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...
Join our dedicated healthcare team where compassion meets innovation! As a Registered Nurse with us, you'll have the... review, b) care coordination, c) transition planning assessment and reassessment, d) implementation or oversight...
review systems for all pay sources to include admissions, continued stay, and concurrent and retrospective reviews..., and fee structures. Assists patients, families, physicians, and clinicians via telephone with clinical issues, problems...
, on a concurrent basis, the appropriateness, intensity, and timeliness of the level of care, diagnostic testing and clinical procedures..., quality and clinical risk issues and documentation completeness. The RN Registered Nurse Case Manager will develop...
functions, including response to payor requests for concurrent and retrospective review information including Medicare... of assigned patients; develops plans of care and discharge plans, monitors all clinical activities, makes recommendations...
team to achieve optimal quality, clinical and resource outcomes. Works to provide a comprehensive range of services... or clinical care associated with and in accordance with standards of excellence established by Riverside Health system...
organizations, agencies and healthcare facilities. Conduct concurrent medical record review using specific indicators and criteria... resources to assist in achieving desired clinical outcomes within the desired time frame. Conducts review for appropriate...
information about this position. Coordinates utilization review activities for the purpose of monitoring standards of patient...: EDUCATION, CERTIFICATION, AND/OR LICENSURE: 1. Current Registered Nurse license issued by the state in which services...
Job Category: Support/Clinical Degree Level: Associate's Degree/College Diploma (±13 years... review, (b) care coordination, (c) transition-planning assessment and reassessment, (d) implementation or oversight...
appropriate level for understanding Review the entire medical record for accuracy, and appropriate clinical treatment... experience and understanding of disease pathology to review chart/clinical information, ask appropriate questions, and identify...
States of America) Job Summary: Full-time- Days The Trauma Nurse Coordinator is a registered nurse who functions... under the direction of the Trauma Program Manager to coordinate clinical, operational, and performance improvement initiatives...
appropriate level for understanding Review the entire medical record for accuracy, and appropriate clinical treatment... experience and understanding of disease pathology to review chart/clinical information, ask appropriate questions, and identify...
Title: Registered Nurse, Care Management Orlando Health Lake Mary Hospital The NEW Orlando Health Lake Mary Hospital..., wireless and waterproof heart rate monitors for mom and baby, a smart board that integrates patient and nurse information...
, clinical and cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical... and a current state Registered Nurse license. 2. Grandfathered prior to April 1, 2015. Minimum 5 years post graduate...
: First Shift Title: Registered Nurse, Care Management Orlando Health Lake Mary Hospital The NEW Orlando Health Lake... that integrates patient and nurse information from Epic, WiFi, and televisions. These modern amenities ensure a comfortable...
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...
SUMMARY: Utilization review: The Nurse Specialist is responsible for delivering medical or behavioral health... appropriateness of inpatient admission Concurrent review utilizing criteria to determine appropriateness of continued stay...
, including response to payor requests for concurrent and retrospective review information including Medicare and MediCal... patients; develops plans of care and discharge plans, monitors all clinical activities, makes recommendations for alternative...
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...
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...