- Molina Healthcare (WI)
- …Required Qualifications * At least 2 years experience, including experience in hospital acute care , inpatient review , prior authorization, managed care , ... or emergency room. Preferred Experience Previous experience in managed care Prior Auth, Utilization Review / Utilization...experience in managed care Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual /… more
- Molina Healthcare (WI)
- …Required Qualifications * At least 2 years experience, including experience in hospital acute care , inpatient review , prior authorization, managed care , ... on set schedule) Looking for a RN with experience with appeals, claims review , and medical coding. JOB DESCRIPTION Job SummaryProvides support for clinical member… more
- Molina Healthcare (Madison, WI)
- …Required Qualifications * At least 2 years experience, including experience in hospital acute care , inpatient review , prior authorization, managed care , ... JOB DESCRIPTION Job SummaryProvides support for clinical member services review assessment processes. Responsible for verifying that services are medically… more
- Datavant (Madison, WI)
- …review of admissions for medical necessity and necessity of continued stay in the inpatient patient care setting and/or discharge to an alternative level of ... government agencies, and those who deliver and pay for care . By joining Datavant today, you're stepping onto a...versed in DRG downgrade denials and appeal writing for inpatient admission. Experience with clinical criteria resources and payor… more
- Marshfield Clinic (Marshfield, WI)
- …neurological and neurobehavioral disorders. Referrals come from a range of primary care providers and medical specialists. We have a busy outpatient practice and ... also receive inpatient consults from our 298 bed hospital, which includes 34 intensive care beds, a Certified Primary Stroke Center, Level II adult and pediatric… more