Concurrent Review Jobs in Florida (NOW HIRING)

Must be an LPC, LCSW, LMFT, or Psychologist Minimum of 3 years' experience in Behavioral Health Minimum 2 years of UM experience (Concurrent Review/Prior Auth) Interqual or Milliman preferred Working ...

Focused on denial prevention, the Denials & Appeals Coordinator monitors the concurrent review process for continued stay authorizations, tracking potential issues and ensuring timely follow-up for ...

Focused on denial prevention, the Denials & Appeals Coordinator monitors the concurrent review process for continued stay authorizations, tracking potential issues and ensuring timely follow-up for ...

Caseload: 25-30 reviews per day. The majority of the caseload is via fax. * The manager is looking for 3 years of Inpatient Medical experience, 3 years of Utilization experience, Concurrent Review ...

Job Duties • Facilitates medical review of prospective, retrospective, and concurrent review of appeals for denied prior authorizations. Includes standard and expedited cases, inpatient, outpatient ...

This role focuses on insurance authorizations, continued-stay and concurrent reviews, payer communication, clinical update submission, coverage tracking, Notices of Medicare Non-Coverage (NOMNCs ...

Review requests for prior authorizations, inpatient and concurrent review, outpatient and procedural requests, and long term care services by analyzing medical records, clinical data, and treatment ...

Review requests for prior authorizations, inpatient and concurrent review, outpatient and procedural requests, and long term care services by analyzing medical records, clinical data, and treatment ...

... are. * Concurrent review of patient's clinical information for efficiency * Ongoing review of precertification requests for medical necessity * Coordinates patient care needs with a multi ...

... are. * Concurrent review of patient's clinical information for efficiency * Ongoing review of precertification requests for medical necessity * Coordinates patient care needs with a multi ...

... are. * Concurrent review of patient's clinical information for efficiency * Ongoing review of precertification requests for medical necessity * Coordinates patient care needs with a multi ...

Conducts occasional facility on-site and/or telephonic concurrent reviews and discharge planning and coordination of assigned hospitals. Collaborates with follow up appointment coordination ...

... are. * Concurrent review of patient's clinical information for efficiency * Ongoing review of precertification requests for medical necessity * Coordinates patient care needs with a multi ...

Utilizes knowledge of managed care procedures including pre-certification and concurrent review. Will be responsible for obtaining initial service authorization, continued stay authorization, and ...

Utilizes knowledge of managed care procedures including pre-certification and concurrent review. Will be responsible for obtaining initial service authorization, continued stay authorization, and ...

Description Responsible for improving the overall quality and completeness of clinical documentation through concurrent review of inpatient records to support accurate code assignment, severity of ...

Managed Care experience (utilization review, pre-certification, concurrent review) is preferred. Proficiency in MS Office with basic computer and typing skills. Additional Information Advantages of ...

Description Responsible for improving overall quality and completeness of clinical documentation through advanced concurrent review of inpatient records to support accurate, clinically valid code ...

Adheres to Process Standards, Standard Operating Procedures, and Policies and Procedures, as defined by specific UM role (Prior Authorization, Concurrent Review) Submits appropriate documentation ...

Complete concurrent reviews for mental health and dual diagnosis patients for both inpatient and outpatient services. Complete appeals and follow up on all appeals until a final decision is ...