- Knox Community Hospital (Mount Vernon, OH)
- …documentation with pre-certification/authorization initially and as directed by insurance payer and Case Management leadership. Adheres to organizational ... Job Specifics Career Department Case Management Status PRN Shift Saturday and Sundays...and CPT coding skills required. Knowledge of third party payer processes preferred and compliance regulations processes Knowledge of… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Utilization Management Specialist MSH Case Management FT Days** This position is responsible for coordinating requests for clinical ... payer authorization and determination _(ie frequent communication until case determination is established),_ follows up at regular interval to ensure… more
- Trinity Health (Maywood, IL)
- …care determination, clinical submission to payers, timely following/securing of auth payer status, timely discharge notification , monitoring status of procedural ... hybrid, must reside in Illinois. The **Regional Utilization Review Documentation Specialist ** nurse works with the multidisciplinary team including physicians, staff… more
- Rush University Medical Center (Chicago, IL)
- …for the position. Offers may vary depending on the circumstances of each case . **Summary:** The Admissions Registration Specialist I is responsible for reviewing ... is complete and current with each patient visit. The Admissions Registration Specialist I will assist patients with understanding their insurance options and… more
- Methodist Health System (Dallas, TX)
- …**Work Shift :** **Job Description :** Your Job: The Medical Authorization Specialist professional responsible for verification of medical coverage, along with ... notification , prior authorization, and/or pre-determination of healthcare benefits for...This position routinely works with physicians, clinic support staff, case managers, nurses, insurance utilization management staff, and patients… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …issues related to the appropriate utilization of resources, coordination of payer communication, and utilization review and management. Responsible for carrying out ... when appropriate * Collaborates with department director and professional development specialist to develop standard work and expectations for the utilization review… more
