Utilization Review Jobs in Las Vegas
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Search Results - Utilization Review Jobs in Las Vegas
LivantaLLC-Las Vegas
beneficiaries’ lives all over the United States.
Primary Duties:
Performs desktop medical review. Interprets and applies coverage and payment policies, standards of care, and/or utilization review criteria, as applicable to specific position. Communicates...
mindmatch.ai -
The Valley Health System-Las Vegas
Management or Social Service/Discharge Planning.
License/Certification:
Bachelors degree in Social worker or additional certifications in Utilization Review, Utilization Management or Case Management if graduate of a Practical Nurse Program.
Other:
Must...
Las Vegas
and continually evaluates the impact of implementation. Incorporates applicable utilization review tasks to ensure patients receive the appropriate level of care with the right care, at the right time, in the right place, with the right provider, at the right cost...
icims.com -
The Valley Health System-Las Vegas
years experience in varied clinical settings. Two years experience in Utilization Review, Utilization Management or Case Management preferred. Applicant must have knowledge of social and physical factors that affect functional status at discharge...
Las Vegas
principles, ethics and standards of practice of professional nursing; the Case Management Society of America (CMSA); American Accreditation Healthcare Commission/Utilization Review Accreditation Commission (URAC); CAMH; (AAAHC); Health Services Inspection...
icims.com -
The Valley Health System-Las Vegas
years experience in Utilization Review, Utilization Management or Case Management preferred. Applicant must have knowledge of social and physical factors that affect functional status at discharge, and knowledge of community resources to meet post...
SlateRx-Las Vegas
Communicate with PA technicians and/or physicians regarding use of medications and advise of appropriate formulary alternatives when appropriate.
• Utilize multiple systems and other clinical resources to make proper decisions in utilization reviews.
• Act...
trinethire.com -
The Valley Health System-Las Vegas
years experience in Utilization Review, Utilization Management or Case Management preferred. Applicant must have knowledge of social and physical factors that affect functional status at discharge, and knowledge of community resources to meet post...
The Valley Health System-Las Vegas
experience in varied clinical settings. Two years experience in Utilization Review, Utilization Management or Case Management preferred. Applicant must have knowledge of social and physical factors that affect functional status at discharge, and knowledge...
Dane Street, LLC-Las Vegas
and utilization review/management expertise
• Expanded credentials as an expert in Independent Medical Exams and physician advisor services
• Streamlined case flow and user-friendly work portal
Dane Street supports all referral processes, scheduling, preps cases...
appcast.io -
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