FEATURED JOBS
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…a current RN License may take Doctor's orders. 4. Conducts initial utilization review by obtaining treatment authorizations as appropriate with representatives
…meaningful contributions to the rehab team conferences, patient care conferences, utilization review meetings, family conferences, and caregiver training
…through residency training or prior job experience. 4. Experience in drug utilization review and analysis. **Duties and Responsibilities** **:** The duties
…(BPS) credential in a related area of practice. + Experience in drug utilization review and analysis. **Duties and Responsibilities:** The duties and
Payment Resolution Specialist-II (Hospital Denials & Appeals) - PFS (Remote)
Trinity Health
…in the timeliest manner possible: + Coordinates follow-up activities with Utilization Review /Case Management/Coding/Nurse Liaison to provide required clinical
…trends on a monthly basis + Responsible for timely and accurate completion of Utilization Review and Triple Check + Serves on, participates in, and attends
…management process. Reviews audit results and presents summary information for management utilization and review . 7. May coordinate the admission process
…functions. + Under direction of supervisor, establish appropriate therapeutic boundaries, utilization of identified clinical resources to review boundaries,
…is to provide clinical and administrative support to the Home Health Utilization Nurse and the agencies Kennedy Community Health partners with. These
…Telephonic Care Coordinator is responsible for the following outcomes: Reduce utilization associated with avoidable and preventable inpatient stays; reduce