JOBS
…patient responses to interventions in collaboration with quality assurance and utilization review , maintaining interdependent follow-up as necessary * TREATMENT
…team Assesses resident through physical assessment, interview and chart review . Discusses resident care needs with care givers, including physician,
…care using Interqual criteria. Integrates clinical knowledge with billing knowledge to review , evaluate, and appeal clinical denials related to the care provided to
Job Title: RN-Case Management ( Utilization Review ) Job Location: Bakersfield, CA 93306 Job Duration: 3 Months+ (Possibilities of Extension) Shift: 5X8 (40
…patient responses to interventions in collaboration with quality assurance and utilization review , maintaining interdependent follow-up as necessary * VARIANCE
…discharge plans and care transitions across the continuum of care. Ensure optimum utilization of the patient's and the Health System's resources and perform these
…discharge plans and care transitions across the continuum of care. Ensure optimum utilization of the patient's and the Health System's resources and perform these
…Decreasing unit cost, 4) reducing readmissions. Functions and Responsibilities: A. Utilization Management Performs review of anticipated admissions utilizing
…the Utilization Management team primarily responsible for inpatient medical necessity/ utilization review and other utilization management activities
…ICD, and HCPCS coding for medical technologies, procedures, and services.Familiarity with utilization review and clinical claim review process.Demonstrated