Utilization Review Jobs in Dallas
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Search Results - Utilization Review Jobs in Dallas
Christus Health-Dallas-
in maintaining/improving the effectiveness of the services provided by the occupational therapy department.
• Participates in medical chart peer review, case record review and utilization review as deemed necessary.
• Assumes responsibility for therapeutic...
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Encompass Health Rehabilitation Hospital of Dallas-Dallas-
Ensure accuracy of discharge and payor-related information in the patient record.
• Participate in utilization review process: data collection, trend review, and resolution actions.
• Participate in case management on-call schedule as needed...
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Christus Health-Dallas-
delivery of services through coordinated scheduling.
• Maintains required records/documentations as specified in department policy and procedures manual.
• Participates in medical chart peer review, case records review and utilization review as deemed...
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Dallas-icims.com-
guidelines and state regulations.
Responsibilities:
MAJOR DUTIES AND RESPONSIBILITIES:
• Reviews medical files and provides recommendations for utilization review, chart reviews, medical necessity, appropriateness of care and return to work, short...
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Dallas-tiptopjob.com-
supports the need for a service, based on clinical criteria, coverage policies, and utilization and practice guidelines as defined by the review methodologies specific to the contract. This involves accessing proprietary systems to audit medical records...
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Dallas-icims.com-
procedures, and performance standards and URAAC guidelines and state regulations.
Responsibilities:
MAJOR DUTIES AND RESPONSIBILITIES:
• Reviews medical files and provides recommendations for utilization review, chart reviews, medical necessity...
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Dane Street, LLC-Dallas-workable.com-
and predictable work hours-conduct exams and reviews based on your schedule availability
• These are advisory-only opinions.
• Enhanced industry expertise, strengthening your medical practice with medical necessity and utilization review/management expertise...
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Dallas-tiptopjob.com-
clinical experience or 5+ years medical record coding experience required
• 3+ years utilization review experience or claims auditing required
• Working knowledge of the appeals and hearings process
• Experience using MCG or InterQual criteria preferred...
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Dallas-icims.com-
procedures, and performance standards and URAAC guidelines and state regulations.
Responsibilities:
MAJOR DUTIES AND RESPONSIBILITIES:
• Reviews medical files and provides recommendations for utilization review, chart reviews, medical necessity...
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Dallas-tiptopjob.com-
and procedures. Responsible for the maintaining the knowledge and skill set related to utilization review, care coordination, performance improvement and professional licensure and certification.
Minimum Specifications
Education: Must be a graduate...
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Dallas-tiptopjob.com-
and utilization review. Accountable for ensuring compliance with contractual as well as applicable federal, state, and regulatory requirements.
Minimum Specifications
Education
• Graduate of an accredited school of nursing required; BSN preferred.
• Master's...
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