Clinical Documentation Specialist (CDS) is responsible for conducting clinically based concurrent and retrospective reviews... Hospitals by Becker’s Hospital Review in 2018 and as among the 100 Top Hospitals by IBM Watson Health. Chino Valley Medical...
level of care, utilization of services, concurrent review, retrospective review, development of discharge plans, assurance... of America's workforce, one patient at a time. Join us at Concentra and see how your clinical competency and compassion can make...
. Provides the clinical information requested by the managed care companies as part of the concurrent review in a timely fashion... to discuss plan of care and coordination of services based on clinical needs and available resources. 3. Utilization Review...
clinical updates to payers and/or external review organizations, collecting data, coordinating denial activity, supporting... to assure timely progression of care and transitions. Documents discharge planning interventions and utilization review activity...
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...
diagnosis and to assign a working DRG. Completes the initial review within 24 hours of admission. Completes concurrent... Licensure: Registered Nurse as applicable. Certifications: RHIA, RHIT, CCS, Certified Clinical Documentation Specialist (CCDS...
requirements. · Communicate revised plans and changes to Facility management to maintain awareness. · Coordinate concurrent... review studies performed within the quality assurance program and prepare resulting reports, as required. · Establish...
. *Performs utilization review activities, including concurrent and retrospective reviews as required. 3. *Determines the... as defined by the Nebraska Nurse Practice Act. Minimum of two (2) years recent clinical experience required. Prior care...
of quality, clinical and cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review... of nursing and a current state Registered Nurse license. 2. Grandfathered prior to April 1, 2015. Minimum 5 years post graduate...
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...
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...
, or concurrent review of behavioral health admissions and continued stay Ensure that behavioral health care services provided... and deescalate crisis calls from members *** As a Care Advocate you will be responsible for Utilization Review of mental health...
, sending/presenting opportunities for improved documentation compliance to physicians, nurse practitioners and other clinical... years of Clinical Documentation Integrity experience and 10 years of acute care nursing. Registered Nurse (RN) or Adult...
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...
plans, including concurrent review to determine the appropriateness of services rendered and to ensure that quality care... as necessary. Collaborates with clinical teams and practices to ensure synchronization of sub-areas' operations to reach...
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 Summary: The Case Manager (CM) provides all aspects of discharge planning and utilization review activities... organizations. The CM assists patients in making informed decisions by acting as their advocate regarding their clinical status...
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...
. · Meets monthly with Clinical Partner and Regional Dean to review clinical operations. · Is the primary contact for partner..., but not limited to: · Faculty and staff. · Clinical site liaison. · Clinical calendars and matrix. · Blended Learning...
. · Meets monthly with Clinical Partner and Regional Dean to review clinical operations. · Is the primary contact for partner..., but not limited to: · Faculty and staff. · Clinical site liaison. · Clinical calendars and matrix. · Blended Learning...