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...
in identifying real and potential quality issues through measurement and analysis along with concurrent and retrospective review... and presenting clinical quality-related data. Previous case review experience. Preferred Qualifications Master's Degree...
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...
implementation, Multi-Disciplinary Rounding, and various nurse chart review and documentation optimizations. The ideal candidate... required changes and enhancements to clinical applications, and a a group of analysts leading projects that will standardize...
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...
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...
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...
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...
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...
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...
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...
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...
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...
. Coordinates services between hospital departments to facilitate timely patient discharge. Conducts concurrent review of patient... in utilization review process by contacting patients' insurance companies to provide clinical information to authorize patient...
on local structure to include providing clinical updates to payers and/or external review organizations, collecting data... discharge planning interventions and utilization review activity per department and medical center standards in a timely manner...
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...
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...