on Voice of the Customer (VOC) service needs and expectations. Review care of patients (concurrent and retrospective) to assess...Description A Brief Overview The Senior Improvement Nurse serves as a strategic partner, responsible...
related to requests for services which includes a clinical record review and interviews with members, clinical staff, medical... services. Manages providers, members, team, or care manager generated requests for medical services and renders clinical...
related to requests for services which includes a clinical record review and interviews with members, clinical staff, medical... services. Manages providers, members, team, or care manager generated requests for medical services and renders clinical...
related to requests for services which includes a clinical record review and interviews with members, clinical staff, medical... services. Manages providers, members, team, or care manager generated requests for medical services and renders clinical...
Nursing. Upon hire: Oregon Registered Nurse License 5 years Clinical experience. 5 years Hospital experience... concurrent and retrospective support managing initiatives to comply and in accordance with Center for Medicare and Medicaid...
Nursing. Upon hire: Oregon Registered Nurse License 5 years Clinical experience. 5 years Hospital experience... concurrent and retrospective support managing initiatives to comply and in accordance with Center for Medicare and Medicaid...
Nursing. Upon hire: Oregon Registered Nurse License 5 years Clinical experience. 5 years Hospital experience... concurrent and retrospective support managing initiatives to comply and in accordance with Center for Medicare and Medicaid...
Nursing. Upon hire: Oregon Registered Nurse License 5 years Clinical experience. 5 years Hospital experience... concurrent and retrospective support managing initiatives to comply and in accordance with Center for Medicare and Medicaid...
for medical necessity review when medical information provided does not support the nurse review process for giving approval... Review) Submits appropriate documentation/clinical information in enterprise platform systems, record keeping...
for appropriateness of setting, utilization, care planning quality, and facilitates discharge planning on admission and concurrent basis... to discharge planning and mandated reporting. Review admissions, level of care, and continued stay while utilizing nationally...
to access and interpret clinical information against the designated review criteria to reach status determinations. Has the... necessity guidelines to complete utilization review procedures-prospective and concurrent- review to determine medical necessity...
outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical... clinical experience in an acute care setting within the last 5 years. 2. Current licensure as a Registered Nurse in the State...
, and some lifting of light weight objects. Concurrent Clinical Management Coordinates care with the multi-disciplinary team... development and integration of quality measures/evidence into clinical practice. Utilization Review: Performs an initial...
Job Description: Overview Responsible for concurrent and retrospective review of medical record documentation... be required at acute clinical care facilities. Department Description Serving the community since 1961, WakeMed Health & Hospitals...
with chemotherapy/immunotherapy treatment plans and scheduling guidelines, imaging, interventional radiology, concurrent chemotherapy... for providers, nurse practitioners, oncology nurse navigators, infusion nurses, and research nurses; managing schedules...
Overview: Responsible for concurrent and retrospective review of medical record documentation to collect quality data..., are essential. Onsite presence is an expectation as determined by manager. Location presence may be required at acute clinical care...
Nurse License-NYS Preferred Qualifications: Bachelor's Degree Nursing. New York State Department of Health Patient Review... reviews. Job Responsibilities: Performs other duties as assigned Performs an initial utilization review of patients...
related to requests for services which includes a clinical record review and interviews with members, clinical staff, medical... services. Manages providers, members, team, or care manager generated requests for medical services and renders clinical...
Position Purpose A clinical position that works within a collaborative process to assess, plan, implement, coordinate... appropriate utilization of care and services, and cost effective outcomes. The Case Manager is responsible for the review of the...
in discharge. Documents all Avoidable Days in CANOPY system. Performs clinical review on admission and/or continued stay using.... The Care Manager (CM) coordinates the clinical and financial plan for patients. Performs overall utilization management...