- LifePoint Health (Brentwood, TN)
- * System Director Utilization Review * *Who we are:* At Lifepoint Health, we provide quality healthcare to rural communities. As a valued member of our ... field* **Organization:** **LifePoint Health Support Center* **Title:** * System Director of Utilization Review * **Location:** *Tennessee-Brentwood*… more
- Houston Behavioral Healthcare Hospital (Houston, TX)
- … Management Coordinator. The Utilization Management Coordinator will report to the Director of Utilization Review and will be responsible to provide ... Experience in a Psychiatric setting. Knowledge of healthcare service delivery systems , and third party reimbursement. Knowledgeable of Managed Care Environment.… more
- Community Health Systems (Naples, FL)
- **Job Summary** Under the direction of the Utilization Review (UR) Director /Manager the Utilization Review (UR) Nurse reviews all admissions for ... improvement programs + Addresses facility and departmental communication through daily review of all correspondence, including incoming email messages. + Performs… more
- St. Luke's University Health Network (Allentown, PA)
- …registrations and/or physician queries + Serves as liaison between Physician Advisor/Medical Director , Finance, Utilization Review Department and CDCI. ... lost with feedback to respective departments + Conduct concurrent review with utilization review department...terminology required. Previous experience with EPIC patient medical record system and 3M encoding system preferred. Please… more
- UTMB Health (Friendswood, TX)
- … to Director and/or Assistant Director of Utilization Review /Case Management. + Maintains a documentation system of all review activities ... optimal quality, cost, and service/outcomes. Supports and actualizes the UTMB Utilization Review /Case Management program by utilizing clinical knowledge,… more
- BrightSpring Health Services (Dunbar, WV)
- …days of death and submit to State Health Services Director and Assigned Director , Clinical Practice* Review utilization report at least monthly to ensure ... are coordinated with behavioral and programmatic staff in partnership with the Executive Director . The Director of Nursing is accountable for overseeing the… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Utilization Review Manager for the Selikoff Centers for Occupational Health is responsible for the management of program operations ... internal and external regulatory and survey requirements. + The Utilization Review Manager collaborates with multiple professionals...System is one of the largest academic medical systems in the New York metro area, with more… more
- Ascension Health (Nashville, TN)
- …+ Develop systems and processes for prospective, concurrent and retrospective utilization review for allself-funded and fully insured clients to implement ... located within TN market. We're looking for an experienced Director of Utilization Management to join our...Team** Ascension Saint Thomas is a leading health care system with a 125-year history of providing care to… more
- Prime Healthcare (Ontario, CA)
- …Clinical Utilization Management (UM) provides comprehensive oversight of the Utilization Review process for the self-insured Employee Health Plans, according ... needs. + Provides strategic leadership, development, and supervision to utilization review department, provides interprofessional collaboration with… more
- Community Health Systems (Franklin, TN)
- …appropriateness, and efficiency of medical services and procedures in the hospital setting. Utilization review is the assessment for medical necessity, both for ... documentation from the physician(s). + Escalates cases to the Utilization Review Manager and/or Physician Advisor if...after the call and documented in the case management system by the UR Review Specialist. +… more