Utilization Review Jobs in Santa Fe
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Search Results - Utilization Review Jobs in Santa Fe
Fltr New Mexico-Santa Fe
clinical experience.
3. Valid driver's license.
4. Preferred case management experience.
5. Experience in business/development preferred.
6. Prior experience in utilization review or discharge planning preferred.
7. Certifications: CCM, LPN or CIRS...
Santa Fe
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 Leave Act (FMLA), Group health and workers’ compensation claims...
icims.com -
Cibola General Hospital-Santa Fe
to community or social service programs. Plan discharge from care facility to home or other care facility. Share responsibilities of Utilization Review/Utilization management tasks
Requirements: Masters degrees in Social Work, Psychology, Mental Health...
tiptopjob.com -
Haven Behavioral Healthcare-Pena Blanca, 24 mi from Santa Fe
UR Coordinator (Utilization Review)
Part-Time: typical business hours.
Approx. hours: 8:30am-12:30pm, Mon, Tues, Thurs, Fri & 12:30pm-4:30pm Wed.
Provide integral services for patients towards their group therapy program!
Haven offers group...
Santa Fe
Knowledge of ICD, CPT, HCPCS codes, ADA codes, length of stay criteria, DRGs, Medicare, and Medicaid program benefits.
• Expertise in managed care concepts, including utilization review, clinical pathways, and discharge planning.
• Strong organizational...
icims.com -
University of New Mexico - Hospitals-Placitas, 38 mi from Santa Fe
This is a Utilization Review position. We review all admissions and continued stay to the hospital for Medical necessity and manage the insurance authorization throughout the stay . Department: Utilization Management - UH FTE: 0.05 Casual Pool...
Santa Fe
Outlook, Word, Excel, PowerPoint, iStar, ITAS).
• Knowledge of ICD, CPT, HCPCS codes, ADA codes, length of stay criteria, DRGs, Medicare, and Medicaid program benefits.
• Expertise in managed care concepts, including utilization review, clinical pathways...
icims.com -
University of New Mexico - Hospitals-Placitas, 38 mi from Santa Fe
This is a Utilization Review position. We review all admissions and continued stay to the hospital for Medical necessity and manage the insurance authorization throughout the stay . Department: Utilization Management - UH FTE: 0.05 Casual Pool...
University of New Mexico - Hospitals-Placitas, 38 mi from Santa Fe
and evaluate short-term and long-term patient responses to interventions in collaboration with quality assurance and utilization review, maintaining interdependent follow-up as necessary
VARIANCE - Review variance from standardized protocols of care...
University of New Mexico - Hospitals-San Felipe Pb, 33 mi from Santa Fe
quality outcomes INTERVENTIONS - Monitor and evaluate short-term and long-term patient responses to interventions in collaboration with quality assurance and utilization review, maintaining interdependent follow-up as necessary VARIANCE - Review variance...
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