FEATURED JOBS
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…that reimbursement structures are managed, evaluated, and capture accurate resource utilization at the facility level. + Responsible for the tracking, auditing,
…care plan, member education and care management. Conducts initial and concurrent review for prior authorization of higher levels of care against medical necessity
…to improve the lives of others. **Essential Duties and Responsibilities:** + Review PA requests for home health services, durable medical equipment, outpatient
…specific testing protocols and individualized patient exercise prescriptions for provider review . Assessing patient response and testing analytics. May review
…patients and achieve: Better Care. Better Outcomes. Better Health. Join Our Team! Please review our open positions and apply for the role that sparks your passion
…to present on Program updates + Develop specific Individual Service Plans, conducts review every 90 days as required- and invites all parties the Individual deems
…Completes all necessary documentation as outlined by departmental policy and documentation review . This includes, but is not limited to patient care charting, charge
…planning while supporting a balance of optimal care and appropriate resource utilization . The Care Transitions Navigator will identify potential barriers to patient
…role: + Oversee the instrument and equipment set-up for your OR, including utilization of preference cards and ability to anticipate your surgeons needs + Coordinate
…and testing; Monitoring the recording and reporting of test results; Review of intermediate test results or worksheets, quality control records, proficiency