FEATURED JOBS
Showing 30-40 of 2051
…abuse through the identification of aberrant coding and/or billing patterns through utilization review . + Prepares appropriate FWA referrals to regulatory
…performing one or more of the following activities: care review / utilization management (prior authorizations, inpatient/outpatient medical necessity, etc.),
…discharge times and discharge status.* + Assists with gathering necessary documents for Utilization Review Process.* + Returns old charts to Health Information.
…of subordinate nurses engaged in quality assurance, infection control, and utilization review activities. + Receives physicians' instructions regarding resident
Referal Coordinator Team Registered Nurse
Veterans Affairs, Veterans Health Administration
…intimate knowledge of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation requirements,
…to: Work collaboratively in an interdisciplinary coordinated care delivery model to review clinic utilization by using various reports Enter information into
…licensed in the state of Nebraska. This position supports our Prior Authorization review process with our Nebraska Medicaid Health Plan. Strong experience with
…and external to the organization, to improve patient care through effective utilization and monitoring of healthcare resources and assumes a leadership role to
…the complex needs of seniors and improve health outcomes and avoidable utilization (eg, palliative care, post-acute care, transitions of care) at a population
…patient's reason for visit, weight, vital signs, visit screening information, medication review , and pertinent information for provider. + Sets up examination and