. Uses Midas for recording reviews and tracking denials. We will provide the Social Security Administration, and if necessary, the Department of Homeland Security, with information from each new employees Form I-9 to confirm work authorization.
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Monitors and affects as needed relationship between Business Office, Intake and Utilization Review departments to maximize patient revenue. Facilitates weekly A/R meeting with CEO and Business Office Manager to communicate results and monitor areas of weakness.
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Registered Nurse, LPN, and/or a minimum of a Bachelor's Degree in Social Work or Psychology with experience in Utilization Review preferred. We are currently looking for a qualified Utilization Review Coordinator.
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Brentwood provides specialized programs both inpatient and outpatient for children, adolescents, and adults. In 2021, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; in 2020, ranked #281 on the Fortune 500; and listed #330 in Forbes ranking of U.S.’ Largest Public Companies.
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Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance. The clinical scenarios arise from outpatient, inpatient or post-acute care environments.
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Participates in performance improvement activities to evaluate and resolve problems related to risk management, utilization review, and quality assurance. The RN is responsible for dispensing any medications the clinic may utilize in an outpatient addiction recovery environment.
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Assists the physician as follows, but not limited to Utilization Review, Quality Assurance, Program Evaluation, Infection Control, and Safety Committee activities. Experience : Ideal candidate will have 2+ years of post-cardiology Physician Assistant/ Nurse Practitioner experience in both inpatient and outpatient.
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Our mission expanded in 1988 to include homeless services and substance abuse treatment. Apis Services, Inc. (a wholly owned subsidiary of Inperium, Inc.) provides a progressive platform for delivering Shared Services to Inperium and its Constellation of affiliate companies.
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Case management, utilization review, or discharge planning experience in an acute, rehabilitation, skilled nursing or outpatient setting is required. Collaborate across the continuum of care and with the interdisciplinary inpatient and outpatient rehabilitation teams, community providers, and community agencies to promote the highest level of independent function and an active, productive and fulfilling life.
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Requirements: Bachelor’s degree or current clinical license required in lieu of degree CPR and CPI Certification within 30 days of employment Experience: Previous utilization review experience in a psychiatric healthcare facility preferred Education and experience in the field(s) of: Social Work, Psychology, Psychiatric Nursing, Marriage and Family and Child Counseling, Chemical Dependency Counseling, Registered Nursing or a closely related science field.
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