Utilization Review Jobs in Dallas
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Search Results - Utilization Review Jobs in Dallas
Dallasicims.com
Responsibilities:
MAJOR DUTIES AND RESPONSIBILITIES:
• Reviews medical files and provides recommendations for utilization review, chart reviews, medical necessity, appropriateness of care and return to work, short and long-term disability, Family and Medical...
Spot Hunting Mexico RecruitmentsDallasworkable.com
Oversee teams of engineers and drafters
Key Responsibilities
• Prepare and follow comprehensive Project Framework Instructions and work plans
• Assign the appropriate staff and ensure proper utilization
• Review project metrics, progress, and budget...
Dallasicims.com
licensed in the Oklahoma, Missouri, Texas, and Kansas.
2. A minimum of two years’ experience in hospice Compliance and previous clinical experience in home health, long-term care, oncology, or geriatric nursing.
3. Utilization Review, Compliance, QI...
Dane Street, LLCDallasworkable.com
strengthening your medical practice with medical necessity and utilization review/management expertise
• Expanded credentials as an expert in Independent Medical Exams and physician advisor services
• No-show fees and late cancellation fees are established...
University HealthDallastiptopjob.com
and Medicaid Services (CMS), Agency for Healthcare Research and Quality (AHRQ), National Committee for Quality Assurance (NCQA) that promotes Healthcare Effectiveness Data and Information Set (HEDIS) metrics, Utilization Review Accreditation Commission (URAC...
Vensure Employer SolutionsDallasprismhr-hire.com
and organizational goals.
Education & Experience
• Minimum of 3-5 years of hospital case management, discharge planning, or utilization review experience required.
• Experience in acute care or ICU case management highly preferred.
• Registered Nurse (RN)...
Dallastiptopjob.com
and utilization review. Accountable for ensuring compliance with contractual as well as applicable federal, state, and regulatory requirements.
Minimum Specifications
Education
• Graduate of an accredited school of nursing required; BSN preferred.
• Master's...
Dane Street, LLCDallasworkable.com
Enhanced industry expertise, strengthening your medical practice with medical necessity and utilization review/management expertise
• Expanded credentials as an expert in Independent Medical Exams and physician advisor services
• No-show fees and late...
Dallastiptopjob.com
Management, Drug Utilization Review
typedisc:
• Systems Integration and Interoperability: SI Platform, FHIR, EDI Interoperability
typedisc:
• Analytics: Enterprise Data Warehouse, Program Insights and Dashboards (NASPO, HEDIS), Benchmarking
typedisc:
• Cost...
Dane Street, LLCDallasworkable.com
Enhanced industry expertise, strengthening your medical practice with medical necessity and utilization review/management expertise
• Expanded credentials as an expert in Independent Medical Exams and physician advisor services
• No-show fees and late...
Dallastiptopjob.com
and procedures. Responsible for the maintaining the knowledge and skill set related to utilization review, care coordination, performance improvement and professional licensure and certification.
Minimum Specifications
Education: Must be a graduate...
Dallastiptopjob.com
to outpatient settings.
• Participates and/or leads all relevant committees (e.g., Quality, Chiefs, Utilization Review, NPC Oversight committees, process Improvement, etc.).
• In collaboration with the UTSW and Parkland service chiefs and medical directors...
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