- Waystar (Atlanta, GA)
- …Engineers have an opportunity to work on our Clinical Documentation Integrity, Utilization Management , and Audit platforms. You'll be challenged often and ... will find yourself working on all areas of the application domain across the full app delivery stack. **WHAT YOU'LL DO** + While this is a hands-on role where coding is a large part of the job, equally important is the ability to lead a team to convert product… more
- University of Southern California (Los Angeles, CA)
- …fellowship includes involvement in medical education, patient safety, quality improvement, and utilization management . Clinical rotations take place at the Keck ... Medical Center (KMC) of USC, a private 411 bed hospital. KMC has full UNOS accreditation for multi-organ transplantation including kidney, liver, pancreas, heart and lung transplant . The annual base salary for this position is $96,118.29. When extending an… more
- Trinity Health (Pickerington, OH)
- …demeanor in difficult situations. . Knowledge of the functional operations of utilization management , discharge planning, business offices, and third party ... payers preferred. * Experienced Physician Assistants will also qualify. Position Highlights and Benefits: Competitive compensation and benefits packages including medical, dental, and vision with coverage starting on day one. Retirement savings account with… more
- Sharp HealthCare (Santee, CA)
- …all notes and billing daily.Completes all tasks and documentation needs (ie utilization management , plan of care, medical necessity reviews) based on ... department and regulatory requirements.PT Spec II additional standardsSupports clinic needs for documentation review and training. + Professional and Departmental DevelopmentIdentifies needs for self-development in patient care and departmental operations.… more
- Prime Healthcare (Boonton Township, NJ)
- …consultation and education. Develops interventions based on youth needs and practices utilization management . **Sign-On Bonus of 7,000 for 2-year commitment** ... Qualifications EDUCATION, EXPERIENCE, TRAINING 1. LCSW preferred; LPC, LCADC license for independent practice level required. (If the employee holds one or more of these licenses, primary source verification must be tracked annually). 2. Master's in… more
- Beth Israel Lahey Health (Burlington, MA)
- …in hospital medicine + Active initiatives in patient progression, utilization management , quality and safety **Required Qualifications:** **Education:** ... Board Certification in Internal Medicine Eligibility for or current licensure in Massachusetts Background consistent with appointment at the rank of Associate Professor or Professor Additional business and leadership training is desirable **Experience:** At… more
- Trinity Health (Dublin, OH)
- …demeanor in difficult situations. . Knowledge of the functional operations of utilization management , discharge planning, care coordination and transitions of ... care . Understanding of pre-acute and post-aute venues of care and post-acute community resources. . Ability to work independently and exercise sound judgement in interactions with physicians,payers, colleagues and patient and their families. . maintains a… more
- CareFirst (Baltimore, MD)
- …the field of Medical Surgical, Mental Health, Durable Medical Equipment, and/or Utilization Management , including some experience in research methodology and ... systematic evaluation of medical literature and translation of evidence into policy in a healthcare setting. **Preferred Qualifications** : Certified Professional Coder (CPC). **Knowledge, Skills and Abilities (KSAs)** + Ability to analyze essential facts,… more
- Centers Plan for Healthy Living (Margate, FL)
- …with the guidance and plans they need for healthy living. JOB SUMMARY: The Utilization Management Care Coordinator works within a multidisciplinary care team to ... assist with the care of members enrolled in our Managed Long Term Care program and facilitate authorization requests for eligible members. PRIMARY RESPONSIBILITIES: + Assists in the prior authorization of services and ongoing authorization requests + Assists… more
- Banner Health (Sun City, AZ)
- …networks, and regulatory agencies. MINIMUM QUALIFICATIONS Must possess knowledge of case management or utilization review as normally obtained through the ... rehabilitation, emergency, stroke, intensive care, pulmonary, urology, and inpatient wound management . We've earned the Society of Thoracic Surgeons highest quality… more
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