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The UMC evaluates the medical necessity of a patients utilization of healthcare services with designated screening criteria upon point of admission and throughout the provision of care in accordance with and in compliance of the Behavioral Health Dignity Health Utilization Review Policy.
$74.06 an hourPart-timeExpandApply NowActive JobUpdated 22 days ago - UpvoteDownvoteShare Job
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The RN Utilization Management Coordinator (UMC) is responsible for assessing planning facilitating and advocating for options and services through a continuum of care from point of contact through discharge on assigned patients.
$74.06 an hourPart-timeExpandApply NowActive JobUpdated 16 days ago - UpvoteDownvoteShare Job
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Screens requests for the Medical Director’s review, gathers pertinent medical information prior to submission to the Medical Director, follows up with the requester by communicating the Medical Director’s decision and documents follow-ups in the utilization management system.
$115,353 a yearFull-timeExpandApply NowActive JobUpdated 18 days ago - UpvoteDownvoteShare Job
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Key Words: RN Travel, Travel Nurse, Contract Nurse, Agency Nurse, Travel Contract, Travel Nursing, Case Manager, Case Management, Utilization Review, Case Manager RN. MedPro Healthcare Staffing is seeking a travel nurse RN Case Management for a travel nursing job in Glendale, California.
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Must have previous Grievance and Appeals exp Analytical and research savvy, good writing skills Strong organization and able to multi-task Must have at least 1 year of recent healthcare experience and strong work history Medical management, Utilization management, and/or running a doctor’s office High School Diploma or GED Microsoft Office: Outlook, Word, and Excel Our client is a leading Healthcare Industry, and we are currently interviewing to fill this and other similar contract positions.
$22 an hourExpandApply NowActive JobUpdated 14 days ago - UpvoteDownvoteShare Job
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Demonstrated ability to utilize/apply the general and specialized principles, practices, techniques and methods of Utilization review/management, discharge planning or case management.
$87.52 an hourFull-timeExpandApply NowActive JobUpdated 16 days ago - UpvoteDownvoteShare Job
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When functioning in the role of a RN Utilization Review Nurse: The RN Utilization Management Specialist coordinates communication with admitting financial counselors, case management team, providers, patient financial services, and payers to ensure all services provided by the hospital are authorized by appropriate payer.
Full-timeExpandApply NowActive JobUpdated 18 days ago - UpvoteDownvoteShare Job
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Coordinates the interdisciplinary approach to providing continuity of care, including Utilization management, Transfer coordination, Discharge planning, and obtaining all authorizations/approvals as needed for outside services for patients/families.
Full-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Enhances the quality of patient management and satisfaction, to promote continuity of care and cost effectiveness through the integration of functions of case management, utilization review and management, and discharge planning.
Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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The RN Case Manager is responsible for performing a high level clinical assessment and reassessment of acute care Inpatients for the purpose of performing utilization review, resource management and safe discharge planning.
$77.56 an hourPart-timeExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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The AMD actively participates in working with health services leadership to provide enterprise, regional and clinic specific data to receive and provide feedback to clinic leaders and providers on improving Utilization Management.
$306,862.41 a yearFull-timeExpandApply NowActive JobUpdated 9 days ago - UpvoteDownvoteShare Job
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Review and analyze Federal, and State rules, regulations, legislation, judicial rulings, or other technical and policy-related reports and make recommendations thereon as related to projects for control, conservation, and utilization of Colorado River resources.
$207,528 a yearFull-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Review cases for medical necessity and apply the appropriate clinical criteria; to include, but not limited to Medicare criteria, Medicaid/Medi-cal criteria, Interqual, Milliman, or Health Plan specific guidelines.
$39.46 an hourFull-timeRemoteExpandApply NowActive JobUpdated 10 days ago - UpvoteDownvoteShare Job
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The AVP Property Management will lead the property management staff across the assigned portfolio to help support the asset strategies, manage operating expenses to achieve Net Operating Income (NOI) growth and maximize cash flow, plan, organize, and manage the activities of the assigned properties through the optimal utilization of resources to ensure a consistent high level of tenant satisfaction.
$170,000 a yearFull-timeExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
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Provides appropriate updates to Utilization Review Specialists to manage client's coverage for services; Performs Peer to Peer reviews as needed. Reporting to the Lead Therapist or Director of Clinical Operations (based on size of site), the Primary Therapist delivers clinical services to clients with mental health disorders and their families; provides appropriate documentation of services; provides case management; participates in training and supervision; collaborates with outreach and admissions teams; and provides milieu support.
$93,000 a yearFull-timeExpandApply NowActive JobUpdated 3 days ago
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