Position Purpose This position consistently applies the utilization management process as required by CMS including... the use of designated criteria for primary review. Incorporates into the utilization management process the ability...
of our newly hired RN Case Managers, Case Manager Social Workers, and other members of the Case Management / Clinical Operations... innovations. Qualifications BSN from an accredited School of Nursing required. 1-2 years Case Management and utilization...
as assigned. Supervisory/Management Responsibility This is a non-management job that will report to a supervisor, manager... (2) years acute care nursing experience. One (1) year acute case management or utilization management experience...
, TRAINING Required qualifications 1. Knowledge of Discharge Planning/ Utilization Management / Case Management terminology... more at . Responsibilities: Responsible for the coordination of the various activities of the Case Management Department under the direction...
through the continuum while facilitating the functions of utilization review, utilization management, and cost containment... experience required. REQUIRED SKILLS AND KNOWLEDGE: Experience with case management, utilization review, and discharge...
Responsibilities Responsible for the coordination of the various activities of the Case Management Department... under the direction of the assigned Case Manager/Social Worker assist with development and implementations of discharge plans...
utilization management to patients, families, and other members of the care team as needed. Maintains current knowledge of health...) - Commission for Case Manager Certification (Preferred) or Accredited Case Manager (ACM) - American Case Management Association...
as a leader of positive change. The Care Management, Care Coordinator, Utilization Management is a member of the healthcare team... for a designated patient caseload; the Care Coordinator, Utilization Management plans effectively in order to manage length of stay...
as a leader of positive change. The Care Management, Care Coordinator, Utilization Management is a member of the healthcare team... for a designated patient caseload; the Care Coordinator, Utilization Management plans effectively in order to manage length of stay...
. Connecting. Growing together. As a Utilization Management Representative you will be responsible for initial triage of members.... We're committed to delivering innovative leadership in health care management, continuously improving services...
. Connecting. Growing together. As a Utilization Management Representative you will be responsible for initial triage of members.... We're committed to delivering innovative leadership in health care management, continuously improving services...
as a leader of positive change. The Care Management, Care Coordinator, Utilization Management is a member of the healthcare team... for a designated patient caseload; the Care Coordinator, Utilization Management plans effectively in order to manage length of stay...
education, review, and data analysis. Communicate with Utilization Manager and program supervisors/managers regarding team... members’ progress in training. Collaborate with Utilization Manager to problem solve clinical situations or address training...
Newport News, Virginia Overview Responsible for Inpatient Utilization Management function for Riverside Health...) - American Case Management Association (ACMA) within 1 Year(Required) or Certified Case Manager (CCM) - Commission for Case...
The Medical Director, Utilization Management, provides organizational leadership in the operational areas of appeals... Director(s), Utilization Management, and the Vice President, Medical Affairs. The following responsibilities are regarding...
of care including the appropriate length of stay, patient status management, resource utilization and discharge planning... with charge capture and reimbursement analysts as necessary. Is an active member of the Utilization Management Committee. Work...
Review RN will report to the Manager, Post Service. In this role you will perform accurate and timely clinical review of post..., federal and accreditation requirements Perform retrospective utilization reviews and first level determination approvals...
. Communicates effectively and professionally regarding modality. Provides education regarding utilization management to patients... Certification (Preferred) or Accredited Case Manager (ACM) - American Case Management Association (ACMA) (Preferred...
as a leader of positive change. The Care Management, Care Coordinator, Utilization Management is a member of the healthcare team... for a designated patient caseload; the Care Coordinator, Utilization Management plans effectively in order to manage length of stay...
a variety of admission, concurrent and retrospective utilization management-related reviews and functions to ensure... compliance portion of the level of care. Review data specific to utilization management functions and reports as requested...