Utilization Review Jobs in North Dakota
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Search Results - Utilization Review Jobs in North Dakota
West River Health Services-Hettinger
extensions in length of stays from insurance companies if needed.
• Obtains preauthorization and/or precertification of services.
• Reviews hospital records daily to determine if utilization resources could be served in a better environment, OBS vs INPT...
Gainwell-Bismarck
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...
Altru Rehabilitation Hospital-Caledonia (ND)
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...
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...
Altru Rehabilitation Hospital-Emerado
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...
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...
Altru Rehabilitation Hospital-Saint Thomas (ND)
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...
UnitedHealth Group-Bismarck
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...
Intermountain Health-Washburn (ND)
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...
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...
Intermountain Health-Watford City
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...
Altru Rehabilitation Hospital-Forest River
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...
Intermountain Health-Wing (ND)
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...
Altru Rehabilitation Hospital-Portland (ND)
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...
Intermountain Health-Ross (ND)
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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