more at: Job Summary: The Utilization Review (UR) Nurse (initial clinical reviewer) is a registered nurse (RN) or who possesses an active... (U.S.) that the organization provides utilization management (UM) services, if the UR RN is reviewing clinical cases in that state...
more at: Job Summary: The Utilization Review (UR) Nurse (initial clinical reviewer) is a registered nurse (RN) or who possesses an active... (U.S.) that the organization provides utilization management (UM) services, if the UR RN is reviewing clinical cases in that state...
the use of designated criteria for primary review. Incorporates into the utilization management process the ability... necessity guidelines to complete utilization review procedures-prospective and concurrent- review to determine medical necessity...
with all data collections and auditing activities. Accountable for completion of the Annual Standing Order Review and Internal... Classification of Disease (ICD) coding. Manages clinic financials including efficient utilization of supplies or equipment...
with all data collections and auditing activities. Accountable for completion of the Annual Standing Order Review and Internal... Classification of Disease (ICD) coding. Manages clinic financials including efficient utilization of supplies or equipment...
appropriate utilization of care and services, and cost effective outcomes. The Case Manager is responsible for the review of the... status, current medical condition and post-acute needs. The Case Manager works closely with the Utilization Management RN who...
appropriate utilization of care and services, and cost effective outcomes. The Case Manager is responsible for the review of the... status, current medical condition and post-acute needs. The Case Manager works closely with the Utilization Management RN who...
utilization of resources in compliance with external review criteria and payer expectation. Facilitating exchange of pertinent... collaborates closely with the Interdisciplinary Team to manage length of stay (LOS), resource utilization, continuity of patient...
status, current medical condition and post-acute needs. The Case Manager works closely with the Utilization Review RN who... appropriate utilization of care and services, and cost effective outcomes. The Case Manager is responsible for the review of the...