Utilization Management Non Clinical Jobs in Georgia

You will liaison between managed care organizations and clinical staff, review plans, and coordinate communication on reimbursement requirements. You will monitor length of stay, collect utilization ...

The Utilization Review Nurse will perform clinical reviews, ensure compliance with payer guidelines and regulatory requirements, collaborate with healthcare providers and case management teams, and ...

This role ensure that patient's payor has the clinical information with which to authorize the ... Previous experience in Utilization Management and/or Appeals Required * Previous Epic experience or ...

... management plan. Oversees Clinical Review Specialist as indicated. Maintains necessary ... Non Bedside

... management plan. Oversees Clinical Review Specialist as indicated. Maintains necessary ... Non Bedside

The Utilization Management Representative I is responsible for coordinating cases for ... Conducts clinical screening process. * Authorizes initial set of sessions to provider. * Checks ...

Conducts clinical screening process. * Authorizes initial set of sessions to provider. * Checks ... Non-Management Non-Exempt Workshift: Job Family: CUS > Care Support Please be advised that Elevance ...

Utilization Management RepresentativeI Location: Virtual: This role enables associates to work ... Conducts clinical screening process. * Authorizes initial set of sessions to provider. * Checks ...

... management. The ideal candidate will have prior utilization review experience within a health plan or insurance setting and be skilled in evaluating medical necessity using established clinical ...

The Utilization Management Representative I is responsible for coordinating cases for ... Conducts clinical screening process. * Authorizes initial set of sessions to provider. * Checks ...

The Utilization Management Representative I is responsible for coordinating cases for ... Conducts clinical screening process. * Authorizes initial set of sessions to provider. * Checks ...

The Utilization Management Representative I is responsible for coordinating cases for ... Conducts clinical screening process. * Authorizes initial set of sessions to provider. * Checks ...

... management. The ideal candidate will have prior utilization review experience within a health plan or insurance setting and be skilled in evaluating medical necessity using established clinical ...

Assists with utilization management reporting, data collection, and performance improvement ... Demonstrates service excellence by providing complete clinical information to government and non ...

Assists with utilization management reporting, data collection, and performance improvement ... Demonstrates service excellence by providing complete clinical information to government and non ...

... utilization management, and hospital throughput. The Physician Advisor works collaboratively with physicians, case management, clinical documentation integrity (CDI), quality, and revenue cycle teams ...

... utilization management, and hospital throughput. The Physician Advisor works collaboratively with physicians, case management, clinical documentation integrity (CDI), quality, and revenue cycle teams ...

Assists with utilization management reporting, data collection, and performance improvement ... Demonstrates service excellence by providing complete clinical information to government and non ...

This role ensure that patient's payor has the clinical information with which to authorize the ... Previous experience in Utilization Management and/or Appeals Required * Previous Epic experience or ...

This role ensure that patient's payor has the clinical information with which to authorize the ... Previous experience in Utilization Management and/or Appeals Required * Previous Epic experience or ...