- BriteLife Recovery (Englewood, NJ)
- …EHR and UR logs. + Collaborate with clinicians, therapists, case managers, and medical staff to gather accurate and up-to-date clinical information for reviews. ... of care. The UR Specialist works closely with clinical staff , admissions, medical providers, and third-party payers...staff on documentation best practices related to utilization review . + Special projects as assigned What we need… more
- Sacramento Behavioral Healthcare Hospital (Santa Rosa, CA)
- …co-occurring psychiatric and substance abuse conditions. POSITION TITLE: Utilization Review Clinician PAY RANGE: LVN/LPT $31.50-37.50 Per Hour RN/LCSW/LMFT/LPCC ... $54.00-64.00 Per Hour REPORTS TO: Director of Utilization Review DESCRIPTION OF POSITION: Work as member of multi-disciplinary treatment team reviewing patient care… more
- Veterans Affairs, Veterans Health Administration (Washington, DC)
- …improvement. serves as the Chair of the Medical Executive Committee, Clinical Products Review Committee, and Peer Review Committee at DC VAMC. is ... of VA and The Joint Commission on Accreditation of Healthcare Organizations; and monitors medical staff compliance with agency regulations, medical staff … more
- Spectrum Billing Solutions (Skokie, IL)
- …authorization for treatment services. + Manage authorization denials including referral for peer review . + Document and record all necessary information. + ... Responsibilities: + Review patient admission and clinical information to ensure medical necessity and compliance of utilization review guidelines. + Obtain… more
- Dignity Health (Gilbert, AZ)
- …of utilization review , hospital policies and external regulatory agencies, Peer Review Organization (PRO), Joint Commission, and payer defined criteria ... the Director of Care Management, performs criteria-based concurrent and retrospective utilization review to support and encourage the efficient and effective use of… more
- Veterans Affairs, Veterans Health Administration (El Paso, TX)
- …designee) and facility Director. Attends regular staff meetings, Medical Staff meetings, and compiles with Psychology Service peer review procedures. ... VHA Education Loan Repayment Services program office after complete review of the EDRP application. Responsibilities This announcement will...independently as a member of the El Paso VAHCS Medical Staff with full clinical privileges. Assumes… more
- Veterans Affairs, Veterans Health Administration (Lexington, KY)
- …programs. Co-Chairs the Medical Executive Board, Health Care Delivery Council and Peer Review Committee. Will participate in local, VISN and national level ... health care and policy. Is the assistant to the top executive within the Medical Staff and is a key member of the executive leadership team of the organization,… more
- Veterans Affairs, Veterans Health Administration (Williston, ND)
- …Director. 8. Attends regular Psychology Service staff meetings, Medical Staff meetings, and complies with Psychology Service peer review procedures. ... Functions independently as a member of the Fargo VA Medical Staff , with full clinical privileges. Assumes...VHA Education Loan Repayment Services program office after complete review of the EDRP application. Former EDRP Participants are… more
- Dignity Health (Chandler, AZ)
- …of utilization review , hospital policies and external regulatory agencies, Peer Review Organization (PRO), Joint Commission, and payer defined criteria ... the Director of Care Management, performs criteria-based concurrent and retrospective utilization review to support and encourage the efficient and effective use of… more
- Veterans Affairs, Veterans Health Administration (Waco, TX)
- …Psychology Service staff meetings, Medical Staff meetings, MH&BM staff meetings and complies with Psychology Service peer review procedures. ... as directed. Serves as an advisor, consultant and/or resource person to the staff within the medical center. Maintains appropriate records and follow-up data… more