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...
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...
. 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...
. 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...
, 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...
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...
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...
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...
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...
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...
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...
collaborate with the Physicians, patient/family, nursing, utilization review and other members of the healthcare team to assure... or other team members as needed to ensure services will be covered. Coordinate and communicate with Utilization Review Nurse...
for utilization review, multi-disciplinary care coordination and transition planning, for an assigned patient caseload. Role functions.... Essential Functions and Responsibilities of the Job 1. Utilizes the Utilization Review plan, nursing process and practice...
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...
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...
’s plan of care and review on an ongoing basis Provide ongoing coaching to drive effective utilization of established... What You Will Bring: Must hold an active Registered Nurse (RN) License and/or be a Licensed Social Worker (LSW/LISW) in the state...
alone, as you are part of a huge network of peer professionals and nursing leaders that routinely exchange ideas and review current topics... within the industry. POSITION SUMMARY: House Supervisor-Registered Nurse (RN) Days key responsibilities include...
(United States of America) The RN Clinical Nurse – Critical Care is a proactive member of an interdisciplinary team... Practice Model and evidence-based practice and research. RN competencies are derived from these models and supported by the...
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...
. 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 Upon hire successful completion of TIPS program or Case...