- Elara Caring (Topeka, KS)
- …+ Assists staff in maintaining current and accurate medical records and utilization review . + Assists clinical supervisor with non-clinical phone ... at no cost + Opportunities for advancement + Comprehensive insurance plans for medical , dental, and vision benefits + 401(K) with employer match + Paid time… more
- Cardinal Health (Indianapolis, IN)
- …offers a wide variety of benefits and programs to support health and well-being. + Medical , dental and vision coverage + Paid time off plan + Health savings account ... of budget objectives through effective financial management and optimal utilization of resources. + Acts as liaison to ensure...other status protected by federal, state or local law._ _To read and review this privacy notice click_ here… more
- Amcor (Henderson, NV)
- …for warranted violations of plant rules. 11. Work with Human Resources to review unique situations and termination paperwork prior to discussing or issuing paperwork ... discharge or retention. 13. Direct work assignments and ensure efficient labor utilization . 14. Drive improvements in production efficiency and MEEF. 15. Responsible… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …to apply! Job Description: Summary: This position supports the workflow of the Medical Services division. Depending on the specific tasks assigned, the Medical ... provides administrative support for any of the programs of Utilization Management, Behavioral Health, Quality Management, or Member Care...to the Health Plan Essential Accountabilities: Level I + Review / prep clinical case for clinical staff. +… more
- Bassett Healthcare (Cobleskill, NY)
- …accredited by The Joint Commission. CRH provides inpatient care for general medical conditions, an inpatient short-term rehabilitation unit, and more than 20 ... region What you'll do The Registered Professional Nurse (RN), Acute Care in the Medical Inpatient Unit is accountable for the delivery of safe patient care utilizing… more
- Bassett Healthcare (Delhi, NY)
- …no more than 3-5 exceptions, as measured by random supervisory chart review and/or direct supervisory observation and co-worker feedback. + Analyzes assessment data ... no more than 2-3 exceptions, as measured by random supervisory chart review and/or direct supervisory observation. + Identifies expected outcomes individualized to… more
- Sharp HealthCare (San Diego, CA)
- …in-patient Care Management program that includes initial and concurrent review ; case management/discharge planning activities. Responsible for operational planning ... consistent with existing policies and/or principles. Responsible for managing medical management activities to include tracking, trending and analyzing UM data.… more
- Covenant Health Inc. (Knoxville, TN)
- …+ Reviews providers' requests for services and coordinates utilization management review . + Reviews precertification requests for medical necessity for all ... The Utilization Management Specialist I will perform utilization management functions to include medical necessity...audiences as necessary. + Completes daily work lists for utilization review meeting the time frames set… more
- HCA Healthcare (Nashville, TN)
- …account in accordance with policies and procedures. The IPAT Analyst will escalate medical review request and/or denial activities to the IPAT Clinical Analyst. ... recognized. Submit your application for the opportunity below:Inpatient Authorization Review Services SpecialistWork from Home **Benefits** Parallon a total rewards… more
- Bassett Healthcare (Cooperstown, NY)
- …no more than 3-5 exceptions, as measured by random supervisory chart review and/or direct supervisory observation and co-worker feedback. + Analyzes assessment data ... no more than 2-3 exceptions, as measured by random supervisory chart review and/or direct supervisory observation. + Identifies expected outcomes individualized to… more