activities as related to Quality Improvement, Accreditation requirements, and Resource Utilization. Providence caregivers... in communicating effectively, both verbally and in writing, with physicians, nursing, public, and all levels of hospital management...
activities as related to Quality Improvement, Accreditation requirements, and Resource Utilization. Providence caregivers... in communicating effectively, both verbally and in writing, with physicians, nursing, public, and all levels of hospital management...
activities as related to Quality Improvement, Accreditation requirements, and Resource Utilization. Providence caregivers... in communicating effectively, both verbally and in writing, with physicians, nursing, public, and all levels of hospital management...
continuum. The Care Management Model: Our Care Management Triad Team Model is a collaboration between the following: RN... – Resolves psycho-social barriers and supports discharge needs. Utilization Management – Reviews patient status...
in the hospital setting. Summary: Under the general supervision of the Director of Care Management, the RN Case Manager... preferred. Licensure and Certifications: Current Massachusetts RN license. Certification in Case Management preferred...
place in the hospital setting. Under the general supervision of the Director of Care Management, the RN Case Manager... Department: Inpatient Case Management Everett Job Type: Per Diem Work Shift: Day Hours/Week: 0.00 Union: Yes Union Name...
: Our Care Management Triad Team Model is a collaboration between the following: RN Case Manager - Manages patient care, drives... needs. Utilization Management – Reviews patient status for appropriateness and anticipated payer coverage. CARE...
. Social Worker – Resolves psycho-social barriers and supports discharge needs. Utilization Management – Reviews patient...RN Case Manager – Weekender - Day Shift Saturday & Sunday (Hours: 8a-8:30p plus one rotating Friday shift (4p-8p...
-effective care provided by competent co-workers. They ensure efficient utilization of available resources to meet productivity... staffed to provide patient care. Clinical Supervisor is proactively involved in patient flow and bed management issues...
management, Oasis care planning, assigning Care staff, and ensuring the efficient, effective utilization of existing staffing... terminal illness. That is why Liberty Hospice provides our hospice patients with state-of-the-art care and pain management...
organization that provides high quality primary medical care without regard to ability to pay. The Ambulatory Care Nurse (RN...) is an on-site nurse RN serving as an integral member of the patient care team, supporting assigned care teams by managing high...
and performance management of UR RN teams. Drives performance aligned with regulatory and payor expectations, ensuring the delivery... in Utilization Management with 3-5 years' experience in Utilization Management Leadership Required *3-5 years' experience in acute...
Necessity criteria, the management of quality health care resources for achievement of desired outcomes, and coordination.... Monitors utilization of all services for fraud and abuse. Performs pre-authorization and pharmacy reviews and documents...
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...
Management (UM) Admissions Liaison RN II is primarily responsible for receiving/reviewing admission requests and higher level...) admission in the acute setting. Works with UM leadership, including the Utilization Management Medical Director, on requests...
Utilization Management is responsible for leading and optimizing the hospital's utilization review processes to ensure appropriate... Responsibilities: Lead and manage the daily operations of the utilization management team, including staffing, scheduling...
Utilization Management is responsible for leading and optimizing the hospital's utilization review processes to ensure appropriate... Responsibilities: Lead and manage the daily operations of the utilization management team, including staffing, scheduling...
Remote Utilization Management RN Leading healthcare facility that aims to improve the health and wellness... as soon as possible! Description: REMOTE RN with experience in providing Case Management services to the Pediatric population. Includes, knowledge of "whole...
) Previous health plan utilization management experience Unencumbered RN licensure required (WV, compact - or willing to obtain... conditions. Reporting to the Health Plan Director of Medical Management, the Utilization Review Manager, will be an integral...
Nurse Professional Utilization Management Nurse - St. Peter's Hospital--Full-TIme Days If you are looking for an RN... all schedules What you will do: Perform utilization management, both concurrent and retroactive for inpatient and outpatient...