financial services, revenue integrity, managed care, utilization review, and patient access.The clinical denial management nurse... / Certification Required: Licensed to practice Registered Nursing (RN) or Practical Nursing (LPN) in the State of Florida...
conferences. Monitor and guide the completion of PPS and OBRA assessments. Manage the Utilization Review (UR) process. Oversee...Resident Care Manager/MDS Coordinator (RN) Setting: Skilled Nursing Status: Full-Time Schedule: Monday-Friday...
Medical Records Coordinator Opportunity at Hillcrest Village (RN/LPN) The Medical Records Coordinator is responsible... for the successful utilization of the electronic medical record (EMR). The Medical Records Coordinator will work...
, utilization review, and discharge planning experience preferred Certified Case Manager (CCM) or Board Certification in Nursing...: Position Summary: The RN Care Manager is responsible for the coordination of the patient’s care and services...
(United States of America) Job Summary: The RN Clinical Nurse Critical Care is a proactive member of an interdisciplinary... Professional Practice Model and evidence-based practice and research. RN competencies are derived from these models and supported...
to apply: Clinical pathway, Navigator, or Utilization Review. Shift(s) available: day shift, night shift, and mid shift Job types... following position: Nurse Case Manager (RN). Nurses with experience in any of the following areas are strongly encouraged...
to apply: Clinical pathway, Navigator, or Utilization Review. Shift(s) available: day shift, night shift, and mid shift Job types... position: Nurse Case Manager (RN). Nurses with experience in any of the following areas are strongly encouraged...
States of America) Job Summary: The RN Clinical Nurse is a proactive member of an interdisciplinary team of licensed... Practice Model and evidence-based practice and research. RN competencies are derived from these models and supported by the...
(United States of America) Job Summary: The RN Clinical Nurse is a proactive member of an interdisciplinary team... Practice Model and evidence-based practice and research. RN competencies are derived from these models and supported by the...
as specified by the facility's Utilization Management/Review Committee for documentation completeness and compliance with patient... as a leader of positive change. The Clinical Documentation Specialist RN facilitates improvement in the overall quality...
, and support their appropriate utilization of health services. The RN Care Manager will work with the individual patient... Below you will find the details for the position including any supplementary documentation and questions you should review before applying...
Job Description: Overview RN Case Manager - Care Ally - Cardiology -Hybrid Opportunity Full-Time, 40 hours... requirements are met. Responsibilities The Cardiology RN Care Manager is a critical member of our integrated specialty care...
Management like discharge planning, utilization review, and/or providing psychosocial support. May review records to assess... The Care Manager (RN) coordinate patients' needs through the continuum of care which can include from pre-admission...
, other healthcare providers, attorneys, and advisors/clients and coworkers. A cost containment background, such as utilization review... in a high-volume, fast-paced, team-oriented environment. Experience as a RN, Medical Case Manager is ideal, or a clinical...
Communicate with Utilization Review staff on any denials, issues or barriers to discharge. Identify services and resources... with Utilization Review staff on any denials, issues or barriers to discharge Participate in process improvement activities...
. Growing together The Global insurance Clinical Care Manager - Bilingual Japanese RN will perform prospective, concurrent... and any associated case review and documentation. You'll enjoy the flexibility to work remotely * from anywhere within the...
complex cases 4. Responsible for utilization management. a. Performs Interqual review of acute and outpatient admissions.... Responsible for clinical review of all acute and outpatient services for appropriateness based on Interqual. This individual...
, and utilization review reporting Strong assessment and organizational skills Demonstrated successful track record of working... Qualifications include: Current RN license in good standing BSN/MSN preferred Minimum two years of staff development or nursing...
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 strong care management, utilization review, and payer knowledge. A Case Management certification or obtaining a Case Management... also performs Utilization Management throughout the continuum of care in collaboration with other internal and external offices...