Utilization Review Jobs in Canton (MS)
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Search Results - Utilization Review Jobs in Canton (MS)
Healthier Mississippi People LLC-Canton (MS)
scheduling, maintaining patient records and managing the patient admissions process. To counsel with patients and family members on treatment and conditions of patients. To act as liaison between case managers, home health nurses, utilization review, etc...
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Gainwell-Jackson, 24 mi from Canton (MS)
and technical development academies
Responsibilities
• Provide clinical guidance on policies, drug utilization, and pharmacy operations
• Perform clinical evaluations of medication therapy including prior authorization reviews and DURs
• Conduct peer-to-peer...
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Healthier Mississippi People LLC-Canton (MS)
scheduling, maintaining patient records and managing the patient admissions process. To counsel with patients and family members on treatment and conditions of patients. To act as liaison between case managers, home health nurses, utilization review, etc...
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UnitedHealth Group-Jackson, 24 mi from Canton (MS)
management field
• 6+ years of experience in utilization, review/management, case management, and care management
• 4+ years of experience in adult education/training including presenting materials
• Experience in healthcare hospitals and payer-based software...
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Healthier Mississippi People LLC-Canton (MS)
scheduling, maintaining patient records and managing the patient admissions process. To counsel with patients and family members on treatment and conditions of patients. To act as liaison between case managers, home health nurses, utilization review, etc...
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UnitedHealth Group-Jackson, 24 mi from Canton (MS)
or Marriage and Family Counseling or Licensed Ph.D. level Psychologist (independently licensed)
• Board certification as a Behavior Analyst (BCBA) and state licensure as required
• 3+ years of Managed Care and/or Utilization Review experience
• 3+ years...
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Healthier Mississippi People LLC-Canton (MS)
scheduling, maintaining patient records and managing the patient admissions process. To counsel with patients and family members on treatment and conditions of patients. To act as liaison between case managers, home health nurses, utilization review, etc...
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Cummins-Jackson, 24 mi from Canton (MS)
generation applications
• Lead project planning sessions with internal stakeholders to define scope, objectives, milestones, and performance goals
• Develop cross-functional schedules and resource plans to meet timelines and optimize utilization
• Review...
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Healthier Mississippi People LLC-Canton (MS)
scheduling, maintaining patient records and managing the patient admissions process. To counsel with patients and family members on treatment and conditions of patients. To act as liaison between case managers, home health nurses, utilization review, etc...
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Jackson, 24 mi from Canton (MS)
contract deliverables, and timelines are met.
• Evaluate and analyze productivity, utilization, efficiency, finding rates, savings, appeal overturn rate, and reviews completed by staff to identify opportunities for process improvements.
• Meet with clients...
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