Utilization Manager Jobs in Virginia
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Search Results - Utilization Manager Jobs in Virginia
Mindlance-Norfolk
Responsible for coordinating cases for precertification and prior authorization review. Primary duties may includes, but are not limited: Managing incoming calls or incoming post services claims work. Determines contract and benefit eligibility...
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Norton Community Hospital-Norton (VA)
of performance. Coordinates with the Utilization Management team to manage concurrent denials. Escalates issues such as barriers or delays to Manager/Director to ensure timely resolution. Follows procedure for delivery of second Important Message from Medicare...
Clementine-Manassas (VA)
and utilization management
• Participating in discharge and aftercare planning
• Therapeutic meal support, while modeling a healthy relationship with food
• Provides safe, empathetic, and affirming care for each client and their unique circumstance based...
34 similar jobs: Gainesville, Arlington, Herndon, Catharpin, Sterling...
Petersburg (VA)
of nursing; or, - Master’s degree from an accredited school of Social Work, Mental Health, or Psychology is required or related field.
• RN must have experience in utilization management and proficient with InterQual and MCG.
Licensure/Certification...
icims.com -
Reston Hospital Center-Reston
Screens/Indicators consistently in evaluating medical necessity.
Performs admission and concurrent review for all payers and maintains legible documentation as directed by the Utilization Management Plan.
Educates patients and families to the patient’s...
Roanoke (VA)
Registered Nurse (APRN), Nurse Practitioner, Case Management, Case Manager, Home Healthcare, Clinical Case Management, Hospital Case Management, Occupational Health, Patient Care, Utilization Management, Acute Care, Orthopedics, Rehabilitation, Rehab, CCM...
enlyte.com -
Chantilly
to and from the unit. Acts as the onsite resource for the clinical staff, individuals, family members, or community stakeholders.
• Responsible for ensuring all clinical staff are following Utilization Management and Revenue Cycle Management guidelines...
icims.com -
Clifton (VA)
Include::
• Providing individual, group, and family therapy
• Serving as liaison with families and outpatient providers
• Interact with insurance companies for pre-certification and utilization management
• Participating in discharge and aftercare...
montenidoaffiliates.com -
Alexandria
Registered Nurse (APRN), Nurse Practitioner, Case Management, Case Manager, Home Healthcare, Clinical Case Management, Hospital Case Management, Occupational Health, Patient Care, Utilization Management, Acute Care, Orthopedics, Rehabilitation, Rehab, CCM...
enlyte.com -
Roanoke (VA)
coordination, and delivery of needed services such as education, psychosocial support, discharge planning and utilization management. Supervisory or leadership experience is preferred.
Licensure, certification, and/or registration: Current licensure...
tiptopjob.com -
Christiansburg (VA)
coordination, and delivery of needed services such as education, psychosocial support, discharge planning and utilization management. Supervisory or leadership experience is preferred.
Licensure, certification, and/or registration: Current licensure...
tiptopjob.com -
Roanoke (VA)
coordination, and delivery of needed services such as education, psychosocial support, discharge planning and utilization management. Supervisory or leadership experience is preferred.
Licensure, certification, and/or registration: Current licensure...
tiptopjob.com -
Roanoke (VA)
health care setting with responsibilities reflecting direct management of patient care including planning, coordination, and delivery of needed services such as education, psychosocial support, discharge planning and utilization management.
Supervisory...
tiptopjob.com -
Roanoke (VA)
in a rehab environment with responsibilities reflecting direct management of patient care including planning, coordination, and delivery of needed services such as education, psychosocial support, discharge planning and utilization management.
Supervisory...
tiptopjob.com -
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