, clinical performance and management of the Case Management department and staff. Providing oversight of utilization review... management experience and a minimum of 3 to 5 years’ experience in utilization review using InterQual Criteria, and/or Millimam...
, clinical performance and management of the Case Management department and staff. Providing oversight of utilization review... management experience and a minimum of 3 to 5 years’ experience in utilization review using InterQual Criteria, and/or Millimam...
to budget package management and allocation, infrastructure of ROI comparison as well as related analysis, policy review related... management strategies to optimize budget allocation, traffic distribution, and resource utilization, driving growth...
, clinical utilization management and the transition to the next appropriate level of care. Responsibilities Essential... to Utilization Management Plan. Integrates National standards for care management scope of services including: -Utilization...
, clinical utilization management and the transition to the next appropriate level of care. Responsibilities: Essential... to Utilization Management Plan. Integrates National standards for care management scope of services including: -Utilization...
with supporting the financial, administrative and operational management within one clinical department. Translates the objectives... volume academic environment. 2. Two (2) years of healthcare management/supervisory experience. CORE DUTIES...
SUMMARY: Provides assessment, education and oversight for Case Management operations, including daily staffing... and competencies. Supervises and oversees case management in the areas of Clinical Documentation Improvement, and Transition Planning...
experience in utilization review, quality or care management Knowledge of acute care and accreditation requirements.... As an RN Case Manager, you will float between all bedside units at Main Campus and collaborate with inter-professional teams...
in utilization review, case management, coding, or clinical auditing: Preferred Licenses/Certifications: Current licensed RN..., documentation gaps, and payer requirements for authorization and coverage. Collaborates with Case Management, Utilization Management...
Duties Manage the business talent review, succession planning and other talent management processes including planning... functions that include management/leadership development and talent review. Ability to operate independently with minimal...
deliverables and status reports to end-users. Presents timelines to the appropriate management for review throughout the project... facilities and the provision of management services and evidence-based rehabilitation to the post-release reintegration...
conducting any utilization management review activities which require interpretation of clinical information. Minimum... to: Gathers clinical information regarding case and determines appropriate area to refer or assign case (utilization management...
Duties: Manage the business talent review, succession planning and other talent management processes including planning... functions that include management/leadership development and talent review. Ability to operate independently with minimal...
deliverables and status reports to end-users. Presents timelines to the appropriate management for review throughout the project... facilities and the provision of management services and evidence-based rehabilitation to the post-release reintegration...
in Case Management, Discharge Planning, and Utilization Review Working knowledge of InterQual criteria..., utilization review, and ensuring appropriate resource utilization while collaborating with interdisciplinary teams to support high...
in Case Management, Discharge Planning, and Utilization Review Working knowledge of InterQual criteria..., utilization review, and ensuring appropriate resource utilization while collaborating with interdisciplinary teams to support high...
in Case Management, Discharge Planning, and Utilization Review Working knowledge of InterQual criteria..., utilization review, and ensuring appropriate resource utilization while collaborating with interdisciplinary teams to support high...
in Case Management, Discharge Planning, and Utilization Review Working knowledge of InterQual criteria..., utilization review, and ensuring appropriate resource utilization while collaborating with interdisciplinary teams to support high...
in Case Management, Discharge Planning, and Utilization Review Working knowledge of InterQual criteria..., utilization review, and ensuring appropriate resource utilization while collaborating with interdisciplinary teams to support high...
between the case management department and the physician advisor on a regular basis regarding utilization review and/or quality... and promoting cooperation with utilization review standards by the medical staff c) Maintaining / facilitating communication...