including but not limited to: appropriateness of care, documentation requirements, utilization review principles and criteria... LICENSES or CERTIFICATIONS Required None Preferred ACM Certification (Accredited Case Manager) - American Case...
and make recommendations for alternate levels of care. The Acute Case Manager also performs Utilization Management throughout... Summary: The Acute Case Manager utilizes industry accepted processes for achieving optimal patient, clinical...
collaborate with the Physicians, patient/family, nursing, utilization review and other members of the healthcare team to assure... or other team members as needed to ensure services will be covered. Coordinate and communicate with Utilization Review Nurse...
collaborate with the Physicians, patient/family, nursing, utilization review and other members of the healthcare team to assure... or other team members as needed to ensure services will be covered. Coordinate and communicate with Utilization Review Nurse...
collaborate with the Physicians, patient/family, nursing, utilization review and other members of the healthcare team to assure... or other team members as needed to ensure services will be covered. Coordinate and communicate with Utilization Review Nurse...
collaborate with the Physicians, patient/family, nursing, utilization review and other members of the healthcare team to assure... or other team members as needed to ensure services will be covered. Coordinate and communicate with Utilization Review Nurse...
for patient’s health care needs. Performs admission and concurrent utilization review in compliance with review requirements... certification. Experience Three (3) years of experience in chronic disease management, case management, utilization management...
Required: Minimum of two (2) years utilization review/case management experience or social work experience. Preferred: Associate... might be required to undergo a background verification with an external vendor. Job Details Req Id 95651 Department CASE MGMT Shift Days...
Required: Minimum of two (2) years utilization review/case management experience or social work experience. Preferred: Associate... might be required to undergo a background verification with an external vendor. Job Details Req Id 95651 Department CASE MGMT Shift Days...
in discharge planning, case management or utilization review. Certifications Required - Current registered nurse license... a review of the appropriate utilization of resources, balanced with the patient’s right to self-determination. Reviews patient...
, PRO regulations, JCAHO standards and contractual agreements with insurers or outside review agencies. Minimum Education: Current R....N. license in the State of California, BSN preferred Minimum Experience/Knowledge: Recent experience in Utilization...
, PRO regulations, JCAHO standards and contractual agreements with insurers or outside review agencies. Minimum Education: Current R....N. license in the State of California, BSN preferred Minimum Experience/Knowledge: Recent experience in Utilization...
, PRO regulations, JCAHO standards and contractual agreements with insurers or outside review agencies. Minimum Education: Current R....N. license in the State of California, BSN preferred Minimum Experience/Knowledge: Recent experience in Utilization...
, PRO regulations, JCAHO standards and contractual agreements with insurers or outside review agencies. Minimum Education: Current R....N. license in the State of California, BSN preferred Minimum Experience/Knowledge: Recent experience in Utilization...
with insurance representatives, case managers, and the physician advisor as needed. Coordinates the utilization review activities...-acute days ,, under/over utilization of resources, and reports to Manager..Proactively utilizes established criteria plus re...
health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The Utilization Management RN... Coder will accurately and efficiently review and extract pertinent case details from patient medical records; and craft...
health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The Utilization Management RN... Coder will accurately and efficiently review and extract pertinent case details from patient medical records; and craft...
expertise, the nursing process, current concepts/principles of case management/utilization management/disease management... census. Collaboration with the Chief Utilization Officer related to the Utilization Management Committee, case consultation...
) to reflect congruence with clinical condition, physician intent, and utilization review outcomes with current rules... utilization of services. This may include, working collaboratively with inpatient case management to support post-acute placement...
utilization management, care facilitation, and discharge planning functions. The Case Manager is accountable for a designated... standards. Assist in the compilation of physician profile data regarding LOS, resource utilization, denied days, cost, case mix...