is seeking a dedicated and detail-oriented Utilization Management Coordinator to join our dynamic UM team. In this role..., you will be responsible for ensuring the appropriate utilization of services for patients in both our inpatient and outpatient programs...
is seeking a dedicated and detail-oriented Utilization Management Coordinator to join our dynamic UM team. In this role..., you will be responsible for ensuring the appropriate utilization of services for patients in both our inpatient and outpatient programs...
Remote Utilization Management RN Leading healthcare facility that aims to improve the health and wellness... utilization management activities, which may include telephonic or onsite clinical review; case or disease management, care...
years of clinical experience required. Leadership experience preferred. CM or Utilization Review experience preferred...Under the direction of the Case Management Coordinator, coordinates, negotiates, procures and manages the care...
, and Internet) Saturday availability Preferred Qualification: 3+ years of experience as an RN in utilization management... is assigned to the appropriate team for review (e.g., Medicare, Medicaid, Commercial) -Validate that cases/requests for services...
, and Internet) Saturday availability Preferred Qualification: 3+ years of experience as an RN in utilization management... is assigned to the appropriate team for review (e.g., Medicare, Medicaid, Commercial) -Validate that cases/requests for services...
require a current, unrestricted nursing license (i.e. RN) in the applicable state, as indicated in the function.... Licensure includes RN, depending on grade level, with current unrestricted licensure in applicable state. General Job Profile...
, teach and collaborate with others. Excellent critical thinking skills related to nursing utilization review Knowledge... but saving them. Together. The Inpatient Review Nurse assists patients through the continuum of care in collaboration with the...
in alignment with HealthPartners leadership characteristics. To ensure optimal performance on utilization review performance... to Utilization Review Maintains a working knowledge of Medical Policy, Behavioral Health (Health Plan) and Case Management...
in alignment with HealthPartners leadership characteristics. To ensure optimal performance on utilization review performance... to Utilization Review Maintains a working knowledge of Medical Policy, Behavioral Health (Health Plan) and Case Management...
in alignment with HealthPartners leadership characteristics. To ensure optimal performance on utilization review performance... to Utilization Review Maintains a working knowledge of Medical Policy, Behavioral Health (Health Plan) and Case Management...
Weekly Hours: 40 Department: Utilization Management Overview of Position: Acts as part of a multidisciplinary team...’s progress across the continuum is efficient, with quality patient care, while promoting cost effective resource utilization. The...
- 9:00AM Overview Behavioral Health Utilization Management Clinician is responsible for review of clinical information...Sentara Health is seeking to hire a qualified individual to join our team as a Behavioral Health Utilization Management...
Behavioral Health Utilization Management Clinician is responsible for review of clinical information received from providers...Sentara Health is seeking to hire a qualified individual to join our team as a Behavioral Health Utilization Management...
: The role of Utilization Management Manager oversees the integration of utilization review, clinically appropriate care... members achieve positive health outcomes through access to high quality care and services. You serve as the utilization...
’s Utilization Review Plan and review of medical records to ensure criteria for admission and continued stay are met and documented... compliance portion of the level of care. Review data specific to utilization management functions and reports as requested...
, and Internet) Saturday availability Preferred Qualifications: 3+ years of experience as an RN in utilization management... is assigned to the appropriate team for review (e.g., Medicare, Medicaid, Commercial) -Validate that cases/requests for services...
States of America) Job Summary: The Care Coordinator RN (CC RN) is responsible for assessing transitional care needs... Collaborates effectively with the utilization review nurse, patient's physicians and the interdisciplinary care team to provide...
Description Introduction Do you have the career opportunities as an RN Stroke Program Coordinator you want... and monitoring of patient/family satisfaction. The Program Coordinator is responsible for formulating short term and long term...
and/or Federal and State regulations. Ensures timely RN coordinator signatures. Other Duties: Maintains current knowledge... concurrent MDS review to assure appropriate RUG/PDPM category is achieved through the capture of appropriate clinical information...