Utilization Review Jobs in Alabama
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Search Results - Utilization Review Jobs in Alabama
Tuscaloosa-icims.com-
experience as an RN
4. Minimum of at least 2 years as care management and/or utilization management experience preferred.
5. Minimum of 2 years of Med Surgical experience required; Utilization Review experience preferred.
6. Expected to work under minimal...
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Encompass Health Rehabilitation Hospital of Middletown-Brookside (AL)-
ongoing utilization review and acts as a liaison to the payor while assuring that cost effective treatment is provided by the team. The CCM assures that regulations regarding patient's rights are fulfilled.
The Encompass Health Way
We proudly set...
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Tuscaloosa-icims.com-
Responsibilities:
1. Develops detailed knowledge of and drives the focus and goals of Utilization Review (UR)
2. Retrieves and disseminates clinical data to third-party payers for authorization/certification of hospital level of care for front end/concurrent...
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340B Health-Valley (AL)-appcast.io-
participate in clinical and quality improvement initiatives, contribute to physician peer review, utilization review, and serve on medical staff committees as assigned to enhance overall service delivery.
• Contributes to Operational Excellence...
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Gadsden (AL)-icims.com-
effective outcomes. They assess patients’ needs, develop care plans, and collaborate with physicians, nurses, social workers, and other providers to manage care transitions. RN Case Managers also conduct discharge planning, utilization review, and helping...
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North Alabama Shoals Hospital-Muscle Shoals-
case management, utilization review screening, discharge planning, and swing intake.
• Participates in performance improvement and continuing education.
• Provides quality patient care and works flexible shifts/units as needed.
• Maintains regular...
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Mobile-tiptopjob.com-
for the service based on clinical criteria, coverage policies, and utilization and practice guidelines as defined by review methodologies specific to the contract for which services are being provided. This involves accessing proprietary systems to audit medical...
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2 similar jobs: Birmingham, Montgomery
Birmingham-icims.com-
with transitions and fill-in shifts as needed
• Work under the mentorship of a Senior Vice President and Director of Jail Operations
• Understand the principles and concepts of medical quality assurance and utilization review
• Monitor and report on the quality...
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