- Kaiser Permanente (Arlington, VA)
- …PCC collaborates with rounding MAPMG Hospital Based Service Physicians, patient/family, nursing, utilization review and other members of the healthcare team to ... (CWD) rounds reporting on patient progression towards the established discharge plan. Review and document discharge plan in accordance with KP discharge planning… more
- Spectrum Billing Solutions (Skokie, IL)
- …revenue cycle management company for healthcare organizations. We are looking to add a Utilization Review ( UR ) Supervisor to our growing team. ... The UR Supervisor will provide supervision and support to the ...clinical information to ensure medical necessity and compliance of utilization review guidelines. + Obtain initial and… more
- BJC HealthCare (St. Louis, MO)
- …staff nurse experience performing care for hospitalized patients. + 2 years of utilization review ( UR ) experience reviewing hospital admissions for medical ... quality of medical services provided by the medical team. Ensure appropriate utilization , which includes the evaluation of potential under and over- utilization … more
- University of Rochester (Rochester, NY)
- …Type: Full time Scheduled Weekly Hours: 40 Department: 500183 Health Insurance Counseling Work Shift: UR - Day (United States of America) Range: UR URC 209 H ... and quality functions through high-cost reporting, work queues, and case review . + Maintains departmental standards through quality assurance monitoring. +… more
- University of Rochester (Rochester, NY)
- …Type: Full time Scheduled Weekly Hours: 40 Department: 910083 Pediatrics Cardiology Work Shift: UR - Day (United States of America) Range: UR URCA 216 ... recruitment, hiring, transfers, promotions, discipline and termination in accordance with UR policies. + Establishes the daily schedule for the laboratory, including… more
- University of Rochester (Rochester, NY)
- …Type: Full time Scheduled Weekly Hours: 40 Department: 500159 Department of Dentistry Work Shift: UR - Day (United States of America) Range: UR URCA 205 H ... and support to Administrative support staff. Assigns and checks work. Assists supervisor in preparing performance evaluation data. Assumes functions of supervisor… more
- Outreach Development Corporation (Brentwood, NY)
- …Compliance and Quality Assurance: + Reviews and ensures appropriate sign off of UR , treatment plans, treatment plan review and discharge related paperwork to ... insure compliance + Ensures appropriate utilization of staff in line with Company expectations, unit...monitoring and scheduling of program meetings specific to QI, UR , Case Conference, Internal Audit etc. + Participates in… more
- University of Rochester (Rochester, NY)
- …Type: Full time Scheduled Weekly Hours: 40 Department: 920720 EIOH General Dentistry Work Shift: UR - Day (United States of America) Range: UR URCC 204 H ... accuracy of patient schedules. Reviews provider schedules to ensure maximum utilization . Negotiates down-payments and authorizes repayment status for high dollar,… more
- University of Rochester (Rochester, NY)
- …Full time Scheduled Weekly Hours: 40 Department: 920042 EIOH Research Admin Core Work Shift: UR - Day (United States of America) Range: UR URCA 205 H ... to administrative support staff. + Assigns and checks work. + Assists supervisor in preparing performance evaluation data. + Assumes functions of supervisor… more
- University of Rochester (Rochester, NY)
- …time Scheduled Weekly Hours: 40 Department: 500130 Psychiatry SMH Addiction Psych Work Shift: UR - Day (United States of America) Range: UR URC 211 Compensation ... responsibilities for counselor interns and new staff. Reports to the Clinical Supervisor of assigned clinic. Subscribes to the Department's goal of creating a… more
- University of Rochester (Rochester, NY)
- …Type: Full time Scheduled Weekly Hours: 40 Department: 920750 Dentistry Urgent Care Work Shift: UR - Day (United States of America) Range: UR URCC 204 H ... accuracy of patient schedules. Reviews provider schedules to ensure maximum utilization . Negotiates down-payments and authorizes repayment status for high dollar,… more
- Sharp HealthCare (San Diego, CA)
- …in-patient Care Management program that includes initial and concurrent review ; case management/discharge planning activities. Responsible for operational planning ... of the manager of in-patient care management and the Director of Utilization Management. **Required Qualifications** + 3 Years Experience in the acute patient… more
- Dignity Health (Woodland, CA)
- …Conditions of Participation requirements as measured by defined evaluation processes (ie UR review , Patient Care, IDT processes etc.) + Documents appropriate ... care of patients during field observation by the clinical supervisor . + Completes and submits documentation following established guidelines,...management of visit utilization and authorization status as measured by a designated… more
