patient population; b. Provides the clinical information requested by the managed care companies as part of the concurrent... review in a timely fashion. c. Provides clinical information requested by the managed care companies in accordance...
by the managed care companies as part of the concurrent review in a timely fashion. c. Provides clinical information... of services based on clinical needs and available resources. Utilization Review: a. Maintains a working knowledge of the UR...
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...
as specified by Insurance / State & Federal regulation. Enters concurrent review information for Review Nurses in Allscripts... Mail - Sort, identifies location and distribute to appropriate departments Monitors Concurrent Nurse denial phone calls...
. Duties/Responsibilities: A. Utilization Management Performs review of anticipated admissions utilizing InterQual criteria... of care based on initial assessment and concurrent collaboration with other care givers, external service organizations...
and continued hospital stay applying appropriate clinical criteria. Performs admission review within 24 hours or the first business... and is responsible for coordinating, communicating, and facilitating the clinical progression of the patient's treatment. Accountable...
record monitoring Coordinates communication with third party payers, external review agencies and the Utilization Committee... Initiate and monitor clinical care guidelines and analyze positive and negative variances Ensure continuity of care through...
through the continuum of care. Responsible for financial, clinical, and discharge planning evaluation for each assigned... for efficient and effective outcomes as related to quality, clinical and cost areas. Responsibilities: Manages an assigned caseload...
to a registered nurse, with significant clinical experience, who holds a bachelor's degree in a related field. Experience: BSN... Manager utilizes industry accepted processes for achieving optimal patient, clinical, and operational outcomes timely...
of progress in meeting treatment goals. The QP assists the clinical team with arranging and providing psychoeducation as indicated... provision of concrete services to the child/adolescent/family. Complete all non-clinical intake paperwork for case management...
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...
Job Description: Responsibilities Registered Nurse RN Joint Replacemtn Institute Full-Time Days St. Mary... plan of care of nurse action, implementation of the plan of care and the evaluation of the process, by use of the nursing...
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...
Job Description: Responsibilities Registered Nurse RN Joint Replacemtn Institute Full-Time Days St. Mary... plan of care of nurse action, implementation of the plan of care and the evaluation of the process, by use of the nursing...
on admission and concurrent basis. WHO WE ARE With 12 ministries and access points across Indiana and Illinois, Franciscan..., and third-party payer requirements related to discharge planning and mandated reporting. Review admissions, level of care...
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...
decisions. By serving as the link between patients and the appropriate health care personnel, the Clinical Review Coordinator...: Active, unrestricted registered clinical license required in state of hire - Registered Nurse, Physical Therapist...
decisions. By serving as the link between patients and the appropriate health care personnel, the Clinical Review Coordinator...: Active, unrestricted registered clinical license required in state of hire - Registered Nurse, Physical Therapist...