Manager Anthem Utilization Review Jobs (NOW HIRING)

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 ...

Experience in utilization review or case management is highly beneficial, particularly within workers' compensation. Clinical experience involving orthopedic or neurological conditions is also highly ...

Utilization Management Nurse Pay Grade: 31 Program: Nursing Status: Exempt Housing Priority ... Chairs Quarterly Utilization Review Committee meetings to improve utilization of resources and ...

Through services including benefits verification, billing and claims submission, and utilization review, we help treatment centers optimize revenue cycle management while focusing on delivering ...

Utilization review tech is responsible for coordinating phone calls, data entry and tracking data ... Minimum one year denials management experience in acute care setting highly preferred. * High ...

The Utilization Review (UR) Director is responsible for overseeing the utilization management ... Manage and supervise the UR team, setting standards for reviewing mental health services to ensure ...

At least 2 years of experience in utilization review, case management, or clinical healthcare roles. * Strong knowledge of medical terminology, clinical procedures, and healthcare regulations.

Experience in utilization review or case management is highly beneficial, particularly within workers' compensation. Clinical experience involving orthopedic or neurological conditions is also highly ...

Revenue Cycle Management : Utilize clinical expertise to support revenue cycle processes, including ... Utilization Review: a) Apply medical necessity screening criteria and clinical knowledge to ensure ...

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 ...

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 ...

At least 2 years of experience in utilization review, case management, or clinical healthcare roles. * Strong knowledge of medical terminology, clinical procedures, and healthcare regulations.

Responsible for working with the Clinical Care Coordinator and Complex Care Manager to facilitate ... to utilization review and discharge planning and payer regulations. MINIMUM EDUCATION AND ...

At least 2 years of experience in utilization review, case management, or clinical healthcare roles. * Strong knowledge of medical terminology, clinical procedures, and healthcare regulations.

Utilization review tech is responsible for coordinating phone calls, data entry and tracking data ... Minimum one year denials management experience in acute care setting highly preferred. * High ...

Experience with utilization management in behavioral and/or medical healthcare. Experience driving quality and timely discharge planning from residential facilities as deemed appropriate in review of ...

Experience with utilization management in behavioral and/or medical healthcare. Experience driving quality and timely discharge planning from residential facilities as deemed appropriate in review of ...

Responsible for working with the Clinical Care Coordinator and Complex Care Manager to facilitate ... to utilization review and discharge planning and payer regulations. MINIMUM EDUCATION AND ...

At least 1 year in Utilization Management, Case Management, or CDI * Minimum 3 years of Utilization ... Utilization review criteria (InterQual/Milliman), Medicare/Medicaid guidelines * Chart review and ...

At least 2 years of experience in utilization review, case management, or clinical healthcare roles. * Strong knowledge of medical terminology, clinical procedures, and healthcare regulations.