FEATURED JOBS
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…Summary** Responsible for analyzing and synthesizing of data to maximize utilization of data in clinical decision-making, business and strategic initiative.
Manager Utilization Review /Medical Specialist - Full Time Exempt - Days - 8hr
Emanate Health
…and the #19 ranked company in the country. **Job Summary** The Manager Utilization Review /MediCal Specialist will develop and maintain a full Medi-Cal case
…Day **Career Track:** Clinical Professional **Department:** 1003 AK SESH UTILIZ REVIEW **Address:** AK Anchorage 4800 Cordova St **Work Location:** Providence St
…care in accordance with and in compliance of the Behavioral Health Dignity Health Utilization Review Policy. + The UMC will participate on the Behavioral Health
…OR within a border county of KY. **Preferred Qualifications** + Experience with utilization review process + Experience with behavioral change, health promotion,
…educational programs across the department. Responsible for management of the Utilization Review policy and observation management performance including outcomes
…+ Clinical Documentation Steering Committee + Extended Length of Stay Rounds + Utilization Review Committee + Care Management Staff Meetings + Contacts Attending
…and collaborates with interdisciplinary team to assure timely discharge. * Maintains an average Utilization Review (UR) accuracy rate at or above the goal. *
…and case management within a managed care environment. + Comprehensive knowledge of Utilization Review , levels of care, and observation status. + Some awareness
…care and cost effectiveness through the integrating and functions of case management, utilization review and discharge planning. The Care Manager must be highly