Partner and Dean of Workforce Development to review clinical operations; Is the primary contact for partner Human Resources... for concurrent student/employee disciplinary concerns that may affect program standing; Participates with the assigned clinical...
Partner and Dean of Workforce Development to review clinical operations; Is the primary contact for partner Human Resources... for concurrent student/employee disciplinary concerns that may affect program standing; Participates with the assigned clinical...
Partner and Dean of Workforce Development to review clinical operations; Is the primary contact for partner Human Resources... for concurrent student/employee disciplinary concerns that may affect program standing; Participates with the assigned clinical...
and facilitates discharge planning on admission and concurrent basis. WHO WE ARE With 12 ministries and access points... planning and mandated reporting. Review admissions, level of care, continued stay utilizing nationally recognized criteria...
in. Required Qualifications: Active, unrestricted registered clinical license required in state of hire - Registered Nurse, Physical Therapist... and facilitate informed decisions. By serving as the link between patients and the appropriate health care personnel, the Clinical...
: Requires H.S. diploma or equivalent. Requires a minimum of 2 years of clinical experience and/or utilization review... by reviewing clinical information and assessing medical necessity under relevant guidelines and/or medical policies. Location...
perspective on workplace flexibility. Position Purpose: Supervises Prior Authorization, Concurrent Review, and/or Retrospective... Review Clinical Review team to ensure appropriate care to members. Supervises day-to-day activities of utilization management...
Partner and Dean of Workforce Development to review clinical operations; Is the primary contact for partner Human Resources... for concurrent student/employee disciplinary concerns that may affect program standing; Participates with the assigned clinical...
planning Experience in utilization review, concurrent review or risk management Telephonic nursing experience Background..., you will be responsible for clinical operations and medical management activities across the continuum of care from assessing and planning...
Partner and Dean of Workforce Development to review clinical operations; Is the primary contact for partner Human Resources... for concurrent student/employee disciplinary concerns that may affect program standing; Participates with the assigned clinical...
Partner and Dean of Workforce Development to review clinical operations; Is the primary contact for partner Human Resources... for concurrent student/employee disciplinary concerns that may affect program standing; Participates with the assigned clinical...
for completing, tracking, and reporting clinical denial review determinations. This individual will combine clinical, business..., and regulatory knowledge and skill to reduce financial risk and exposure caused by concurrent and retrospective denials. The Clinical...
planning Experience in utilization review, concurrent review or risk management Telephonic nursing experience Background..., you will be responsible for clinical operations and medical management activities across the continuum of care from assessing and planning...
, concurrent, retrospective, out-of-network, and/or appropriateness of treatment setting reviews by assessing clinical information..., and a minimum of 2 years of clinical experience and/or utilization review experience. Current active, valid and unrestricted LPN...
for completing, tracking, and reporting clinical denial review determinations. This individual will combine clinical, business..., and regulatory knowledge and skill to reduce financial risk and exposure caused by concurrent and retrospective denials. The Clinical...
outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical... delivery of care. The methodology is designed to facilitate and insure the achievement of quality, clinical and cost effective...
informed decisions. By serving as the link between patients and the appropriate health care personnel, the Clinical Review... Review target outcomes, and discharge plans with providers and families Complete all SNF concurrent reviews, updating...
to requests for services which includes a clinical record review and interviews with members, clinical staff, medical providers... services. Manages providers, members, team, or care manager generated requests for medical services and renders clinical...
informed decisions. By serving as the link between patients and the appropriate health care personnel, the Clinical Review... Review target outcomes, and discharge plans with providers and families Complete all SNF concurrent reviews, updating...
informed decisions. By serving as the link between patients and the appropriate health care personnel, the Clinical Review... Review target outcomes, and discharge plans with providers and families Complete all SNF concurrent reviews, updating...