Inpatient Concurrent Review Jobs (NOW HIRING)

Primarily inpatient, skilled nurses facilities, rehab, behavioral health, and home healthcare. * ... Provides concurrent review and prior authorizations (as needed) according to policy for members as ...

Perform concurrent reviews of inpatient, observation, swing bed, and other applicable patient stays to evaluate medical necessity and appropriate level of care. * Apply established criteria to ...

Perform concurrent reviews of inpatient, observation, swing bed, and other applicable patient stays to evaluate medical necessity and appropriate level of care. * Apply established criteria to ...

Works with the Utilization Management team primarily responsible for inpatient medical necessity ... concurrent review. Assesses services for Molina Members to ensure optimum outcomes, cost ...

Perform concurrent reviews of inpatient, observation, swing bed, and other applicable patient stays to evaluate medical necessity and appropriate level of care. * Apply established criteria to ...

... concurrent review for medical necessity of outpatient observation and inpatient stays and the utilization of ancillary services * Perform other duties as assigned by the supervisor including but not ...

Perform prospective, concurrent, and retrospective utilization reviews. * Review requests for inpatient and outpatient services, procedures, surgeries, diagnostic testing, therapies, durable medical ...

Review inpatient admissions to assure appropriate level of care and medical necessity for members. 100% Onsite/Telephonic Review inpatient admissions to assure appropriate level of care and medical ...

Collects additional information from members and/or providers/facilities to complete prospective, concurrent or retrospective inpatient service reviews. Authorizes requested services according to ...

Collects additional information from members and/or providers/facilities to complete prospective, concurrent or retrospective inpatient service reviews. * Authorizes requested services according to ...

Perform prospective, concurrent,and retrospective utilization reviews. * Review requests for inpatient andoutpatient services, procedures, surgeries, diagnostic testing, therapies,durable medical ...

Perform prospective, concurrent,and retrospective utilization reviews. * Review requests for inpatient andoutpatient services, procedures, surgeries, diagnostic testing, therapies,durable medical ...

Perform prospective, concurrent,and retrospective utilization reviews. * Review requests for inpatient andoutpatient services, procedures, surgeries, diagnostic testing, therapies,durable medical ...

Provides concurrent review and prior authorizations (as needed) according to Molina policy for ... Familiarity with Inpatient Medical Necessity * Must have solid experience within a clinical setting ...

Provides concurrent review and prior authorizations (as needed) according to Molina policy for ... Familiarity with Inpatient Medical Necessity * Must have solid experience within a clinical setting ...

... be doing Concurrent Inpatient Review MUST have one of the following AT LEAST -Utilization Review in hospital setting Nurses who are used to doing both production and review work Additional ...

Familiarity with insurance terminology, prior authorization processes, and payer-specific concurrent review requirements preferred. * Familiarity with CMS rules relevant to inpatient care (e.g., Two ...

## Physician, Concurrent Inpatient Review (PT Evenings/Weekends) (Remote) (Hospital Advocacy)Applylocations: US - Remotetime type: Part timeposted on: Posted Todayjob requisition id: JR105948**About Us:

Familiarity with insurance terminology, prior authorization processes, and payer-specific concurrent review requirements preferred. * Familiarity with CMS rules relevant to inpatient care (e.g., Two ...

... for inpatient medical necessity/utilization review and other utilization management activities ... and/or concurrent review. Assesses services for members to ensure optimum outcomes, cost ...