utilization review and quality improvement activities. In the absence of the Oncology Program Manager provides leadership...At CommonSpirit Health, we believe in the healing power of humanity. We invite you to explore our specialty areas...
, learning management software and intranet. Must adhere to all DCH Health System policies and procedures. All other duties..., patient flow, patient safety, efficient resource utilization, mentoring of unit staff, especially recent hires, shift...
and communicates new information to the facility CMs. Assists with concurrent and retrospective utilization review activities... states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170...
, to promote continuity of care and cost effectiveness through the integration of functions of case management, utilization review... in this role: Coordinates management of care and ensures optimum utilization of resources, service delivery and compliance...
Overview: We’re not just behavioral health people—we’re crisis people. Connections Health Solutions is a leading... provider of immediate-access behavioral health crisis care. Our team combines medical and recovery-oriented treatment...
of health, financial, and security benefits. In addition, this position may be eligible for our Management Incentive Program... and models an emphasis on patient quality and safety. Understands utilization management and case management and their importance...
) years of acute care clinical experience. Two (2) years’ experience clinical Case Management or Utilization Review... has 89,000 employees. Through its subsidiaries, UHS operates 28 acute care hospitals, 335 behavioral health facilities, 40 outpatient...
, behavioral health, disease management, complex case management, and/or concurrent (Utilization Review) review. Education... Determinates of Health, Specialty Pharmacy, Specialty Medication, Nurse Case manager, Risk Assessment, Disease Management...
) years of acute care clinical experience. Two (2) years’ experience clinical Case Management or Utilization Review... has 89,000 employees. Through its subsidiaries, UHS operates 28 acute care hospitals, 335 behavioral health facilities, 40 outpatient...
health, finance, physicians, utilization review to ensure appropriate bed is assigned, patient care needs... in a health related field is required Three (3) or more years of clinical experience is required Nurse Case Management...
utilization review, translation of foreign claims, coordination of benefits (COB), and processing of claims with unique processing...Company : Allegheny Health Network Job Description : Date Posted: 20250606 Location: Allegheny General Hospital...
software, learning management software and intranet. Must adhere to all DCH Health System policies and procedures...Overview: A professional registered nurse with oncology-specific clinical knowledge who provides personalized care...
and mental health issues. Conducts diagnostic evaluations, writes behavioral treatment plans, provides individual counseling... as needed. Develop a training plan to enhance professional growth. 6. Participates in utilization management, employs Commission on the...
alone, as you are part of a large network of peer nurse leaders that routinely exchange ideas and review current topics within the industry... in Forbes ranking of America’s Largest Public Companies. Operating acute care hospitals, behavioral health facilities...
) years of acute care clinical experience. Two (2) years’ experience clinical Case Management or Utilization Review... has 89,000 employees. Through its subsidiaries, UHS operates 28 acute care hospitals, 335 behavioral health facilities, 40 outpatient...
delivered proven staffing expertise and a full range of medical, behavioral health, pharmacy, utilization management, provider... and physicals, and conveys this information to the Health Assessment nurse or other appropriate person (s). Assign staff members...
of medical, behavioral health, pharmacy, utilization management, provider contracting, claims processing, and quality management... Health Assessment nurse or other appropriate person (s). Assign staff members to routinely review health records...
Nurse Navigator is an integral member of the care team guiding patients through the health care system by assisting... transitions of care activities with the patient’s medical home care management team or the Central Health case management team...
management, and utilization review. Monitor procedures and systems closely for efficient service delivery. Develop new tools...About Us Location: Waco, TX - Baylor Scott & White Health Hillcrest Medical Center Setting: Case Management...
clients. Managed care or previous Case Management/ Utilization Review experience. Other Requirements : Excellent... surgical patients and behavioral health patients. An essential component to this role includes the evaluation of medical...