Utilization Review Jobs in Albuquerque
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Search Results - Utilization Review Jobs in Albuquerque
University of New Mexico - Hospitals-Albuquerque
This is a Utilization Review position. We review all admissions and continued stay to the hospital for Medical necessity and manage the insurance authorization throughout the stay .
Department: Utilization Management - UH
FTE: 0.05
Casual Pool...
Integrated Resources, Inc-Albuquerque
claims processing, utilization review, etc.
11. Process provider change forms. Maintain tickler system and verify that all changes have been made in the appropriate system.
12. Prepare monthly reports and update provider databases as necessary. Assist...
resume-library.com -
University of New Mexico - Hospitals-Albuquerque
This is a Utilization Review position. We review all admissions and continued stay to the hospital for Medical necessity and manage the insurance authorization throughout the stay .
Department: Utilization Management - UH
FTE: 0.05
Casual Pool...
Albuquerque
Screens prior authorization requests not meeting guidelines and requests/gathers/forwards additional information.
• May conduct utilization review by monitoring daily prior authorization requests and documenting timely updates for service requests...
icims.com -
University of New Mexico - Hospitals-Albuquerque
This is a Utilization Review position. We review all admissions and continued stay to the hospital for Medical necessity and manage the insurance authorization throughout the stay .
Department: Utilization Management - UH
FTE: 0.05
Casual Pool...
Albuquerque
by utilization review activities including, but not limited to, prior authorization, concurrent review, retrospective review and/or quality assurance operation. Does this sound like you or someone in your network?
Apply now!
Where you'll work
Presbyterian...
icims.com -
University of New Mexico - Hospitals-Albuquerque
This is a Utilization Review position. We review all admissions and continued stay to the hospital for Medical necessity and manage the insurance authorization throughout the stay .
Department: Utilization Management - UH
FTE: 0.05
Casual Pool...
University of New Mexico - Hospitals-Albuquerque
responses to interventions in collaboration with quality assurance and utilization review, maintaining interdependent follow-up as necessary
• VARIANCE - Review variance from standardized protocols of care with health care team members and implement...
University of New Mexico - Hospitals-Albuquerque
responses to interventions in collaboration with quality assurance and utilization review, maintaining interdependent follow-up as necessary
• VARIANCE - Review variance from standardized protocols of care with health care team members and implement...
University of New Mexico - Hospitals-Albuquerque
and utilization review, maintaining interdependent follow-up as necessary
• VARIANCE - Review variance from standardized protocols of care with health care team members and implement resolution strategies
• TREATMENT CONFERENCE - Facilitate and/or participate...
University of New Mexico - Hospitals-Albuquerque
INTERVENTIONS - Monitor and evaluate short-term and long-term patient responses to interventions in collaboration with quality assurance and utilization review, maintaining interdependent follow-up as necessary
• VARIANCE - Review variance from standardized...
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