Utilization Management Assistant Jobs in Pennsylvania

... * Assist with quality improvement initiatives and regulatory compliance Requirements * Active Registered Nurse (RN) License * Previous Utilization Management, Case Management, MDS, or Care ...

The Executive Assistant provides administrative, operational support to the vice president (VP) of ... Support coordination of activities related to medical policy, utilization management, appeals ...

... and assist in efforts to recover payment for services rendered. * Attend managed care provider ... Strong understanding of utilization review, insurance authorization processes, and managed care ...

... Assist Director of Utilization Management by creating meeting invites, PowerPoints, and work orders as needed. Will also assist Director with different case issues that come up throughout the day ...

... Assist Director of Utilization Management by creating meeting invites, PowerPoints, and work orders as needed. Will also assist Director with different case issues that come up throughout the day ...

... Assist with audits, MCO reviews, and internal compliance checks. Prepare and issue required notices (e.g., 10-day notices) in coordination with leadership. Authorization & Utilization Management ...

... innovative utilization management, and compliance structuring. Serving as an independent, high ... Formulary Design & Operations: Assist with the clinical, operational, and regulatory management of ...

Acting as a navigator and liaison between the OMY program and the managed care team, the Specialist ... * Assist in identifying patterns of mis-utilization. * Participates in continuing education to ...

Acting as a navigator and liaison between the OMY program and the managed care team, the Specialist ... Assist in identifying patterns of mis-utilization. • Participates in continuing education to ...

Acting as a navigator and liaison between the OMY program and the managed care team, the Specialist ... Assist in identifying patterns of mis-utilization. Participates in continuing education to reach ...

Essential Duties & Responsibilities Leadership & Department Management * Assist in leading the ... Ensure all maintenance work orders, labor utilization, parts consumption, downtime events, and ...

Essential Duties & Responsibilities Leadership & Department Management * Assist in leading the ... Ensure all maintenance work orders, labor utilization, parts consumption, downtime events, and ...

Utilization Management SupportCollaborate with utilization management teams to support appropriate ... Assist with coordination of authorizations and service transitions as applicable.Documentation ...

Utilization Management Support * Collaborate with utilization management teams to support ... Support medical necessity reviews and continuity-of-care planning. * Assist with coordination of ...

Utilization Management Support * Collaborate with utilization management teams to support ... Support medical necessity reviews and continuity-of-care planning. * Assist with coordination of ...

Works as a team with other members of care management, including but not limited to: RN care managers, assistants, coordinators, utilization management staff, and director. * Facilitates ...

Works as a team with other members of care management, including but not limited to: RN care managers, assistants, coordinators, utilization management staff, and director. Facilitates communication ...

Works as a team with other members of care management, including but not limited to: RN care managers, assistants, coordinators, utilization management staff, and director. * Facilitates ...

Works as a team with other members of care management, including but not limited to: RN care managers, assistants, coordinators, utilization management staff, and director. * Facilitates ...

Works as a team with other members of care management, including but not limited to: RN care managers, assistants, coordinators, utilization management staff, and director. * Facilitates ...