FEATURED JOBS
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**Title: Utilization Management Representative I** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live within 50
** Utilization Management Representative I** **Location:** The ideal candidate lives within 50 miles of a Florida Pulse Point The ** Utilization Management
…management process. Reviews audit results and presents summary information for management utilization and review . 7. May coordinate the admission process
Nurse Practitioners and Physician Assistants Opportunities
Summit Medical Consultants LLC
…and actively participates in medical staff duties. Participates in quality assurance, utilization management, and peer review programs to ensure high quality,
Registered Nurse-Referral Coordination Team
Veterans Affairs, Veterans Health Administration
…intimate knowledge of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation requirements,
…critical thinking. Ability to run effective shift safety huddles, report safety concerns, review device utilization , report staffing concerns, and review
…necessity of requests using clinical criteria. + Performs physician-level case review of musculoskeletal utilization requests. + Conducts peer-to-peer
…not limited to: Schedules patient appointments. Coordinates with the patient care team to review the clinic utilization by using various reports (eg, Clinic
…audits, continuing education, and the review of protocols and procedures + Review results of utilization and quality monitoring and participate in the
…care delivery model. They work with the Specialty Care patient care team to review the clinic utilization by using various reports, ensure that the clinic