Manager - Utilization Review FT - El Paso

· Job Summary · As the front line of the pre-certification process, ensures a high volume of pre-certification authorization requests and calls are processed accurately and timely.  Provides great customer service when addressing Members, Providers, in relation to the health pla ...

Monitor utilization of services and optimize reimbursement for the facility while maximizing use of the patient's provider benefits for their needs. · We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual's chara ...

Monitor utilization of services and optimize reimbursement for the facility while maximizing use of the patient's provider benefits for their needs. · ...

Monitor utilization of services to optimize reimbursement for the facility while maximizing patient benefits. · Provide consultation on admissions and patient length of stay. · Secure authorizations with insurance companies. · ...

Monitor utilization of services and optimize reimbursement for the facility while maximizing use of the patient's provider benefits for their needs. · ...

PURPOSE STATEMENT: · Monitor utilization of services and optimize reimbursement for the facility while maximizing use of the patient's provider benefits for their needs. · ESSENTIAL FUNCTIONS: · Provide consultation and guidance regarding admissions and patient length of stay to ...

The Utilization Specialist is responsible for reviewing of assigned admissions, · continued stays, utilization practices and discharge planning according to approved clinically valid criteria which meets the daily deadlines to obtain authorizations and complete other pertinent pr ...

Utilization Review Specialist performs reviews of assigned admissions, continued stays and utilization practices according to approved clinically valid criteria. · Performs admission, concurrent, continued stay and retrospective reviews. · Communicates with insurance companies fo ...

Description · To monitor adherence to the hospital's utilization review plan to ensure the effective and efficient use of hospital services. Responsible for ensuring the appropriateness of hospital admissions and extended hospital stays. An understanding of the severity of an arr ...

GQR Healthcare is seeking a travel nurse RN Utilization Review for a travel nursing job in Baltimore, Maryland. · Job Description & Requirements · Specialty: · Utilization Review · Discipline: · RN · Duration: · 13 weeks · 40 hours per week · Shift: · 8 hours, days · Employment T ...

Rio Vista Behavioral Health is an acute inpatient psychiatric hospital serving adolescents and adults in the El Paso community. · We are seeking a Director of Utilization Review to lead utilization management processes that support appropriate care delivery, · regulatory complian ...

Behavioral Health Utilization Management Medical Case Manager · CalOptima · Join Us in this Amazing Opportunity · The Team You'll Join · We are a mission driven community‐based organization that serves member health with excellence and dignity, respecting the value and needs of e ...

Overview · Rio Vista Behavioral Health · is an acute inpatient psychiatric hospital serving adolescents and adults in the El Paso community. We provide evidence-based mental health treatment in a safe, structured environment, supported by a multidisciplinary team committed to com ...

The Utilities Clerk supports utility coordination and invoice handling within the Accounting Department. This role monitors utility usage and works directly with utility providers to resolve discrepancies. · Generate and distribute the daily deposit report. · Batch tenant check p ...

In this role the Quality Engineer will utilize Quality Engineering tools and practices for the effective and efficient development, transfer, and maintenance of products/processes throughout the product lifecycle. · ...

The Revenue Cycle Management Clinician for the Pre-Authorization Solution is responsible for all clinical pre-authorization activities associated with patients financially cleared through the Patient Access Support Unit (PASU) and/or the Center for Patient Access Services (CPAS). ...

Senior EPC Contract Specialist (Electric Utilities) · Location: El Paso, TX (Hybrid – Onsite Required Initially) · Contract: 6‑month contract with extension potential · About the Role · Insight Global is seeking a Senior EPC Contract Specialist to support large‑scale electric uti ...

Perform a wide range of litigation support and case management functions. · ...

Lay brick and set batter boards. Coordinate and spot mark buried utilities. Under general supervision, perform, assist and train assigned crew personnel in laying, fitting and caulking pipe for water and wastewater lines. · ...

The Utility Chief Safety Security and Emergency Response Officer will direct oversee develop and implement proactive safety security and emergency response strategies programs to mitigate risks to personnel the public utility assets critical infrastructure ensure regulatory compl ...