General Summary of Position Serves as a member of the Case Management Team and applies RN clinical expertise..., promotes effective case management and utilization of resources, and works to achieve optimal clinical and resource outcomes...
utilization management and case management programs within MedStar Family Choice through organizing, directing, assessing...) Required 3-5 Years in Leadership of Case Management within a Managed Care Organization (MRO) Required Active DC RN license...
subordinates required Bed utilization experience required Licenses and Certifications RN - Registered Nurse - State Licensure... Capacity Management Department. Primary Duties and Responsibilities Acts as liaison between PAS and physicians...
Necessity criteria, the management of quality health care resources for achievement of desired outcomes, and coordination.... Monitors utilization of all services for fraud and abuse. Performs pre-authorization and pharmacy reviews and documents...
Necessity criteria, the management of quality health care resources for achievement of desired outcomes, and coordination.... Monitors utilization of all services for fraud and abuse. Performs pre-authorization and pharmacy reviews and documents...
Care Reviewer – Utilization Management evaluates medical necessity for inpatient and outpatient services, ensuring.... The Clinical Care Reviewer – Utilization Management will also be counted upon to: Conduct utilization management reviews...
subordinates required Bed utilization experience required Licenses and Certifications RN - Registered Nurse - State Licensure... Capacity Management Department. Primary Duties and Responsibilities Acts as liaison between PAS and physicians...
regulations. Conducts monitoring of compliance of Special Needs, Case Management, Disease Management and Utilization Review... of Utilization Management in development of the annual Clinical Operations Plan and the Clinical Operations Appraisal. Provides...
, your expertise can shape better outcomes. As a Clinical Reviewer on our Utilization Management team, you’ll do more than check boxes...Multiple Opportunities | Care Manager RN, LICSW & Behavioral Health Licensure | Hybrid - 4 days onsite, 1 remote...
resource role for colleagues in unit management. ADMINISTRATIVE: Acts as a consultant for nursing staff in the clinical... management of patients. ADMINISTRATIVE: Provides input to the ongoing clinical evaluation of staff. ADMINISTRATIVE: Exhibits...
effective and efficient management of the OR schedule while providing continuous and high-quality service for the perioperative..., policies and procedures, staffing, budgets, fiscal management, and quality improvement insuring compliance with all regulatory...
resource role for colleagues in unit management. ADMINISTRATIVE: Acts as a consultant for nursing staff in the clinical... management of patients. ADMINISTRATIVE: Provides input to the ongoing clinical evaluation of staff. ADMINISTRATIVE: Exhibits...
effective and efficient management of the OR schedule while providing continuous and high-quality service for the perioperative..., policies and procedures, staffing, budgets, fiscal management, and quality improvement insuring compliance with all regulatory...
Must have good driving recorded Excellent understanding of performance improvement, quality assurance, and utilization management...PHP Inc. dba ASAP Services is a seeking a Home Healthcare RN - Registered Nurse to join our team. We are a DC based...
General Summary of Position Serves as a member of the Case Management Team and applies RN clinical expertise..., promotes effective case management and utilization of resources, and works to achieve optimal clinical and resource outcomes...
nursing. (Required). At least one year of experience in Utilization Management with knowledge of utilization review criteria...The CDI RN Specialist will ensure overall quality and completeness of clinical documentation for specified populations...
utilization management and case management programs within MedStar Family Choice through organizing, directing, assessing...) Required 3-5 Years in Leadership of Case Management within a Managed Care Organization (MRO) Required Active DC RN license...
and experienced Registered Nurse (RN) to join our Medical Surgical/Tele Observation Unit. The Observation Unit is a 20 bed unit... for candidates who possess strong time management skills, work well in a team -paced settings. Key Responsibilities: Provides...
required Leadership and management experience preferred Licenses and Certifications RN - Registered Nurse - State Licensure... capacity management efforts; ensures unit activities and patient throughput proceed smoothly. In collaboration with the...
required Leadership and management experience preferred Licenses and Certifications RN - Registered Nurse - State Licensure... capacity management efforts; ensures unit activities and patient throughput proceed smoothly. In collaboration with the...