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... a Utilization Management Supervisor- Concurrent Review (RN). There is one position ... you will supervise the Concurrent Review function, act as a subject ... and provide guidance on Concurrent..
Job Descriptionn Telemetry Nurse nCalifornianLength of Assignment: 3 monthsnShift: ... hoursnCurrently looking for a Telemetry Nurse to fill an opening with ... - 2 years of tele experience.nResponsibilities of the..
... ABOUT THE TEAM We determine medical necessity and benefit coverage for ... evaluate options Ability to evaluate medical records and other health care ... manage complex priorities Education and..
... processes, including Complex Case Management, Medical Social Work, Enhanced Care Management/Community ... related policy Ability to: Evaluate medical records and other health care ... of functional responsibility Education and..
... identify and evaluate options Evaluate medical records and other health care ... manage complex priorities Education and Experience: Current unrestricted license as a ... unrestricted license as a Registered..
... community-based health care services, better medical outcomes and cost savings. We ... FOR Reporting to the Chief Medical Officer, Dr. Dale Bishop, the ... Medicare, NCQA Accreditation, CMS Audits..
... to respectfully hold others accountable Experience working with and extracting data ... and mitigate risk Education and Experience: Bachelor’s degree in Health Care ... of professional-level performance improvement/quality improvement..
... Utilization Management Supervisor - Concurrent Review (RN) in the Utilization Management ... you will supervise he Concurrent Review function acting as a subject ... and provides guidance on Concurrent..
... community-based health care services, better medical outcomes and cost savings. We ... FOR Reporting to the Chief Medical Officer, you will: Provide strategic ... A must: Managed care/health plan..
ABOUT THIS TEMP POSITION This is a temporary position and the length of assignment is estimated to go from June 2023 to September 2023. The length of the assignment is always ..
... community-based health care services, better medical outcomes and cost savings. We ... FOR Reporting to the Chief Medical Officer, you will strategically lead ... functions, including prior authorizations, concurrent..
... the Alliance as a Concurrent Review Nurse in the Utilization Management and ... period. WHAT WE DO We review member care and services to ... Utilization Management Supervisor -..
... managed care, healthcare regulatory processes, medical terminology and related procedures, and ... clinical analytic skills and evaluate medical records and other health care ... and contractual language Education and..
... Alliance as a Prior Authorizations Nurse (RN) in the Utilization Management ... of: Milliman Care Guidelines in review determination process Medi-Cal and related ... and clinical nursing skills Evaluate..
... adhere to timelines Education and Experience: Current unrestricted license as a ... unrestricted license as a Registered Nurse (RN) issued by the State ... degree and three years) of..
... to: Audit, analyze and assess medical records and other health care ... in the organization Education and Experience: Current and unrestricted license as ... unrestricted license as a Registered..
... Authorization, Authorization Coordinator, and Non-Emergency Medical Transportation teams, acts as a ... ABOUT THE TEAM We determine medical necessity and benefit coverage for ... area of assignment Education and..
... evaluate options Ability to evaluate medical records and other health care ... manage complex priorities Education and Experience: Current unrestricted license as a ... unrestricted license as a Registered..
... performs concurrent or post-service (retrospective) review of acute-in-patient care services using ... Suite Use a laptop for medical documentation andc hart review Navigate and evaluate electronic medical records and..
... reports to providers Education and Experience: Current and unrestricted license as ... unrestricted license as a Registered Nurse issued by the state of ... minimum of six years of..
