Manager - Utilization - Conway

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

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

+ Utilization Management Nurse performs clinical review of prior approvals, network exceptions, benefit inquiries... · +Collaborates with healthcare providers... · Conducts and monitors clinical review cases... · ...

Utilization Management Nurse performs clinical review of prior approvals and evaluates the efficiency and appropriateness of services for medical necessity through interpretation and review with evidenced-based criteria. · Bachelor's degree in Nursing preferred. · ,Registered Nur ...

The Pharmacy Utilization Management nurse performs clinical review of prior approvals and evaluates the appropriateness of pharmaceutical therapies for medical necessity. · Collaborates with healthcare providers to promote quality of care and cost effectiveness. · Conducts and mo ...

We are seeking a Clinical Care Manager who is passionate about advancing high-quality, compliant, patient-centered care through precise and timely Utilization Review. · Active, unrestricted Registered Nurse (RN) license in Illinois. · 5+ years of experience across varied healthc ...

The Manager Utilization Management Intake Operations Non Clinical position is responsible for overseeing non-clinical intake and administrative support functions for the Utilization Management Department. · ...

The Manager Utilization Management Intake Operations Non Clinical manages non-clinical intake operations for the utilization management department ensuring efficient workflows compliant with organizational service standards regulatory requirements and operational goals. · Manage ...

The Manager, Utilization Management Intake Operations, is responsible for overseeing non-clinical intake and administrative support functions for the · Utilization Management (UM) Department. · This role provides leadership, · operational oversight, · and performance managementF ...

Manage the client's/patient's/resident's cases with a solid background of clinical knowledge and expertise and may be responsible for providing some therapeutic services to clients/patients/residents. · Provide case management and care coordination services for clients/patients/r ...

We are seeking Utility Locator to add to our growing team. You will play a key role in supporting safe, accurate utility operations by traveling between worksites across the Texarkana area to audit locate work and ensure compliance with standards. · You must be comfortable workin ...

The Nursing Home Wound Care Advanced Practitioner (AP) is a skilled clinician specializing in wound assessment treatment and management. · Perform comprehensive assessments and develop individualized wound care plans. · Administer advanced wound treatments including debridement a ...

The Patient Care Coordinator is responsible for managing patient healthcare and treatment needs in the Cardiac/Telemetry/Medical-Surgical Unit. · Registered Nurse with current, active Arkansas licenseBSN preferredCertification preferredAt least 2 years of medical surgical nursing ...

We are seeking Utility Locator to add to our growing team. · You will play a key role in supporting safe, accurate utility operations by traveling between worksites across the Texarkana area to audit locate work and ensure compliance with standards. · ...

This is a full-time on-site role for a Financial Controller at NativState The Financial Controller will be responsible for managing financial statements utilizing analytical skills overseeing financial reporting and ensuring accurate accounting practices · ...

The Senior Telecommunications Project Manager leads the planning, execution and delivery of complex fiber-optic Outside Plant OSP construction programs from engineering through final acceptance. · Minimum of 10 years of experience in Outside Plant utility and telecommunications c ...

+We are seeking a Distribution Utility Inspector to add to our growing team.+WSB was founded on the understanding that culture drives results... · + · +Locate and flag utilities:+ · Gas+Navigate to multiple locations daily+ ...

TriTechne is seeking a skilled Horizontal Directional Drill (HDD) Operator / Locator I to support underground utility construction and maintenance projects. · ...

We are seeking passionate Dietary staff to fuel our team environment. · Routine food preparation and delivery services of cold or hot foods in the facility. · ...