level of care, utilization of services, concurrent review, retrospective review, development of discharge plans, assurance... of America's workforce, one patient at a time. Join us at Concentra and see how your clinical competency and compassion can make...
effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the... seamless delivery of care. The methodology is designed to facilitate and insure the achievement of quality, clinical and cost...
. Conducts continued stay review as indicated based on clinical condition and third party payor requirements. Collaboratively... assessment, monitoring of the plan of care, review activities, coordination with the interdisciplinary team and any outside third...
patient discharge. Conducts concurrent review of patient records on admission to the hospital and as determined by the... in utilization review process by contacting patients? insurance companies to provide clinical information to authorize patient...
weight objects. Concurrent Clinical Management Coordinates care with the multi-disciplinary team to facilitate... and integration of quality measures/evidence into clinical practice. Utilization Review: Performs an initial comprehensive...
and insurance reimbursement issues. Department Position Summary: Responsible for initial and concurrent review of the patient...: Required: Graduate from an accredited school of Nursing. Preferred: Experience: Required: Broad clinical experience...
diagnosis and to assign a working DRG. Completes the initial review within 24 hours of admission. Completes concurrent... Licensure: Registered Nurse as applicable. Certifications: RHIA, RHIT, CCS, Certified Clinical Documentation Specialist (CCDS...
& Delivery Department. Under the supervision of the Clinical Director of Maternal Child Health, this position oversees the day..., review, and evaluate the work of assigned nursing, and support staff: prepare and/or reviews work performance evaluations...
care, communicating with health plans (including concurrent review, which assists the hospitalist/specialist and case... practice hospital medicine) and the Clinical Integration (C.I.) Community physicians, the program is designed to assist...
, refers to nurse practitioner and case manager assigned to the SNF's for continued review and follow up. Authorizes... until they are discharged from the hospital by assessing their needs, coordinating care, communicating with health plans, including concurrent...
requirements. · Communicate revised plans and changes to Facility management to maintain awareness. · Coordinate concurrent... review studies performed within the quality assurance program and prepare resulting reports, as required. · Establish...
Description The Utilization Review/Management (UR/UM) Nurse position will work in in our UR/UM department. An overview of the work... requests for medical services to ensure they meet guidelines before treatment is provided. Concurrent Review: Evaluate...
management or care coordination services. Performs concurrent review of patient treatment plans in accordance with the hospital... with primary, specialty and urgent care services, a cancer care network, outpatient surgery centers, clinical research, medical...
ability to review the medical record to identify information not yet documented but supported by clinical indicators...General Statement of Duties: Run and review reports through several sources and utilizing information to: Analyze...
, safety, and physician peer review activities for the hospital and outpatient departments. The CQO must: Drive quality... Develop a process to review and implement best practice to reduce variances and improve quality: Implement a comprehensive...
about making a meaningful impact in both clinical and behavioral health? Our department stands out for its innovative, patient... and some holidays. General Summary Under general supervision, provides utilization review and denials management for an assigned...
. Job Responsibilities: Data Abstraction - 45% - Completes concurrent and retrospective data abstraction on burn registry cases... and correcting as needed using routine inter-rater reliability (IRR) review, report running, and data drilldowns. - Identifies data...
about making a meaningful impact in both clinical and behavioral health? Our department stands out for its innovative, patient... and some holidays. General Summary Under general supervision, provides utilization review and denials management for an assigned...
effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the... seamless delivery of care. The methodology is designed to facilitate and insure the achievement of quality, clinical and cost...
family medicine and transitional year. Job Summary Provides thorough concurrent review of medical record clinical... needed documentation. Able to conduct thorough medical record review on initial and extended-stay concurrent reviews on all selected...