: 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...
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...
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...
: 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 a minimum of 4 years of clinical experience and/or utilization review experience. Current active, valid..., consistent administration of plan benefits by reviewing clinical information and assessing medical necessity under relevant...
. Meet monthly with Clinical Partner. Serve as primary HR contact for concurrent student/employee issues. Ensure timely... follow clinical policies and document student outcomes on time. Review learning materials & contribute updates at curriculum...
: Conducts the initial concurrent review process for all selected admissions. Clarifies documentation in the medical record...Overview: Performs inpatient chart review to determine appropriate DRG assignment and assures appropriate documentation...
: Associate's Degree: Related Field, Work Experience: Clinical bedside; CDI Responsibilities Conducts the initial concurrent...Job Description: Overview Performs inpatient chart review to determine appropriate DRG assignment and assures...
decisions. By serving as the link between patients and the appropriate health care personnel, the Clinical Review Coordinator... using clinical skills and utilizing CMS criteria upon admission to SNF and periodically through the patient stays Review...
decisions. By serving as the link between patients and the appropriate health care personnel, the Clinical Review Coordinator... using clinical skills and utilizing CMS criteria upon admission to SNF and periodically through the patient stays Review...
both clinical and operational success, this is the opportunity to make a lasting impact. Qualifications: Registered Nurse... Management/CDI, you’ll lead efforts to connect clinical excellence with financial strength. In this role, you’ll oversee...
informed decisions. By serving as the link between patients and the appropriate health care personnel, the Clinical Review... in. Required Qualifications: Active, unrestricted registered clinical license required in state of hire - Registered Nurse, Physical Therapist...
informed decisions. By serving as the link between patients and the appropriate health care personnel, the Clinical Review... in. Required Qualifications: Active, unrestricted registered clinical license required in state of hire - Registered Nurse, Physical Therapist...
and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service and severity... is designed to facilitate and insure the achievement of quality, clinical and cost effective outcomes and to perform a holistic...
Review Committee), including performing and updating on medical/clinical case studies. Explores opportunities and makes...Job Category: Executive Leadership, Nursing - Registered Nurse Work Shift/Schedule: 8 Hr Morning - Afternoon...
decisions. By serving as the link between patients and the appropriate health care personnel, the Clinical Review Coordinator... using clinical skills and utilizing CMS criteria upon admission to SNF and periodically through the patient stays Review...
areas. This position requires the ability to combine clinical/quality considerations with regulatory/financial/utilization... review demands to assure patients are receiving care in the appropriate setting and level of care. The position creates...
and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service and severity... Valley Hospital is in the top 5% of more than 4,500 hospitals nationwide for clinical performance. The hospital has achieved...
decisions. By serving as the link between patients and the appropriate health care personnel, the Clinical Review Coordinator... using clinical skills and utilizing CMS criteria upon admission to SNF and periodically through the patient stays Review...
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...