Director, Utilization Review - Tampa, FL

· Company Description · HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest a ...

Your Experience MattersAt TGH Behavioral Hospital we are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others.Joining our team you're embracing a vital mission dedicated to making communities healthier.Join us on this meaning ...

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· Company Description · Why You Should Work For Us: · HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positi ...

Review approximately 20 cases a day for medical necessity. Advocate for and protect members from unnecessary hospital admissions. Follow established procedures and processes to complete authorizations. · ...

The Utilization Review Director is responsible for ensuring the utilization review activities are completed accurately and timely. This includes precertification and recertification, peer-to-peer process, and appeals. · ...

The Utilization Review Case Manager validates the patient's placement to be at the most appropriate level of care based on nationally accepted admission criteria. · The UR Case Manager secures authorization for the patient's clinical services through timely collaboration and comm ...

The Utilization Review Case Manager validates the patient's placement to be at the most appropriate level of care based on nationally accepted admission criteria. · The UR Case Manager uses medical necessity screening tools, · to complete initial and continued stay reviews in det ...

The Utilization Review Case Manager validates the patient's placement to be at the most appropriate level of care based on nationally accepted admission criteria. · Validates the patient's placement to be at the most appropriate level of care based on nationally accepted admissio ...

Assists Case Managers and Social Workers in achieving the goals of the Case Management department through successful completion of removing accounts from Do Not Bill work queue and discharge planning including payer communication certification and authorization timely delivery do ...

· Company Description · Why You Should Work For Us: · HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positi ...

Job Description · The QA Engineer is responsible for ensuring timely development, review, and approval of engineering, validation, and lifecycle documentation in alignment with corporate procedures, SOPs, cGMP, and industry best practices. This role supports manufacturing, engine ...

The Education Coordination position at BayCare involves collaborating with the Utilization Review Leadership team to develop educational tools for hospital-based teams. Key responsibilities include developing onboarding programs, conducting training sessions, and reporting areas ...

The case manager coordinates the care and service of selected patient populations across the continuum of care; promote effective utilization and monitoring of health care resources. · Discharge planning for inpatients. · Utilization Review for inpatients · ...

Ambulatory nurse case manager coordinates patient care across the continuum of care; · promotes effective utilization and monitoring of healthcare resources; · maintains knowledge base of payer information for team collaboration; · and assumes a leadership role with the interdisc ...

The Physician Advisor will drive quality performance across the organization by communicating with hospital physicians, utilization management, case management, CDI, the denials team, and quality staff. The Physician Advisor conducts case reviews to ensure compliance, appropriate ...

Job summaryThe Case Management Extender is responsible for providing administrative and clerical support to the Case Management Director and Case Management Team including assisting with audits, reports, and data collection. · QualificationsHigh School Diploma or GEDBasic Life Su ...

We are the world's trusted infrastructure consulting firm, partnering with clients to solve the world's most complex challenges and build legacies for future generations. · ...

This role plays a critical part in protecting system reliability, public safety, and long-term asset performance by ensuring EPC-delivered projects meet the utility's engineering and quality standards from design through energization. · Serve as a PE-level technical authority pro ...

AECOM is currently seeking a Senior Utility Coordinator located in Tampa, FL, · to support coordination efforts among multiple clients (FDOT, county, and private), contractors, · and third-party utility companies. · ...