- Prime Healthcare (Philadelphia, PA)
- …Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC\_KnowYourRights\_screen\_reader\_10\_20.pdf Responsibilities The Utilization review tech ... review and appeals process as part of the denial management initiatives. Utilization review tech is responsible for coordinating phone calls, data entry… more
- Prime Healthcare (Garden Grove, CA)
- …Responsibilities The Utilization review ... review and appeals process as part of the denial management initiatives. Utilization review tech is responsible for coordinating phone calls, data entry… more
- Prime Healthcare (Ontario, CA)
- …Responsibilities The Utilization review ... review and appeals process as part of the denial management initiatives. Utilization review tech is responsible for coordinating phone calls, data… more
- Prime Healthcare (Ontario, CA)
- …Responsibilities The Utilization review ... and health plans and scan all related correspondence to the respective EMR/ tracking tool. Utilization review tech will follow up on all denials while… more
- Trinity Health (Fort Lauderdale, FL)
- …organization, daily operation functions, as it relates administrative/clerical support for Utilization Review .** Under the direction of the Care Coordination ... Leadership, the UR Coordinator directs all back-office functions of the Utilization Review Department. Interfaces with all payors/providers requesting… more
- US Tech Solutions (Chicago, IL)
- …+ Do you have experience with Prior Authorization? + Do you have experience with Utilization Review ? + Do you have an Active Registered Nurse License? **About US ... and Medicare/Medicaid knowledge. + MUST HAVE UM experience, inpatient utilization management review . + MUST HAVE 1... Tech Solutions:** US Tech Solutions is a… more
- US Tech Solutions (Columbia, SC)
- …mental health/chemical dependency, orthopedic, general medicine/surgery. OR, 4 years utilization review /case management/clinical/or combination; 2 of 4 years ... promote quality, cost effective outcomes. Performs medical or behavioral review /authorization process. Ensures coverage for appropriate services within benefit and… more
- US Tech Solutions (May, OK)
- …HAVE MANAGED CARE exp and Medicare/Medicaid knowledge. . MUST HAVE UM experience, inpatient utilization management review . . MUST HAVE 1 YEAR OF UTILIZATION ... policy, regulatory and accreditation guidelines. . Responsible for the review and evaluation of clinical information and documentation. ....in state of residence . Must have prior authorization utilization experience . Able to work in multiple IT… more
- Prime Healthcare (Chino, CA)
- …Responsibilities The Utilization review ... review and appeals process as part of the denial management initiatives. Utilization review tech is responsible for coordinating phone calls, data entry… more
- Prime Healthcare (Joliet, IL)
- …Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC\_KnowYourRights\_screen\_reader\_10\_20.pdf Responsibilities The Utilization review tech ... review and appeals process as part of the denial management initiatives. Utilization review tech is responsible for coordinating phone calls, data entry,… more
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