- 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
- 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. ... and in the emergency department. Act as a care coordinator and case manager for psychosocial concerns related to...Veterans on the MHU and presenting to the ED. Review referrals from community hospitals, coordinate with interdisciplinary treatment… 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