- Prime Healthcare (Reno, NV)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/226984/ medical - review - coordinator ... America's Best 250 hospitals by Healthgrades, Saint Mary's Regional Medical Center is a 352-bed acute care hospital offering...both open and closed accounts for multiple levels of Utilization Review and Case Management reporting. Able… more
- Humana (Carson City, NV)
- …new systems (proficient to advanced) **Preferred Qualifications** + Experience with Utilization Review and/or Prior Authorization, preferably within a managed ... and help us put health first** The UM Administration Coordinator contributes to administration of utilization management....the nursing team + Builds and pends authorizations for review + Responsible for inbound and outbound calls to… more
- Veterans Affairs, Veterans Health Administration (Reno, NV)
- …results to include with referral. Applying knowledge related to policy guidelines, utilization review criteria, and current evidence based standards of care. ... intimate knowledge of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation requirements,… more
- Highmark Health (Carson City, NV)
- …nurse reviewer and other departments based on documentation procedures, including review type, clinical information, and decision timeframes. Follows policies and ... timeframes and notification requirements are met. + Communicate effectively with Utilization Management Staff, providers, other internal and external customers and… more
- Ryder System (Carson City, NV)
- _Job Seekers can review the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : The Card ... reporting, and policy compliance + Prepares management reports on program utilization , spending trends, and compliance metrics for both countries + Implements… more
- Veterans Affairs, Veterans Health Administration (Reno, NV)
- …determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply. ... Speech Pathology Department. Duties and responsibilities are carried out throughout the medical center including all clinical and other patient care areas involved… more
- CVS Health (Carson City, NV)
- …with transferring patients to lower levels of care. + 1+ years' experience in Utilization Review . + CCM and/or other URAC recognized accreditation preferred. + ... in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that support… more