Utilization Reviewer Jobs in Milwaukee, WI (NOW HIRING)

This remote Drug Utilization Review Pharmacist role is ideal for pharmacists who enjoy clinical analysis and want to improve outcomes at scale. Key Responsibilities * Conduct prospective, concurrent ...

Assists the case managers with utilization review issues, and provides recommendations for process improvement in the areas of utilization review and denial management. Other duties as assigned.

Assists the case managers with utilization review issues, and provides recommendations for process improvement in the areas of utilization review and denial management. Other duties as assigned.

Assists the case managers with utilization review issues, and provides recommendations for process improvement in the areas of utilization review and denial management. Other duties as assigned.

Assists the case managers with utilization review issues, and provides recommendations for process improvement in the areas of utilization review and denial management. Other duties as assigned.

Utilization Management and/or Skilled Nursing experience preferred. * Prior Authorization and Ongoing Continued Care experience preferred. * Medicare Advantage Review experience preferred. Please be ...

Utilization Management and/or Skilled Nursing experience preferred. * Prior Authorization and Ongoing Continued Care experience preferred. * Medicare Advantage Review experience preferred. Job Level:

Utilization Management and/or Skilled Nursing experience preferred. * Prior Authorization and Ongoing Continued Care experience preferred. * Medicare Advantage Review experience preferred. Please be ...

This role maintains direct involvement in billable consulting activities, including reimbursement reviews, clinical assessments, staff education, MDS coordination, and process improvement initiatives.

This role maintains direct involvement in billable consulting activities, including reimbursement reviews, clinical assessments, staff education, MDS coordination, and process improvement initiatives.

This role maintains direct involvement in billable consulting activities, including reimbursement reviews, clinical assessments, staff education, MDS coordination, and process improvement initiatives.

Communicate with the Utilization Review department to provide information necessary to assist in facilitate payment for services, if warranted. * Establish and maintain strong lines of communication ...

Communicate with the Utilization Review department to provide information necessary to assist in facilitate payment for services, if warranted. * Establish and maintain strong lines of communication ...

Collaborates with the System and Region Director(s) of Utilization Management to ensure cohesive workflows between care management and utilization review; Applies strategies within daily operations ...

Address clinical risk management, utilization review, and medical grievances as needed Top Reasons to Choose a Locum Tenens Assignment * Bridge employment gaps or transitions between permanent ...

Address clinical risk management, utilization review, and medical grievances as needed Top Reasons to Choose a Locum Tenens Assignment * Cultivate meaningful relationships with patients from diverse ...

Implement utilization review and quality improvement systems. Implement educational programs and offerings. * Maintain a hands-on connection to patient care by providing medical services in an ...

Address clinical risk management, utilization review, and medical grievances as needed Top Reasons to Choose a Locum Tenens Assignment * Avoid the hassle of permanent relocation by taking on ...

Communicate with utilization review (UR), admitting and clinical leadership regarding the quality of documentation within the medical record. * Collaborate with admitting and clinical leadership in ...

Communicate with utilization review (UR), admitting and clinical leadership regarding the quality of documentation within the medical record. * Collaborate with admitting and clinical leadership in ...