FEATURED JOBS
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…must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US
…Management or Critical Care is preferred. + Certification in Case Management or Utilization Review is preferred. + InterQual experience is preferred. Trident
…experience in nursing or one year related nursing experience in utilization review /insurance/case management/medical clearance. Current State of Texas
…from patients and providers to include data entry, data verification, drug utilization review (ie dosing and indication verification, therapeutic duplications
…assist in the development, planning, coordination and administration of the activities of Utilization Review and Discharge Planning. Including but not limited to
…You will promote cost effectiveness through the integration of case management, utilization review management and discharge planning. **What qualifications you
…and cost-efficient program operations. Works with Department of Psychiatry Quality Assurance/ Utilization Review Administrator and APS Clinical Coordinator to
…initiate, and support admissions process per policy and or department guidelines.Complete Utilization Review for admitting and ongoing treatment for patients.
…guidelines. Participates in developing department goals and clinical programming. + Performs utilization review as assigned. + Helps with Process and Quality
…Med-Surg, Tele, ICU, CVICU, PACU, PCU) + Certification in case management or utilization review preferred + Meditech experience preferred HCA Florida JFK