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As aUtilization Review Nursespecializing in Utilization review, the registered nurse will be responsible for utilization review services within the scope of licensure.
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Lead Tenet Utilization Review Teams market structure and operations management to effectively support utilization review and authorization confirmation functions to promote an appropriate level of care and prevent payer denials.
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The Utilization Review Nurse provides the highest level of clinical service both internally and externally to promote quality, medically necessary, cost-effective care. The Utilization Review Nurse also partners with providers and facilities to assist with discharge planning.
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The Utilization Review coordinator performs activities which support the Utilization Management functions. Active Kentucky Registered Nurse License or compact license with privileges to work in Kentucky (preferred) Or Current Licensed Clinical Social Worker (LCSW), Licensed Professional Clinical Counselor (LPCC), Licensed Marriage and Family Therapist (LMFT) or Licensed Psychological Associate (LPA) in the state of Kentucky (preferred.
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Qualifications Masters Degree preferred; minimum Bachelors Degree in Psychology or related Human Service Field or RN. Knowledge of Utilization Review Processes, insurance plans, mental health and chemical dependency treatment.
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The Utilization Review Manager (URM) serves as the liaison between Great Circle treatment teams, funding sources, and external partners to obtain and review all clinical and medical services for clients at Great Circle locations.
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Keywords: cook, food service, restaurant, cooks, cooking, food, culinary, hiring immediately. Position Type: PRN/Flexible. Shift Schedule- Varies. Arrow Senior Living manages a collection of senior living communities that offer varying levels of care including independent living, assisted living, and memory care in 34 properties currently in 6 states (Missouri, Kansas, Iowa, Illinois, Ohio, Arkansas) and employs nearly 2,200 employees.
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The Utilization Review Specialist manages daily operations, which include supervising the staff performing benefit enrollments and utilization management activities. The Utilization Review Specialist participates in department development and unit performance improvement.
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Under the supervision of the Utilization Review Manager, this position is responsible for ensuring the delivery of outstanding customer service in the process of obtaining pre-certification approvals from insurance companies (for both inpatients and outpatients), identifying insurance and/or patient responsibility, insurance verification, admission notifications, identifying approved days, follow up required, and providing financial counseling when appropriate.
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Qualifications Must possess knowledge of case management or utilization review as normally obtained through the completion of a bachelor's degree in case management or health care. Must have a working knowledge of care management, acute care and/or home care environments, community resources and resource/utilization management.
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To be a Peppy Prepper: Whether prepping a table for service, salads for the next meal, or rolling silverware, the Peppy Prepper understands a successful meal service can only happen if you're prepared.
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We value and rely on the collective voices of our employees, customers, community, and suppliers to help guide us as we build a better Wayfair – and world – for all.
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Utilization RN – Utilization Review RN – Travel Utilization Review RN, Part-Time, Contract, Travel, Temporary, 13 Weeks, Temp. Tier5, Travel Utilization Review RN Registered Nurse.
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Arrow Senior Living serves and employs individuals of all faiths, regardless of race, color, gender, sexual orientation, national origin, age, or handicap, except as limited by state and federal law. After spending 14 years in healthcare, I finally found my home with Arrow Senior Living.
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Minimum of 3-5 years of progressively responsible experience in a Case Management leadership role including but not limited to: Utilization Review/Denials Management, Discharge Planning, Integrated Clinical Service/Care Coordination, Patient Throughput/LOS Management with solid track record of collaborative relationships with physicians, colleagues, and key stakeholders.
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customer service flexible schedule utilization review jobs Title: travel registered nurse in Beltsville, District Of Columbia
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