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Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Utilization Management ..
... work closely with the Quality Director, Behavioral Health Director, Quality Improvement Manager and those ... support pieces - i.e. Transitional Case Management documentation) Develops collateral documentation ... Qualifications Bachelor's..
Seeking a BC/BE Gastroenterologist. The qualified candidate will have the ability to perform ERCP, EGD, Colonoscopy, Bronchoscopy, Manometry, Bravo, and Capsule. EUS training would be a plus. The current physician averages ..
Description The Medical Director relies on fundamentals of CMS ... Line of Business. The Medical Director provides medical interpretation and determinations ... whether services provided by other healthcare professionals are..
Description The Senior Pre-Authorization Nurse reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. Makes decisions on ..
Genesis is the nation's leading provider of healthcare services from short-term to long-term care and a wide variety of living options and professional clinical services. We are changing how care is ..
... served by the location. Receives case referrals. Reviews available patient information ... patient information related to the case, including disciplines required, to determine ... Assigns appropriate clinicians to a..
Great opportunity for a B/e B/c IM physician who is looking for a Hospitalist -Nocturnist positionrnAt this time they have two full time Nocturnists and need 1 morernPackagernTerm 3 yearsrnAttractive Base ..
Description The Behavioral Health Medical Director makes determinations regarding prior authorization ... daily work. Responsibilities The Medical Director provides medical interpretation and decisions ... of services provided by other healthcare..
Job Information Humana Director, Behavioral Health Strategy in Charleston ... Charleston West Virginia Description The Director, Behavioral Health (DBH) will ensure ... their behavioral health needs. The Director, Behavioral Health..
Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Charleston ... West Virginia Description The Associate Director, Utilization Management Nursing utilizes clinical ... benefit administration determinations. The Associate Director,..
Genesis HealthCare is one of the leading ... of the leading providers of healthcare services from short-term to long-term ... through the delivery of high-quality healthcare and everyday compassion!We Care..
Description The Medical Director actively uses their medical background, ... daily work. Responsibilities The Medical Director's work includes computer-based review of ... within their scope. The Medical Director may speak..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ..
... The Lead Behavioral Health Medical Director oversees the work of 2 ... Medical Directors who conduct clinical case reviews of the care received ... portion of their time doing..
Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... variable factors. Responsibilities The Medical Director actively uses..
