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UtilizationReviewJobs.com |
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Utilization Management Reviewer I Crawford & Company, FL - Fort Lauderdale criterion to facilitate the utilization review process. Researches, reviews and prepares medical... resources to perform the utilization review process... 1 Day 7 Hours 42 Minutes ago Utilization Manager Amerigroup Florida, Inc., FL - Miami Medical Director. 11. Review Plan appeal items for concurrent and retrospective reviews as required and... Professional Utilization Review (as required by Plan... 8 Days 23 Hours 57 Minutes ago CASE MGR, ACUTE CARE(Full-Time)8:30a - 5:00p Broward Health Imperial Point, FL - Fort Lauderdale LCSW to work on the Behavioral Health unit performing clinical reviews, utilizations reviews, and active discharge planning. Able to work with a diverse patient... 3 Days 8 Hours 17 Minutes ago Director, Physician Services TeamHealth, FL - Fort Lauderdale and budgeted rates. Reviews and approves all physician and mid-level providers' status change sheets to monitor budget compliance and review variances. Conducts... 13 Hours 19 Minutes ago Area Practice Manager HCA - The Healthcare Company, FL - Fort Lauderdale staffing levels as necessary. Reviews and handles patient complaints. Reviews charges, visit encounters... Reviews lab and x-ray service utilization, physician... 8 Days 11 Hours 35 Minutes ago Registered Nurse Case Manager - PRN* HCA, FL - Pembroke Pines needs. * Performs utilization review ensuring admissions meet criteria for appropriateness of care and medical necessity. * Manages the process to review and... 1 Day 2 Hours 50 Minutes ago RN Manager - Manager of Clinical Practice Gentiva, FL - Plantation requirements through review of documentation and care coordination activities. *Manage and maintain clinical assessment, database, and utilization information... 6 Days 7 Hours 51 Minutes ago Acute Care Manager Humana, FL - Hollywood CMS Coverage Guidelines review criteria. * Manage... consumer medical care. Understands the medical utilization implications of such programs * Communication... 1 Day 2 Hours 21 Minutes ago Nursing Quality and Accreditation Coordinator Cleveland Clinic Florida Hospital (inc), FL - Fort Lauderdale of quality/management/improvement methodologies, i.e., risk management, utilization review, data collection and analysis processes as applied to healthcare... 7 Days 11 Hours 3 Minutes ago RN -- Case Management PT days* HCA, FL - Pembroke Pines needs * Performs utilization review ensuring admissions meet criteria for appropriateness of care and medical necessity * Manages the process to review and... 5 Days 3 Hours 11 Minutes ago
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