- Sacramento Behavioral Healthcare Hospital (Santa Rosa, CA)
- POSITION TITLE: Utilization Review Clinician REPORTS TO (TITLE): Director of Utilization Review DESCRIPTION OF POSITION: Work as member of ... to third party payers. + Recordkeeping: Maintains appropriate records of the Utilization Review Department. + Training: Provide staff in-service training and… more
- Atlantic Health System (Florham Park, NJ)
- …chart documentation. 8. Incorporates use of criteria sets in context of utilization management. 9. Performs other related duties as assigned. Required: 1. Master's ... degree with 4+ years of experience as Behavioral Health Clinician . 2. Previous clinical or counseling experience. 3. LSW/LAC...Morristown, New Jersey, we are one of the leading non -profit health care systems in the nation. Our facilities… more
- Bon Secours Mercy Health (Lima, OH)
- …psychosocial assessments as needed on inpatient units. He or she will perform utilization review pre-certifications from the Emergency Department as needed and ... for clinical and operational excellence. **Summary:** The Behavioral Access Center Clinician is responsible for performing level of care assessments with patients… more
- Trinity Health (Livonia, MI)
- …Health at Home is seeking an experienced RN remote Clinical Quality Review Specialist with ICD10 HCS-D certification which is Required. OASIS COS-C certification ... hire **Trinity Health at Home is seeking an experienced RN Clinical Quality Review Specialist for a remote position** **ICD10 HCS-D certification which is Required… more
- Children's Aid (Brooklyn, NY)
- …* Timely registering of cases in PROMIS and Connections. * Timely completion, review and approval of FASPs, Plan Amendments and Progress notes. * Timely approval ... month. * Work with the Director to ensure that utilization meets the performance-based funding requirement of at or...ACS Supervisory Standards. * Discuss every case weekly and review all case records at least 1 time per… more
- University of Virginia (Charlottesville, VA)
- …historically contributed or led to admissions, readmissions, preventable Emergency Department and non -emergent 911 utilization , as well as leaving AMA or without ... process for inpatients, emergency department discharge planning processes, frequent utilization of the emergency services system, and identification of members… more
- Garnet Health (Harris, NY)
- …Manager for the detox patient on the medical floor assuring discharge planning, utilization review , and insurance approval. At Garnet Health, we are committed ... Department. Additionally will provide case management, and discharge planning for non -psychiatric patients. The Clinician is also responsible for obtaining… more
- Atlantic Health System (Morristown, NJ)
- …and departments. They are also accountable for driving activities to improve clinician EMR utilization , efficiency and burn-out concerns in conjunction with ... opportunity to support AHS's vision to be the leading non -profit healthcare system and the best place to work...strong foundation of advanced clinical care. The CMIO will review proposed IT initiatives in terms of their impact… more
- University of Colorado (Aurora, CO)
- …care in an ambulatory clinical setting. + Participate as needed in chart review and clinical coding compliance activities. + Assist in the supervision of Advanced ... with their clinic administration partners, assesses space and staff utilization ; develops, implements, and evaluates solutions as needed. + Collaborates… more
- Sharp HealthCare (San Diego, CA)
- …department + Must remain in original job title + Transfers to a non -bonus eligible department or position may result in forfeiting your remaining incentive bonus. ... correct billing codes and modifiers as appropriate.Demonstrate competency in utilization of computer applications including RIS, PACS, voice recognition,… more