and external vendors regarding the types of customers appropriate for MLTC/MLTC MAP. Assists Assessment Unit manager in the review..., Utilization Management, Grievance and Appeals, Vendors and Care Management to resolve concerns that may hinder the assessment...
Registered Nurse experience Core Expertise: Care Coordination, Utilization Review, and Discharge Planning Licensure: Active... patient flow, utilization review, and discharge planning while ensuring high-quality, cost-effective patient care. Key...
Registered Nurse experience Core Expertise: Care Coordination, Utilization Review, and Discharge Planning Licensure: Active... patient flow, utilization review, and discharge planning while ensuring high-quality, cost-effective patient care. Key...
Registered Nurse experience Core Expertise: Care Coordination, Utilization Review, and Discharge Planning Licensure: Active... patient flow, utilization review, and discharge planning while ensuring high-quality, cost-effective patient care. Key...
(and all parenthetics), Training Specialist 1 (Nursing), and Utilization Review Coordinator. Additional Comments • If you are currently... accepted by DQI. Sit in on Team meetings as “technical assistance” to assist team in review of high-profile individuals...
Coordination, Utilization review and discharge planning computer literacy. Associate's Degree (ASN, ADN) from an accredited...: 10:00 AM-6:00 PM Requirements: 5 years minimum of clinical experience as a Registered Nurse. Experience with Care...
assessment, care planning, utilization review, and discharge coordination to ensure quality, cost-effective outcomes. EHR... through regular outreach and intervene to prevent avoidable hospitalizations. Conduct utilization review and prior...
psychology, organizational psychology, health psychology, utilization review, guidance counseling, pastoral counseling... screens, youth and collateral interviews, and record review to develop a psychosocial assessment and subsequent mental health...
satisfaction, and resource utilization Maintain and update Arthroplasty and Spine materials in collaboration with PD Collaborate... Competency and Practice Review policies, post-op education material, and education /medication for all clinical areas...
psychology, organizational psychology, health psychology, utilization review, guidance counseling, pastoral counseling... screens, youth and collateral interviews, and record review to develop a psychosocial assessment and subsequent mental health...
psychology, organizational psychology, health psychology, utilization review, guidance counseling, pastoral counseling... screens, youth and collateral interviews, and record review to develop a psychosocial assessment and subsequent mental health...
patients where utilization review, discharge planning, and/or case management will be needed using standardized criteria... on clinical needs and available resources. Utilization Review: Maintains a working knowledge of the UR requirements...
to chart review performed by the advance practice providers’ (APP’s) supervising physician Assisting and supporting market... processes and programs within individual’s area of expertise. Utilization management Supporting market Medical Director...
as a Registered Nurse. Leadership experience preferred. Experience with Care Coordination, Utilization review and discharge planning... Computer literacy required. Education: RN Licensed as a Registered Nurse in the State of New York required. Baccalaureate...
and external vendors regarding the types of customers appropriate for MLTC/MLTC MAP. Assists Assessment Unit manager in the review..., Utilization Management, Grievance and Appeals, Vendors and Care Management to resolve concerns that may hinder the assessment...
, and discharge planners in utilization tracking, care coordination, and monitoring to ensure care is appropriate, timely and cost... reimbursement, CEU credits, and advancement opportunities What You Will Do Conducts comprehensive review of all components...
where utilization review, discharge planning, and/or case management will be needed using standardized criteria to achieve optimal... to discuss plan of care and coordination of services based on clinical needs and available resources. 3. Utilization Review...
to equipment, environment, and processes. Relationship Management & Collaboration Build strong partnerships with nurse leaders... Responsibility & Resource Management Monitor labor, equipment, and supply utilization to ensure fiscal stewardship and operational...
effectiveness of care management operations and utilization management using benchmark and objective data, including member health... outcomes, satisfaction survey results (CAHPS), utilization metrics, and HEDIS star ratings. Identifies, monitors...