review and risk management activities. Determines appropriateness and medical necessity of admissions, continued hospital... to organization and interdisciplinary rehab team and monitors admissions, length of stay and clinical documentation for regulatory...
guidelines and appropriateness of clinical interventions. 4. Performs medical record review, abstracting, aggregating... continuum and the care management team. The DMCA works collaboratively with Managed Care contracting staff, revenue cycle...
to ensure appropriate process changes are implemented. Supports the Medical Staff Quality Review process by identification... and family centered care in the acute care hospital setting. Responsible for collaboration with medical staff, patients, family...
Manager to review work, receive direction and discuss customers' concerns and problems. · Requires daily external contact... individuals to work smarter from any location and harness the power of information-how it is collected, stored, managed...
. As a premier global asset management organization with more than 85 years of experience, we provide investment solutions... qualified clients in their transition from a self-directed relationship to a managed account relationship. Must be able...
Description : In this role, you will: Act as liaison between managed care organizations and the facility...’s professional clinical staff. Conduct reviews in accordance with certification requirements of insurance plans or other managed...
and aspirations. The business offers a wide range of products and services covering capital markets, managed investments, portfolio... in the dynamic environment of a high-growth organization. They will be responsible for field and client engagement, acting...
Zurich North America is seeking am experienced Sr. Supplier Medical Process Specialist to join our team... in one of our Managed Care business units across the United States. If you're considering your next career move, Zurich offers you the...
organization responsible for the initial clinical review of service requests for UnitedHealth Care (UHC). The Medical Director... Medical Director is a key member of the Optum Enterprise Clinical Services Team. On the Focused Pharmacy Review team...
may be time-limited or longer-term, and will be part of an outcome-oriented treatment plan developed within a managed care... will participate actively in the treatment planning and review process, including supporting documentation of the clinical services...