of inpatient coding experience required; utilization review/case management experience preferred. Knowledge & Skills..., patient-centered care to thousands each year. About the Job: Title: RN Clinical Documentation Specialist Department...
. 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...
. Accountabilities include assessment and planning, coordination of care, resource utilization management and/ or review, discharge... in care management or utilization review in any setting or successful completion of TIPS program or Case Management...
Company : Highmark Inc. Job Description : JOB SUMMARY This job implements effective utilization management... strategies including: review of appropriateness of health care services, application of criteria to ensure appropriate resource...
Job Category: Clinical_Support Job Description: The Case Manager 1 directs the utilization review of patient charts... and latitude is expected. Works under minimal supervision. Directs the utilization review of patient charts and treatment plans...
, 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...
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...
, 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...
! We are searching for a talented RN-Case Coordinator Hours: 32hrs Shift: Day shift with weekend and holiday rotation; 7:30am - 4... assessment and review. Apply organization standards, standing orders and/or guidelines specific to patients diagnoses...
. Manages costs through appropriate utilization and management of labor and supply across the wound care continuum. Works.... The CPD partners with the for review of clinical practice. As needed, serves as case manager to a group of wound care...
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...
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...
coordination, discharge planning, and utilization review. Excellent communication and negotiation skills. Ability to work...Registered Nurse (RN) – Case Manager - Travel Position (with $7,500 Completion Bonus) Location: Irvine...
and caregivers. Branch Manager (RN) Southwest Houston Job Summary: Responsible for the planning, coordination, and delivery... team(s) MUST have managed a team of RN, LVN, HHA, PT, OT, PTA, SLP, and COTAs Supervises ongoing case management...
utilization review of patients for appropriateness of setting using industry standard utilization clinical criteria including... of Health Patient Review Instrument (PRI) Assessor. 3 - 5 years Discharge planning and/or utilization management. Knowledge...
, Manchester NH Healthcare Jobs, Case Management Director New Hampshire, Utilization Review, Hospital Leadership Roles, Executive... (preferred) Current licensure as an RN, LCSW, or LMSW (required) Minimum 3+ years of hospital case management experience...
reviews. Job Responsibilities: Performs other duties as assigned Performs an initial utilization review of patients... to join our team as a Care Manager (RN) - Full-Time, Days. In this role, the successful candidate Coordinates and procures services...
. Licensure: Current New York State RN license Experience: Must have at least 3 years of experience in a Med-Legal review... setting. Must have 1-3 years of experience in acute care utilization review/ appeals background. Technical Skills...
utilization review of patients for appropriateness of setting using industry standard utilization clinical criteria including... of Health Patient Review Instrument (PRI) Assessor. 3 - 5 years Discharge planning and/or utilization management. Knowledge...