Utilization Review Manager - Home Care jobs in North Dakota

Utilization Review Manager - Home Care ensures quality and level of care for patients are up to established standards and comply with federal, state, and local regulations. Investigates and resolves reports of inappropriate care. Being a Utilization Review Manager - Home Care may require a bachelor's degree. Typically reports to a head of a unit/department. To be a Utilization Review Manager - Home Care typically requires 4 to 7 years of related experience. Contributes to moderately complex aspects of a project. Work is generally independent and collaborative in nature. (Copyright 2024 Salary.com)

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Utilization Review Coordinator
  • West River Health Services
  • Hettinger, ND FULL_TIME
  • Description: Under the direct supervision of the HIM manager, the UR specialist monitors the utilization of resources, risk management, and quality of care for patients by established guidelines and criteria for designated settings and status. Collection of clinical information necessary to initiate commercial payer authorization. Obtain and maintain appropriate documentation concerning services by reimbursement agency guidelines.

    Education: Appropriate education level required by licensure.

    Experience: Three years of relevant experience with superior communication and interpersonal skills. Minimum one-year healthcare or clinical experience required.

    License Requirements: Licensed Practical Nurse (LPN) license with the State Nursing Board and/or possess multistate licensure privileges, or a Registered Health Information Technician (RHIT) required. Additional coding certifications are also acceptable such as certified coding specialist (CCS), certified coding specialist physician (CCS-P), certified professional coder (CPC), and certified professional coder–hospital (CPC-H).

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  • 4 Days Ago

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QA Utilization Management Review Lead
  • Provider Resources, Inc.
  • Grand Forks, ND FULL_TIME
  • Position Description: QA Utilization Management Review Lead Reporting to the Project Manager/IQIP Manager, the QA Utilization Management Review Lead provides day-to-day supervision of the QA Utilizati...
  • 4 Days Ago

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Home Care Case Manager NEEDED For Home Care Agency In Fargo, ND
  • Care Planning Institute, Inc
  • Fargo, ND FULL_TIME
  • We are a home care agency that has been in business since 2007 and rapidly growing in 15 states. We provide assistance with activities of daily living for the elderly (i.e. Help with bathing, dressing...
  • 2 Days Ago

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Home Manager
  • BUPA Care Homes (CFHCare) Ltd
  • Wimbledon, ND FULL_TIME
  • Job Description: Home Manager Heathland Court Care Home, Wimbledon SW19 5NJ Permanent Full Time – 40 hours per week Up to £78k including a 30% Bonus & private healthcare Do you want to work in a rewar...
  • 7 Days Ago

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Club Manager
  • ComForCare Home Care (Raleigh, NC)
  • Bismarck, ND FULL_TIME
  • Job SummaryThe Club Manager will be responsible for the oversight of gym operations to ensure an exceptional “Judgement Free” member experience as well as a financially successful club. The Club Manag...
  • 4 Days Ago

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Assistant Manager
  • ComForCare Home Care (Raleigh, NC)
  • Fargo, ND FULL_TIME
  • Job SummaryThe Assistant Manager will be responsible for assisting in the oversight of gym operations to ensure an exceptional “Judgement Free” member experience as well as a financially successful cl...
  • 13 Days Ago

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Environmental and Utilities Manager
  • Leprino Foods
  • Lubbock, TX
  • For our future state-of-the art 600+ person Lubbock, TX cheese and whey manufacturing facility, Leprino is seeking an En...
  • 6/11/2024 12:00:00 AM

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Gas Utilities Manager
  • Accenture
  • Austin, TX
  • We Are: Our Utility Industry, Transmission & Distribution Practice is powering the progress to a safe, connected, and su...
  • 6/10/2024 12:00:00 AM

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Director Utilization Management
  • Heritage Valley Health System, Inc.
  • Beaver, PA
  • Department: Utilization Review. Work Hours: Primarily Monday through Friday, extended hours as needed to support organiz...
  • 6/9/2024 12:00:00 AM

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Supervisor, Utilization Management
  • Centene Corporation
  • Tallahassee, FL
  • You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Managem...
  • 6/9/2024 12:00:00 AM

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Utilization Management Specialist
  • Blue Cross and Blue Shield Association
  • Meridian, ID
  • Our Utilization Management Rep will coordinate and manage incoming and outgoing correspondence to include referrals, pri...
  • 6/9/2024 12:00:00 AM

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Director of Utilization Management
  • Oceans Healthcare
  • Jackson, MS
  • Description The Director Utilization Management is responsible for oversight and management of all utilization review/ca...
  • 6/8/2024 12:00:00 AM

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Manager, Utilization Management
  • Hiring Now!
  • New York, NY
  • Creates and upholds policies and procedures for coverage determinations. Serves as subject matter expert for Medicare co...
  • 6/8/2024 12:00:00 AM

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Director Utilization Management
  • Heritage Valley Health System
  • Beaver, PA
  • Department: Utilization Review Work Hours: Primarily Monday through Friday, extended hours as needed to support organiza...
  • 6/7/2024 12:00:00 AM

North Dakota is a Midwestern state of the United States. It borders Canada and lies at the center of the North American continent. The geographic center of North America is near the town of Rugby. Bismarck is the capital of North Dakota, and Fargo is the largest city. Soil is North Dakota's most precious resource. It is the base of the state's great agricultural wealth. But North Dakota also has enormous mineral resources. These mineral resources include billions of tons of lignite coal. In addition, North Dakota has large oil reserves. Petroleum was discovered in the state in 1951 and quickly...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Review Manager - Home Care jobs
$75,816 to $96,654