- Locations: Texas, Arizona, Washington, Pennsylvania, New York
- Physician Advisor
- Clara Maass Medical Center (Belleville, NJ)
- ...- Primary Care Preferred. National certification in Quality and Utilization preferred.Knowledgeable in M&R standards and InterQual Standards, including required InterQual training within the first 30 days of hire date and annually thereafter.Experience: Mid-CareerEducation:...
- Director, Compliance Officer
- McKesson Provider Technologies (Broomfield, CO)
- ...the cost and quality of care. Its CareEnhanceSM and InterQual solutions include: disease management, nurse triage, care management, utilization...Owns all business specific compliance policies and guidelines and training requirements ¿ Owns all processes related to complaints and...
- Physician Advisor
- Clara Maass Medical Center (Belleville, NJ)
- ...- Primary Care Preferred. National certification in Quality and Utilization preferred.Knowledgeable in M&R standards and InterQual Standards, including required InterQual training within the first 30 days of hire date and annually thereafter.Experience: Mid-CareerEducation:...
- Social Worker - MSW
- Arrowhead Hospital (Glendale, AZ)
- ...Plans, organizes and implements social work services for patients and families. State of Arizona licensed social worker or licensed professional counselor. Must have at least 2 years experience in medical social work. Basic computer training , InterQual training required. *hj
- Social Worker - MSW
- Abrazo Health Systems (Glendale, AZ)
- ...Plans, organizes and implements social work services for patients and families. State of Arizona licensed social worker or licensed professional counselor. Must have at least 2 years experience in medical social work. Basic computer training , InterQual training required. *hj
- Social Worker
- Memorial Medical Center (Springfield, IL)
- ...and mentoring skills; Good decision-making, critical thinking and physician relations expertise required; Knowledge of insurance requirements and Utilization Review criteria; Milliman and InterQual training exposure, preferred; Knowledge of Microsoft Word, Excel, Powerpoint, preferred.
- Programmer/Systems Analyst III - Clinical Data Support - IS - Dallas Campus - 8A-5P
- Baylor Health Care System (Dallas, TX)
- The Programmer/Systems Analyst III assists in the design, implementation, training , and maintenance of the MIDAS+, Interqual , Crimson, and Med Mined applications. Analyzes, documents, and designs work and data flows. Provides technical support and training to end-users. Acts as a...
- Programmer/Systems Analyst III - Clinical Data Support - IS
- Baylor Health (TX)
- The Programmer/Systems Analyst III assists in the design, implementation, training , and maintenance of the MIDAS+, Interqual , Crimson, and Med Mined applications. Analyzes, documents, and designs work and data flows. Provides technical support and training to end-users. Acts as a...
- RN - Case Manager-Admissions
- Tenet Health (Philadelphia, PA)
- ...performing the following functions: § Conducts admission reviews using InterQual criteria when at all possible before admission, but at...affiliation required. Bachelors degree in a Nursing or equivalent training and proven experience with applied practice in an appropriate...
- RN - Case Manager-Admissions
- Tenet Healthcare Corporation (Philadelphia, PA)
- ...performing the following functions: . Conducts admission reviews using InterQual criteria when at all possible before admission, but at...affiliation required. Bachelors degree in a Nursing or equivalent training and proven experience with applied practice in an appropriate...
- Clinical Outcomes Training Specialist
- Universal American Corporation (Houston, TX)
- Clinical Outcomes Training Specialist Tracking Code 304317-763 Job Description Universal American Medical Management department is...formal training courses for all Lines of Business, CareAdvance, InterQual , Encoder Pro, and department workflows in the CM/UM Department for newly...
- Care Management Inpatient Review Nurse
- Health Plan of Michigan (Detroit, MI)
- ...benefit interpretation including the correct and consistent application of the InterQual criteria on the appropriate topics, consistent application of procedural practices established by HPM. . Supply ongoing training and education to the staff through one-on-one and classroom settings...
- Assistant Medical Director
- Premera (Mountlake Terrace, WA)
- ...decision making among Premera Medical Directors. 10. Fulfills all professional continuing education requirements and participates in other on-going education/ training as appropriate. 11. Responds in a professional and business-like manner to any and all requests for professional advice...
- Applications Manager (Healthcare/PL)
- BurnsSearch, LLC (Plano, TX)
- ...Management/Utilization Review, Quality Management, Risk Management and Infection Control. Required health care experience with Midas, Datavision, Crimson, Interqual and State Reporting, Crystal Enterprise/Reports. Managing MIDAS Patient Accounting and MIDAS Credentialing systems as well as...