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...
Anticipated End Date: 2025-11-26 Position Title: Manager of Utilization Management II Job Description: Location.... Street NE. The Manager of Utilization Management ll is responsible for managing a team of physical health practitioners...
Experience 5 years Case Management related experience including discharge planning, utilization review, clinical auditing..., utilization review, discharge planning, case management, social work, care coordination and denial prevention and recovery...
Must have good driving recorded Excellent understanding of performance improvement, quality assurance, and utilization management...PHP Inc. dba ASAP Services is a seeking a Home Healthcare RN - Registered Nurse to join our team. We are a DC based...
nation’s capital — is seeking an experienced Nursing Manager (RN) to lead our Float Pool team. This leadership role oversees... excellence, playing a vital role in optimizing workforce utilization, maintaining readiness, and advancing nursing practice...
care experience required Leadership and management experience preferred Licenses and Certifications RN - Registered... concerning any operational issues or matters pertaining to staffing and the management of assigned areas. Functions as liaison...
populations during the acute hospital stay, promotes effective case management and utilization of resources, and works to achieve... years case management experience Preferred Active DC RN License CCM - Certified Case Manager Preferred This position...
resource role for colleagues in unit management. ADMINISTRATIVE: Acts as a consultant for nursing staff in the clinical... management of patients. ADMINISTRATIVE: Provides input to the ongoing clinical evaluation of staff. ADMINISTRATIVE: Exhibits...
resource role for colleagues in unit management. ADMINISTRATIVE: Acts as a consultant for nursing staff in the clinical... management of patients. ADMINISTRATIVE: Provides input to the ongoing clinical evaluation of staff. ADMINISTRATIVE: Exhibits...
resource role for colleagues in unit management. ADMINISTRATIVE: Acts as a consultant for nursing staff in the clinical... management of patients. ADMINISTRATIVE: Provides input to the ongoing clinical evaluation of staff. ADMINISTRATIVE: Exhibits...
resource role for colleagues in unit management. ADMINISTRATIVE: Acts as a consultant for nursing staff in the clinical... management of patients. ADMINISTRATIVE: Provides input to the ongoing clinical evaluation of staff. ADMINISTRATIVE: Exhibits...
resource role for colleagues in unit management. ADMINISTRATIVE: Acts as a consultant for nursing staff in the clinical... management of patients. ADMINISTRATIVE: Provides input to the ongoing clinical evaluation of staff. ADMINISTRATIVE: Exhibits...
General Summary of Position Serves as a member of the Case Management Team and applies RN clinical expertise..., promotes effective case management and utilization of resources, and works to achieve optimal clinical and resource outcomes...
General Summary of Position Serves as a member of the Case Management Team and applies RN clinical expertise..., promotes effective case management and utilization of resources, and works to achieve optimal clinical and resource outcomes...
of nursing experience required 1-2 years of management and leadership experience preferred Licenses and Certifications RN...'s (DON) leadership/management team and is responsible for one or more defined units/departments of organized nursing...
Provide case management services to EPD Waiver beneficiaries in their homes in accordance with the EPD Waiver... his/her Social Worker or RN practice through formal education, attendance at workshops and conferences, active participation...
General Summary of Position Serves as a member of the Case Management Team and applies RN clinical expertise..., promotes effective case management and utilization of resources, and works to achieve optimal clinical and resource outcomes...
is being delivered. Participates in the Outcomes Management and annual program review. Performs utilization review... measures for pain and symptom management. Assures complete and accurate data and documentation are available to make...
of utilization/care management policies and procedures, chairs and schedules meetings, as well as presents cases for discussion... as required by law The Pediatric Nurse Case Manager Sr will be responsible for care management within the scope of licensure...
in problem solving with providers, claims or service issues. Assists with development of utilization/care management policies... Manager Sr will be responsible for care management within the scope of licensure for members with complex and chronic care...