Nurse (RN) - Level I, as defined within the job description. The incumbent must demonstrate the knowledge and skills... critical review and/or evaluation of policies, procedures, and guidelines to improve quality of healthcare. 13. Demonstrates...
Immediate need for a talented RN Oncology Clinician. This is a fulltime opportunity with long-term potential... and is located in Smyrna, GA (Onsite). Please review the job description below and contact me ASAP if you are interested. Job Diva ID...
managers, home health nurses, utilization review, etc. To coordinate patient services and care. To perform job duties.... Please review the following instructions prior to submitting your job application: Provide all of your employment history...
, but are not limited to, use of the nursing process in the utilization of skills in organization, planning, implementing, evaluating.... MINIMUM QUALIFICATIONS: Successfully completed Board Certified Nursing Program. Current LA RN licensure. One year...
RN Case Manager – Weekend Incentive Program (WIP) - Day Shift Saturday & Sunday (Hours: 8a-8:30p plus one rotating... Hospital currently recruiting a Weekend RN Case Manager with experience in Transitional Care or Discharge Planning in an Acute...
PURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 2 may be an entry level designation into the... Clinical Advancement Program (CAP) for new employees who meet the RN CAP 2 criteria or attained through advancement from RN CAP...
and CMS Conditions of Participation for Utilization Review Knowledge of current third-party regulations, Medicare, Medicaid... of an accredited school of nursing; BSN preferred Licensure/Certification Current, active Texas RN licensure required. Case...
Job Description: Overview RN Case Manager - Care Ally - Nephrology - Hybrid Opportunity Full-Time, 40 hours... requirements are met. Responsibilities The Nephrology RN Care Manager is a critical member of our integrated specialty care...
and updating all FMS manuals. Accountable for completion of the Annual Standing Order Review and ICD coding. Checks... as required supporting billing and collection activities. Responsible for efficient utilization of medication, laboratory, inventory...
-discharge activities, and utilization review. Identifies patients that meet criteria for case management services using... and families. Plans effectively to meet patient needs, manage authorizations and length of stay, and promote efficient utilization...
Nurse (RN) - Level I, as defined within the job description. The incumbent must demonstrate the knowledge and skills... critical review and/or evaluation of policies, procedures, and guidelines to improve quality of healthcare. 13. Demonstrates...
(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...
for both utilization review and discharge planning. The Care Manager collaborates with physicians, nurses, social workers.... Experience in discharge planning and utilization review Unless certification, licensure or registration...
coordination services to include assessing patients’ risk factors and the need for care coordination, clinical utilization... screening and submission for Physician Advisor review o Care coordination that includes admitting diagnosis/ medical history...
and/or Medicare criteria 1+ years of Utilization Management, pre-authorization, concurrent review or appeals experience Appeals.... Growing together. The Clinical Appeals RN is responsible for providing expertise in clinical appeals and grievances...
; (Required) 1 - 2 years Case management or utilization review experience in a hospital or related setting & nbsp; (Preferred... and accreditation requirements applicable to utilization review and discharge planning; demonstrates skill in the application...
amenities and Southern charm. Continuum of Care: The Continuum of Care Department is staffed by a Manager, Coordinator, RN... are considered for the Masters level Social Worker position. Position Summary: The RN Care Manager III is responsible...
of eligibility (CTM, ACM, CCM or AHA) Two years of recent experience in utilization review, quality or care management Knowledge... team, and The Power of Every One. Job Title RN Case Manager Location Cleveland Facility Lutheran Hospital...
(United States of America) Job Summary: The RN Clinical Charge Nurse is responsible for directing and overseeing the daily... Professional Nursing Practice Model and evidence based practice and research. RN competencies are derived from these models...
. For more information, please visit us at: The Utilization Review Coordinator: The Utilization Review Coordinator (UR) is responsible...) years experience in utilization review with customer contact preferred. Additional Requirements: Working knowledge of the...