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...
a minimum of 4 years care management or case management experience and requires a minimum of 2 years clinical, utilization...Anticipated End Date: 2025-10-13 Position Title: Medical Management Nurse Job Description: Medical Management...
Experience 5 years Case Management related experience including discharge planning, utilization review, clinical auditing..., utilization review, discharge planning, case management, social work, care coordination and denial prevention and recovery...
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...
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...
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...
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...
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...
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...
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...
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...
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...
of nursing experience required 1-2 years of management and leadership experience preferred Licenses and Certifications RN...'s (DON) leadership/management team and is responsible for one or more defined units/departments of organized nursing...
Provide case management services to EPD Waiver beneficiaries in their homes in accordance with the EPD Waiver... his/her Social Worker or RN practice through formal education, attendance at workshops and conferences, active participation...
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...
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...
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...
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...