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...
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...
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...
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...
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...
UM activities as required based on local structure to include providing clinical updates to payers and/or external review... and transitions. Documents discharge planning interventions and utilization review activity per department and medical center...
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...
decisions. By serving as the link between patients and the appropriate health care personnel, the Clinical Review Coordinator... 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... Review target outcomes, and discharge plans with providers and families Complete all SNF concurrent reviews, updating...
decisions. By serving as the link between patients and the appropriate health care personnel, the Clinical Review Coordinator... 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... Review target outcomes, and discharge plans with providers and families Complete all SNF concurrent reviews, updating...
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...
. Conducts concurrent review of patient records on admission to the hospital and as determined by the patient's clinical... in utilization review process by contacting patients' insurance companies to provide clinical information to authorize patient...
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...
code assignments Perform clinical coding review to ensure accuracy of medical coding and utilizes clinical expertise... citations and demonstrate working knowledge of clinical criteria documentation requirements used to successfully substantiate...
clinically-based concurrent and retrospective review of medical records documentation in support of accurate MS-DRG and APR-DRG... and monitor Clinical Documentation Improvement (CDI) education programs for CDI Specialists, coding specialists, clinical nursing...
. 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...
Department BSD SUR - Plastics and Reconstructive Surgery: Clinical About the Department At UChicago Medicine, faculty... team, using advanced clinical skills and knowledge to provide assessment, evaluation, testing, treatment, therapies...