A company is looking for a Utilization Review Specialist for a Partial Hospitalization Program (Remote).Key ResponsibilitiesConduct comprehensive reviews of patient records to ensure appropriate service utilization and compliance with insurance requirementsCollaborate with clinical teams, insurance companies, and billing departments to facilitate transitions of care and ensure accurate documentationPromote quality patient outcomes while managing resource efficiencyRequired Qualifications, Training, and EducationBachelor's degree in nursing, social work, or a related healthcare field required;
licensure preferred (e.g., RN, LCSW, LMFT)Master level clinician (MSN, MSW, etc.) preferredMinimum of 2 years' experience in a behavioral health setting, preferably in utilization review or partial hospitalization programsStrong knowledge of payer regulations and medical necessity criteriaExperience in utilization management processes is preferred
Utilization Review Specialist - PHP
A company is looking for a Utilization Review Specialist for a Partial Hospitalization Program (Remote). Minimum of 2 years' experience in a behavioral health setting, preferably in utilization review or partial hospitalization programsStrong knowledge of payer regulations and medical necessity crit...
Drug Utilization Review Specialist
The Drug Utilization Review Specialist evaluates medication use patterns to promote safe and effective medication therapy ensuring optimal patient outcomes. Conduct comprehensive drug utilization reviews to identify potential medicationrelated problems. ...
Drug Utilization Review Specialist
The Drug Utilization Review Specialist evaluates medication use patterns to promote safe and effective medication therapy, ensuring optimal patient outcomes. Conduct comprehensive drug utilization reviews to identify potential medication-related problems. ...
Drug Utilization Review Specialist
The Drug Utilization Review Specialist evaluates medication use patterns to promote safe and effective medication therapy ensuring optimal patient outcomes. Conduct comprehensive drug utilization reviews to identify potential medicationrelated problems. ...
Drug Utilization Review Specialist
The Drug Utilization Review Specialist evaluates medication use patterns to promote safe and effective medication therapy, ensuring optimal patient outcomes. Conduct comprehensive drug utilization reviews to identify potential medication-related problems. ...
Drug Utilization Review Specialist
The Drug Utilization Review Specialist evaluates medication use patterns to promote safe and effective medication therapy, ensuring optimal patient outcomes. Conduct comprehensive drug utilization reviews to identify potential medication-related problems. ...
Drug Utilization Review Specialist
TheDrug Utilization Review Specialist evaluates medication usepatterns to promote safe and effective medication therapy ensuringoptimal patientoutcomes. ...
Travel Nurse - Registered Nurse - Rehab - Rehabilitation - $1957.44 / Week
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Atlas MedStaff is seeking an experienced Labor and Delivery Registered Nurse for an exciting Travel Nursing job in Seattle, WA. Both of those recognitions are fueled by real reviews by real travel nurses and allied healthcare professionals that work with our team. If you don’t have this kind of rela...