Utilization Review Jobs in Indiana
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Search Results - Utilization Review Jobs in Indiana
Mishawaka
and making a lasting difference in the lives of our patients, families, and communities every day.
Overview:
Doctors NeuroPsychiatric Hospital and Medical Behavioral Hospital of Mishawaka are seeking a Utilization Review Manager to oversee utilization...
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icims.com -
Innovative Hematology, Inc.-Indianapolis
hematologic disorders, and to their families.
What You Will Do
As the Utilization Review Specialist, you will be responsible for managing prior authorizations, medical necessity reviews, and payer-related requirements for specialty medications. This role...
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workable.com -
Mishawaka
and making a lasting difference in the lives of our patients, families, and communities every day.
Overview:
Medical Behavioral Hospital is looking for a Utilization Review Coordinator to coordinate patients’ services across the continuum of care...
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icims.com -
Rising Medical Solutions-South Bend
home health care, utilization review, or quality assurance
• Familiarity with regional physicians
• CCM, and COHN-S/CM are optional but highly valued
• Ability to drive to appointments within a 2-hour radius
• Active, unencumbered registered nursing license...
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JobAdX-Martinsville (IN)
counseling services, assessments, reassessments, referrals, and follow‐ups in the patient's clinical record
• Maintain an assigned caseload, including case management, utilization review updates, treatment planning, and clinical charting
• Coordinate support...
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Clearly Heard Counseling Services, LLC-Saint Helens (OR)
Responsibilities
• Conduct thorough utilization reviews for insurance purposes, ensuring that all necessary clinical information is submitted to secure initial and ongoing authorizations.
• Maintain open lines of communication with family members, returning calls...
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Guidehealth-Gary (IN)
Job Description
The Utilization Management Registered Nurse is responsible for performing utilization review activities in compliance with federal and state regulations, URAC standards, and Guidehealth policies. This role applies established medical...
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2 similar jobs: Kenosha, Davenport
Anderson Valley Mental Health Center-Orange
monitor and update program documentation including treatment plans and clinical notes to ensure compliance with Utilization Review standards.
• Perform random audits on client documentation to verify adherence to governmental regulations, maintaining both...
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Avenues Recovery-Fort Wayne
environmentFacilitate group occasionally and maintain small client caseloadProvide consistent compliance oversight to ensure impeccable client documentationProvide Utilization Review support to drive authorization and retention throughout treatmentWhat We're Looking...
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Relationship Behavioral Health Services-Fort Lauderdale
in client clinical records with accuracy and timeliness.
• Maintain a varied caseload, actively engaging in case management activities, treatment planning, and utilization review updates as necessary.
• Coordinate resources and support services for clients...
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Encompass Health Rehabilitation Hospital of Chattanooga at Cleveland-Fairmount (IN)
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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Support Wellness Healthcare Services, LLC-Oxnard
such as suicidality or potential harm to self or others.
• Provide additional clinical support to team members as needed, emphasizing a collaborative team dynamic for quality care delivery.
• Collaborate with business and utilization review departments to facilitate...
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Valle Vista Health System-Greenwood (IN)
to communicate results and monitor areas of weakness. Monitors and affects as needed relationship between Business Office, Intake and Utilization Review departments to maximize patient revenue.
• Improves the profitability of the hospital. Continually monitors...
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Child and Adult Empower Mental Clinic Services-Clovis (CA)
professionals, coordinating care and providing additional clinical support during team member absences.
• Collaborate with the Utilization Review and Business Departments to facilitate authorizations and payment processes for services rendered.
Patient...
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Boca Recovery Center-Huntington (IN)
Participate in facility performance improvement and utilization review activities.
• Conduct peer reviews and contribute to the development and evaluation of policies and procedures.
• Assist in developing a network of community resources for post-discharge...
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