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Search Results for ' Medical Claims Review Manager in U.S. National Average, USA '

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Medical Claims Review Manager
Manages the medical claims review... [+] More
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Utilization Review Director
Coordinates and supervises all phases of Utilization Review and Social Services. Plans and directs the operational activities of the Utilization Review and Social Services Departments, assuming responsibilities for quality and productivity of utilization review and discharge planning.

Coordinates, facilitates, and integrates... [+] More
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Utilization Review Manager
Manages the utilization review function to ensure accurate and timely prior authorization of designated healthcare services, concurrent review, and retrospective review activity. Performs regular data analysis of hospital census, authorization information and medical cost reports to identify variances and root... [+] More
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Utilization Review/Quality Assurance Director
Serves as an information coordinator for the hospital-wide quality assurance program. Directs development of monitors, including generic screens, to assess the quality of care provided to patients.

Supports the overall quality assurance reporting system to assure that information is being channeled... [+] More
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Utilization Review Supervisor
Plans, organizes, and supervises, under general direction, the activities of the Utilization Review unit of a hospital. Ensures compliance with reimbursement rules of third-party payers. Performs the more complex utilization review work. Monitors and ensures hospital compliance with Medic-Cal, Medicare,... [+] More
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Utilization Review Coordinator
Analyzes and evaluates patients' medical records, charts, computer printouts, and support documents to ensure criteria for admission to health-care facility, treatment, and length of stay are met, and to ensure cost effective utilization of resources, according to established criteria

Analyzes insurance,... [+] More
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Medical Claims Review Nurse
Resolves, audits, and processes claims for clinically related issues to ensure accuracy of claims payment, supporting the Claims Administration Department. Maintains contact with community hospitals and providers, reviewing, processing, and auditing claims for payment and appropriateness of charges and pursues... [+] More
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Utilization Review/Quality Assurance Coordinator
Coordinates, interprets, and implements quality assurance standards in clinical area or hospital to ensure quality care to patients. Assures that appropriate care is provided to patients. Reviews quality assurance standards, studies existing policies and procedures, and interviews personnel and patients... [+] More
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Banking Loan Review Analyst
Examines and assesses quality of commercial loans, and designates risk rating indicating borrower's financial strength and probability of loan repayment. Picks loans to evaluate for credit risk according to factors, such as geographical location, and type and amount of loan.

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Analyst Loan Review
Examines and assesses quality of commercial loans, and designates risk rating indicating borrower's financial strength and probability of loan repayment. Picks loans to evaluate for credit risk according to factors, such as geographical location, and type and amount of loan.

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