Utilization Review Jobs in Denver
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Search Results - Utilization Review Jobs in Denver
NRT |Foundry Treatment Center-Denver
Job Description
Job Description
Description:
Benefits Verification Specialist
Reports to: Utilization Review Manager
Job Category: Hourly | Non-Exempt | Full-Time
Starting Salary: $20-$24 per hour
Job Site: Remote (must reside in Colorado...
MagnaCare-United, 1333 mi from Denver
Job Description
About The Role
The Medical Director performs utilization review and medical necessity determinations for BHPS-administered self-funded commercial plans, and supports the Chief Medical Officer in maintaining the quality, consistency...
Avenues Recovery-Denver
environment
• Facilitate group occasionally and maintain small client caseload
• Provide consistent compliance oversight to ensure impeccable client documentation
• Provide Utilization Review support to drive authorization and retention throughout treatment...
Denver
opportunities
Qualifications:
Required Skills:
• Current state RN license preferred.
• Two years recent experience in Utilization Review preferred
• OR any equivalent combination of education and experience.
Additional Qualifications/Skills:
• Knowledge...
ernesthealth.com -
Avenues Recovery-Denver
in the electronic medical record (EMR)
• Collaborate with medical, clinical, and utilization review (UR) teams
• Ensure compliance with state regulations, JCAHO, CARF, and ASAM standards
• Manage daily and weekly patient schedules efficiently
Required...
InnovAge-Denver
documentation in the medical record; meet all agency and regulatory charting, reporting, certification/recertification, and discharge summary requirements.
• Support utilization review, peer review, and quality management activities as assigned.
Setting...
Dove Recovery-Denver
with contracted billing company and any internal utilization review staff.
• Works to assist in implementation and full collaboration with Electronic Health Record company and build data and compliance infrastructure (i.e., clinical forms, assessments, screeners...
Eating Recovery Center-Denver
within systems and data to uncover revenue opportunities, operational risks, and process failures.
ESSENTIAL DUTIES AND RESPONSIBILITIES
• Lead through influence across Finance, Operations, Clinical Services, Patient Access, Utilization Review...
Jefferson Center for Mental Health-Denver
to children/youth.
• Operates within scope of his/her respective license and complies with all regulations regarding his/her respective license.
• Complies with managed care standards regarding regular utilization review of all assigned cases in order to meet...
Jefferson Center for Mental Health-Denver
regarding his/her respective license.
• Complies with managed care standards regarding regular utilization review of all assigned cases in order to meet all licensing requirements for residential treatment of adolescent populations.
• Facilitates transitions...
Supplied Talent-Denver
team, and nursing staff
regarding resident goals and progress
• Educate patients, families, and caregivers on home exercise programs, fall prevention, and
safe mobility techniques
• Participate in care planning meetings, utilization reviews, and MDS...
Ardurra Group, Inc.-Denver
necessary.
• Review vehicle connectivity, mileage, location, utilization, and other fleet data as required.
• Serve as a primary day-to-day contact with the company’s Fleet Management Company.
• Assist with fleet reporting, vehicle inventories, utilization...
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