Utilization Review Coordinator Jobs in Santa Rosa, CA

The ideal candidate will have strong experience in care coordination, discharge planning ... Utilization Review * Medical Necessity Determination * InterQual Criteria * Disease Management

The ideal candidate will have strong experience in care coordination, discharge planning ... Utilization Review * Medical Necessity Determination * InterQual Criteria * Disease Management

The Utilization Coordinator is responsible for coordinating admissions, performing concurrent and retrospective utilization review, and facilitating discharge planning. S/he also provides ...

Strong assessment, discharge planning, and utilization review skills Description: The RN Case Manager coordinates patient care plans and services across the continuum of care. Works closely with ...

Strong assessment, discharge planning, and utilization review skills Description: The RN Case Manager coordinates patient care plans and services across the continuum of care. Works closely with ...

The Registered Nurse (RN) - Case Manager coordinates patient care across the continuum to promote ... Recent case management, utilization review, discharge planning, or acute care nursing experience ...

Responsibilities include admission criteria review, care coordination, discharge planning, needs assessment, and utilization review * May involve determining medical necessity using evidence-based ...

Strong assessment, discharge planning, and utilization review skills Description: The RN Case Manager coordinates patient care plans and services across the continuum of care. Works closely with ...

Responsible for Care Coordination and Care Transitions Planning throughout the acute care patient ... Comprehensive knowledge of Utilization Review, levels of care, and observation status. * Awareness ...

Responsible for Care Coordination and Care Transitions Planning throughout the acute care patient ... Comprehensive knowledge of Utilization Review, levels of care, and observation status. * Awareness ...

Strong assessment, discharge planning, and utilization review skills Description: The RN Case Manager coordinates patient care plans and services across the continuum of care. Works closely with ...

Experience managing Care Management, Utilization Review, Discharge Planning, Care Coordination, or Transitional Care teams (Yes/No - details): Experience working with Social Determinants of Health ...

Review and validate completion of all required billing documentation (i.e. care plans, Treatment ... Maintain comprehensive records of billable services, tracking utilization, service delivery, and ...

Review and validate completion of all required billing documentation (i.e. care plans, Treatment ... Maintain comprehensive records of billable services, tracking utilization, service delivery, and ...

Work Settings Acute Hospital Case Management/Utilization Review Admission Criteria Benefits Eligibility Care coordination Discharge Planning Needs Assessment/ Order DME Plan of Care Prior ...

Inputs accurate data for claims payment and utilization trending. * Acts as a resource to hospital ... Coordinate MediCal fax review. * Assist with completion of non-coverage letters. * Compile routine ...

Inputs accurate data for claims payment and utilization trending. * Acts as a resource to hospital ... Coordinate MediCal fax review. * Assist with completion of non-coverage letters. * Compile routine ...

Review all loan documents for completeness and accuracy. * Validate, correct loan compliance errors ... Utilization of working knowledge on TRID Regulations, particularly those relating to the "Loan ...

Schedule daily mobile service work to ensure optimal technician utilization and customer ... Review technician write-ups for accuracy, completeness, and proper documentation. * Ensure all ...

Schedule daily mobile service work to ensure optimal technician utilization and customer ... Review technician write-ups for accuracy, completeness, and proper documentation. * Ensure all ...