FEATURED JOBS
Showing 60-70 of 2136
…Support Manager the Senior Decision Support Analyst preforms duties related to utilization of data provided by Axiom. The Senior Decision Support Analyst's primary
…UM ( utilization management) experience within an inpatient/outpatient setting, concurrent review or prior authorization. 5 years of a variety clinical experience
Case Manager Certified - Full Time - Days - $5k Sign On Bonus and Referral
Houston Methodist
…engagement, ie, peer-to-peer accountability. **SERVICE ESSENTIAL FUNCTIONS** + Performs review for medical necessity of admission, continued stay and resource
…on reviews that are routine having limited or no previous medical review experience requiring guidance by more senior colleagues and/or management. Partners with
…cost effective care. + Assess the member's current health status, resource utilization , past and present treatment plan and services, prognosis, short and long
…LCSWs will manage complex behavioral health patient issues by providing casework, utilization management and discharge planning services to promote the highest level
…health insurance, other healthcare providers, clinical group practice management. + Utilization management experience in a medical management review
Summary Recommends the most efficient, cost effective utilization of resources within the continuum of care, prior to the delivery of services. Evaluates, assesses,
…Job Responsibility + Develops and monitors the hospital's policies/procedures regarding utilization of medications in collaboration with the medical staff, Pharmacy,
…schedules. + Proactively manages access scorecard, including 3rd next, No-show, room utilization , and appointment utilization , and identifies trends. + Works