Utilization Review Jobs in San Diego
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Search Results - Utilization Review Jobs in San Diego
HealthCare Talent.San Diego
of patients.Actively participates in Quality Assurance activities of the Division with regard to treatment Utilization Review, medication monitoring, peer review, procedures and processes.Completes all required documentation in a timely fashion including...
Provider HealthcareSan Diego
Utilization Review, medication monitoring, peer review, procedures and processes.
• Completes all required documentation in a timely fashion including: the preparation of reports and written documentation, notes and medical records, all other forms...
eviCore healthcareSan Diego
Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States.Reviews appeals for denied services related...
San Diegoicims.com
containment background, such as utilization review or managed care also useful.
• One to two plus years of recent clinical experience and/or one to two years of recent managed care experience.
• Achieves recognized certification in case management within...
eviCore healthcareSan Diego
Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States.Reviews appeals for denied services related...
San Diegotiptopjob.com
knowledge of nursing principles and practices, hospital operations, medical supplies, and their clinical applications.
• Proficiency with Microsoft Office applications, including Word, Excel, Outlook, and PowerPoint.
• Utilization Review experience is a plus...
eviCore healthcareSan Diego
Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States.Reviews appeals for denied services related...
San Diegoacentra.com
obligations.
• Skilled in conducting utilization reviews and patient chart reviews with accuracy and timeliness.
• Strong clinical assessment, analytical, and critical-thinking skills with the ability to apply evidence-based criteria.
• Excellent written...
eviCore healthcareSan Diego
Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States.Reviews appeals for denied services related...
eviCore healthcareSan Diego
Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States.Reviews appeals for denied services related...
eviCore healthcareSan Diego
Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States.Reviews appeals for denied services related...
eviCore healthcareSan Diego
Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States.Reviews appeals for denied services related...
eviCore healthcareSan Diego
Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States.Reviews appeals for denied services related...
eviCore healthcareSan Diego
Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States.Reviews appeals for denied services related...
eviCore healthcareSan Diego
Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States.Reviews appeals for denied services related...
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