Utilization Review Jobs in Fargo
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Search Results - Utilization Review Jobs in Fargo
Gainwell-Fargo-
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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Intermountain Health-Fargo-
patient access, patient experience and all aspects of the Intermountain Operating Model. Participates in utilization review audits.
• Meetings : Participates in patient care conferences, interdisciplinary meetings, staff meetings, and necessary...
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UnitedHealth Group-Fargo-
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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Altru Rehabilitation Hospital-Perley, 21 mi from Fargo-
documentation to post discharge providers/physicians.
• 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...
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UnitedHealth Group-Fargo-
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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Altru Rehabilitation Hospital-Gardner (ND), 20 mi from Fargo-
documentation to post discharge providers/physicians.
• 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...
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Cummins-Fargo-
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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Altru Rehabilitation Hospital-Hendrum, 27 mi from Fargo-
documentation to post discharge providers/physicians.
• 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...
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Altru Rehabilitation Hospital-Blanchard (ND), 38 mi from Fargo-
documentation to post discharge providers/physicians.
• 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...
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Altru Rehabilitation Hospital-Caledonia (ND), 41 mi from Fargo-
documentation to post discharge providers/physicians.
• 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...
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