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Clinic Nurse LPN - General Internal Medicine $5,000 Joining Incentive!

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Social Worker (Program Coordinator) HOMELESS GRANT & PER DIEM (GPD) LIAISON

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Director Care Management WellMed Healthcare San Antonio TX

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Salem, Virginia

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Utilization Management Specialist

Description Utilization Management Specialist JOB SUMMARY: Facilitates optimal reimbursement through accurate certification and complete chart documentation ensuring that the appropriate admission status is ordered. Conducts initial admission based on utilization review medical necessity criteria. Refers cases for secondary review when appropriate. Refers and consult with the multidisciplinary team to promote appropriate communication in the absence of definitive documentation and/or review criteria to support hospital stay. KEY RESPONSIBILITIES: Facilitates optimal reimbursement through certification and denial processes. Facilitates throughput of patients admitted

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Case Management Society of America
5034A Thoroughbred Lane
Brentwood, TN 37027

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