Manager Utilization Management Jobs in Georgia (NOW HIRING)

Purpose Statement Proactively monitor utilization of services for patients to optimize ... Essential Functions Act as liaison between managed care organizations and the facility professional ...

Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Act as liaison between managed care organizations and the facility professional clinical staff.

Support case management staff with complex utilization reviews * Conduct peer-to-peer reviews with payers * Collaborate with care management teams to identify and address barriers to timely discharge

Support case management staff with complex utilization reviews * Conduct peer-to-peer reviews with payers * Collaborate with care management teams to identify and address barriers to timely discharge

Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Act as liaison between managed care organizations and the facility professional clinical staff.

Utilization Management Department: * Verify insurance eligibility and submit notice of admission (NOA) for inpatient and observation admissions to the identified primary and secondary insurances ...

Previous experience in Utilization Management and/or Appeals Required * Previous Epic experience or Meditech/MIDAS experience Required * Previous experience in prior authorization process Required

Underpinned by technology, data, analytics, AI, change management, talent and sustainability ... As aNetwork Performance/Utilization Manager, your primary responsibilitiesmay include: * Advise ...

Utilization Management Department: * Verify insurance eligibility and submit notice of admission (NOA) for inpatient and observation admissions to the identified primary and secondary insurances ...

Utilization Management Department: * Verify insurance eligibility and submit notice of admission (NOA) for inpatient and observation admissions to the identified primary and secondary insurances ...

Utilization Management Department: * Verify insurance eligibility and submit notice of admission (NOA) for inpatient and observation admissions to the identified primary and secondary insurances ...

Utilization Management Department: * Verify insurance eligibility and submit notice of admission (NOA) for inpatient and observation admissions to the identified primary and secondary insurances ...

... Resource Utilization * Participates in interdisciplinary team meetings and Case Management ... responsibilities * Maintains accountability for acute inpatient Social Work functions How to Apply:

Utilization Management Department: * Verify insurance eligibility and submit notice of admission (NOA) for inpatient and observation admissions to the identified primary and secondary insurances ...

Utilization Management Department: * Verify insurance eligibility and submit notice of admission (NOA) for inpatient and observation admissions to the identified primary and secondary insurances ...

Utilization Management Department: * Verify insurance eligibility and submit notice of admission (NOA) for inpatient and observation admissions to the identified primary and secondary insurances ...

Addresses customer concerns or complaints in a timely manner and escalates to the manager, as needed. Essential Responsibilities: * Coordinates day-to-day patient care activities within the ...

Candidates need 2-3 years of Behavioral Health Experience, and 3-5 years of Utilization Management or Manager Care Experience. She is also looking for candidates with inpatient, outpatient, and ...

Demonstrates competencies in case management and utilization review. * Facilitates effective use of hospital resources through coordination of long stay review and other capacity management processes.

Demonstrates competencies in case management and utilization review. * Facilitates effective use of hospital resources through coordination of long stay review and other capacity management processes.