- University of Miami (Miami, FL)
- …CORE FUNCTIONS: + Adhere and perform timely prospective review for services requiring prior authorization as well as timely concurrent review for continuation of ... conducts initial, concurrent and retrospective chart reviews for clinical utilization and authorization . The Utilization Review Case Manager coordinates with the… more
- Cleveland Clinic (Weston, FL)
- …and insurance information. + Identifies whether patient needs referral and/or authorization and obtains referral and/or authorization when necessary. + ... Ensures appointments are booked on proper case and add any cases or schemes as necessary....proper information such as PCP, referring physician, CPT/DX codes prior to entering request into referral module. + Inputs… more