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Director Intake Utilization Review Jobs (NOW HIRING)

Utilization Review Liaison

Fremont, CA · On-site

$32.35 - $43.63/hr

Description Salary Range: $32.35 - $43.63 + applicable differentials Under the general supervision of the Director of Case Management, the Utilization Review (UR) Liaison is responsible for the ...

The Utilization Review Nurse is responsible for utilization management services within the scope of ... Ensures medical director written decision is consistent with criteria (CMS, state, medical policy ...

The Utilization Review Nurse is responsible for utilization management services within the scope of ... Ensures medical director written decision is consistent with criteria (CMS, state, medical policy ...

$60 - $80/hr

The Utilization Review Nurse is responsible for utilization management services within the scope of ... Ensures medical director written decision is consistent with criteria (CMS, state, medical policy ...

The Director of Utilization Review is responsible for directing and overseeing the Utilization Program for Inpatient and Outpatient services. This includes the implementation of case management ...

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Utilization Review Liaison

Fremont, CA • On-site

Washington Hospital Healthcare System
Health Care and Social Assistance • 1 - 5K employees

$32.35 - $43.63/hr

Full-time

Re-posted 6 days ago


Job description

Salary Range: $32.35 - $43.63 + applicable differentials

Under the general supervision of the Director of Case Management, the Utilization Review (UR) Liaison is responsible for the assisting Utilization Review Case Managers. The UR Liaison is responsible for coordinating insurance reviews and issuance of authorization numbers through submission of required clinical information. The UR Liaison will work directly with all Case Management staff, Business Office, Patient Access, and along with the Hospital's Revenue Cycle to ensure quality and efficiency of certain elements of claims processing, denial prevention, and denial management.

Provides office and referral management support services; assists the Utilization Review Team in obtaining medical records, documenting case information in the system, performing data entry into appropriate databases for monitoring and tracking, and following up on phone calls as directed.

Continue to learn about clinical programs, processes, and changes

May also perform office support functions as required

In addition to performing the essential functions listed below, may also be assigned other duties as required.

Employment Type: Full Time (8-hr, 1.0 FTE)