Sharp Health Plan Utilization Management
Listing Websites about Sharp Health Plan Utilization Management
Utilization management - Sharp Health Plan of San Diego
(8 days ago) WebUse the contact information below to get details about utilization management for Sharp Health Plan commercial members. For mental health and substance use disorder …
https://www.sharphealthplan.com/for-providers/utilization-management
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Provider operations manuals - Sharp Health Plan
(2 days ago) WebView our Provider Operations Manual for Sharp Direct Advantage (Medicare) members to learn about coverage, services and offerings that are unique to Sharp Health Plan. …
https://www.sharphealthplan.com/for-providers/provider-operations-manual
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Contact us - Phone numbers, email, mailing address
(2 days ago) [email protected] Provider directories: [email protected] Behavioral health: Provider services (General inquiries): 1-800-788-4005 Claims and Authorizations: 1-866-512-6190 Sign up for the Magellan Health …
https://www.sharphealthplan.com/contact-us
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Sharp Health Plan Policy & Procedure
(Just Now) WebSharp Health Plan Policy & Procedure . Page 1 of 9 . Policy # HS_CP_T2 -MA utilization of additional telehealth services or in-person services, including …
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Sharp Health Plan Final Report - California Department of …
(4 days ago) Webservices (utilization management), peer review mechanisms, internal procedures for assuring quality of care, and the overall performance of the Plan in providing health care …
https://www.dmhc.ca.gov/desktopmodules/dmhc/medsurveys/surveys/310_r_full%20service_021016.pdf
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2023 CalPERS Important Plan Information - Sharp Health Plan
(8 days ago) WebSharp Health Plan staf are available seven days a week, 7 a.m. to 8 p.m., to answer questions regarding utilization management. Call 1-855-995-5004. Sharp Health Plan …
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Member handbooks - Sharp Health Plan
(7 days ago) WebUtilization management; Prior authorization Prior authorization; Medical prior authorization; Pharmacy prior authorization; Behavioral health prior authorization; Prescriptions and …
https://www.sharphealthplan.com/members/your-coverage-documents/member-handbooks/member-handbooks
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Sharp Performance Plus Basic Plan
(3 days ago) WebSharp Health Plan will not infringe on your choice of contraceptive drug, device, or product and will not impose any restrictions or delays on Family Planning Services such as prior …
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Sharp Rees-Stealy’s Surgical Care Program Sharp HealthCare
(2 days ago) WebWith surgery on the horizon, Alpert, immediate past chair of the Sharp HealthCare Board of Directors, would soon discover a key benefit to being a Medicare …
https://www.sharp.com/health-news/helping-medicare-patients-navigate-surgical-care
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Care Management Programs at Sharp Rees-Stealy - Sharp …
(8 days ago) WebTo learn more about our care management program, including care management services, staff qualifications and contractual relationships, call 619-446-1571 or send us an email. …
https://www.sharp.com/medical-groups/sharp-rees-stealy/care-management-program
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Find a San Diego Doctor Sharp HealthCare
(9 days ago) WebSharp HealthCare has many affiliated San Diego doctors to choose from. Find a doctor near you by using our Find a Doctor tool or calling 1-800-82-SHARP. Get the new Sharp …
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Utilization Manager UM II - Transfer and Admissions - Utilization
(6 days ago) WebMaintain confidentiality of all patient and Utilization Management information. Participate in ICM Care Conferences as requested. Work collaboratively with …
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Case Manager (LVN) - Utilization Mgmt - Sharp System Services
(Just Now) WebKnowledge of medical terminology, healthcare finances, alternative care options, utilization management, health plan criteria, established criteria such as MCG …
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Utilization management - Sharp Health Plan
(1 days ago) WebSharp Health Plan’s utilization management guidelines are designed to help you and your patients. Use the contact information below to get details about utilization management …
https://www.sharphealthplan.com/for-providers/utilization-management/utilization-management
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You Make Us Grow. You Make Us Sharp. - careers.sharp.com
(7 days ago) WebLearn more about Education Specialist-Social Work- Sys ICM/Utilization Mgmt Srvc/FT Days job at Sharp HealthCare in San Diego and apply today. Responsible for …
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Horizon NJ Health QUICK REFERENCE GUIDE
(7 days ago) WebCall Utilization Management (UM) Department at 1-800-682-9094 a minimum of five business days prior to the procedure. Failure to notify UM within a minimum of five …
https://www.horizonnjhealth.com/sites/default/files/Quick_Reference_Guide.pdf
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Collin Teguh Sharp HealthCare
(2 days ago) WebTo confirm coverage for specific treatments and procedures, contact your physician or health plan. NPI. 1639148828. Patient Portal. Connect with Collin Teguh, DO, via the …
https://www.sharp.com/doctors/collin-teguh
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MEDICAL NECESSITY DETERMINATION REQUEST COVER …
(3 days ago) Webplan central page, mouse over <Referrals & Authorization and click Utilization Management Request. An authorization determines the medical necessity of services …
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