Jobs: mcg health

Company Description MCG Explore Design is a planning and design firm based in Anchorage, AK, with over 40 years of experience in providing services for responsive and innovative civic, healthcare, and educational facilities. Dedicated to meeting client needs, we strive to create lasting, healthful, and nurturing environments in the communities we serve. Role...

Company Description MCG Explore Design is a planning and design firm based in Anchorage, AK, with over 40 years of experience in providing services for responsive and innovative civic, healthcare, and educational facilities. Dedicated to meeting client needs, we strive to create lasting, healthful, and nurturing environments in the communities we serve. Role...

Job DescriptionPOSITION SUMMARY: Registered Nurse uses approved screening criteria (MCG®/CMS Inpatient List) to determine the medical necessity of a requested hospitalization and the appropriate level of care for that patient. Actively involved in the continued management of patient status/LOC. Provides consultative role as utilization management nurse to...

Ascension has provided thousands of associates and caregivers a rewarding career in healthcare since 1902. We strive to expand access to high-quality, low-cost, person-centered care and services for all. At Alexian Brothers MCG Suburban Lung Assc Naperville, caregivers can find both a jumpstart to their careers and clinical education opportunities. If you...

DescriptionPOSITION SUMMARY:  Registered Nurse uses approved screening criteria (MCG®/CMS Inpatient List) to determine the medical necessity of a requested hospitalization and the appropriate level of care for that patient. Actively involved in the continued management of patient status/LOC. Provides consultative role as utilization management nurse to...

DescriptionPOSITION SUMMARY:  Registered Nurse uses approved screening criteria (MCG®/CMS Inpatient List) to determine the medical necessity of a requested hospitalization and the appropriate level of care for that patient. Actively involved in the continued management of patient status/LOC. Provides consultative role as utilization management nurse to...

Ascension has provided thousands of associates and caregivers a rewarding career in healthcare since 1902. We strive to expand access to high-quality, low-cost, person-centered care and services for all. At Alexian Brothers MCG Suburban Lung Assc Elk Grove Village, caregivers can find both a jumpstart to their careers and clinical education opportunities. If...

DescriptionSummary: Responsible for the management and communication of denials/appeals received from third party payers, managed care companies, and/or government entities/auditors related to medical necessity and/or level of care. This associate will be a liaison and point of contact for clinical denials and appeal inquiries. The Clinical Appeals Nurse...

DescriptionSummary: Responsible for the management and communication of denials/appeals received from third party payers, managed care companies, and/or government entities/auditors related to medical necessity and/or level of care. This associate will be a liaison and point of contact for clinical denials and appeal inquiries. The Clinical Appeals Nurse...

Job DescriptionSummary:Responsible for the management and communication of denials/appeals received from third party payers, managed care companies, and/or government entities/auditors related to medical necessity and/or level of care. This associate will be a liaison and point of contact for clinical denials and appeal inquiries. The Clinical Appeals Nurse...

Job DescriptionYou could be just the right applicant for this job Read all associated information and make sure to apply.Summary:Responsible for the management and communication of denials/appeals received from third party payers, managed care companies, and/or government entities/auditors related to medical necessity and/or level of care. This associate...

Job Summary KNOWLEDGE/SKILLS/ABILITIES Trains staff on configuration functionality, enhancements, and updates. Works with internal and external stakeholders to understand business objectives and processes associated with the enterprise. Problem solves with Health Plans and Corporate to ensure all end-to-end business requirements have been...

Overview: Utilization Management Specialist, Non-RN PRN Hours - Day/Afternoon; Must be willing to work 1-2 days per week and assist in covering vacations during winter/summer break. Remote 75% - Will require working on-site (Downers Grove) on occasion for meetings, trainings, and to assist in rotating schedule. The Utilization Management Specialist is...

Description POSITION SUMMARY: Registered Nurse uses approved screening criteria (MCG/CMS Inpatient List) to determine the medical necessity of a requested hospitalization and the appropriate level of care for that patient. Actively involved in the continued management of patient status/LOC. Provides consultative role as utilization management nurse to...

Company Description Holy Cross Hospital in Fort Lauderdale, Florida is a full-service, non-profit Catholic hospital, sponsored by the Sisters of Mercy and a member of Trinity Health. Job Description*****On-Site Not Remote: Per Diem Open Positions Perform focused Utilization Review applying criteria such as MCG, InterQual's ISD-A, or payer- specific criteria....

Job Details:Job Summary: The Physician Advisor is responsible for developing positive relationships with both employed and affiliated medical staff members in order to fulfill strategic business growth and objectives. This position plays an important role in ensuring physician support and execution of for Utilization Management and Documentation strategies...

Utilization Management Coordinator (RN)Under the general supervision of the Director of Health Services, the position is responsible for appropriately and successfully executing clinical and administrative health plan denials in accordance with regulatory guidelines and plan policies. ESSENTIAL DUTIES AND RESPONSIBILITIES 1. Is responsible for managing all...

Utilization Management Coordinator (RN) Under the general supervision of the Director of Health Services, the position is responsible for appropriately and successfully executing clinical and administrative health plan denials in accordance with regulatory guidelines and plan policies. ESSENTIAL DUTIES AND RESPONSIBILITIES 1. Is responsible for managing...

Utilization Management Coordinator (RN) Under the general supervision of the Director of Health Services, the position is responsible for appropriately and successfully executing clinical and administrative health plan denials in accordance with regulatory guidelines and plan policies. ESSENTIAL DUTIES AND RESPONSIBILITIES 1. Is responsible for managing...

Utilization Management Coordinator (RN)Under the general supervision of the Director of Health Services, the position is responsible for appropriately and successfully executing clinical and administrative health plan denials in accordance with regulatory guidelines and plan policies. ESSENTIAL DUTIES AND RESPONSIBILITIES 1. Is responsible for managing all...