cost while ensuring the highest quality of care is maintained. Applies review criteria to determine medical necessity... the delivery of cost-effective quality health-care and assists in the identification of appropriate utilization...
States of America) Job Summary: The RN Clinical Periop Nurse is a proactive member of an interdisciplinary team of licensed... Practice Model, 5-Star Nursing and evidence based practice and research. RN competencies are derived from these models...
of functions, including but not limited to: Access Authorization and pre-certification, utilization review and denial management... as content specialist for staff in the areas of utilization criteria, appeal and review process, and case management system...
. Accountabilities include assessment and planning, coordination of care, resource utilization management and/ or review, discharge... management or utilization review in any setting or Upon hire: successful completion of TIPS program or Case Management...
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...
Responsibilities In collaboration with the manager/director of Performance Improvement, the PI Coordinator RN... include but are not limited to integrity reliability review, medical chart reviews, data abstraction for CMS Core Measures...
as required and perform utilization review activities to provide appropriate, timely, and cost-effective care. Coordinate care...Job Opening: Full-Time RN Supervisor (NOC Shift) Location All Saints Sub Acute and Skilled Nursing Position...
: Responsible for maintaining and updating all FMS manuals. Accountable for completion of the Annual Standing Order Review and ICD... gathering as required supporting billing and collection activities. Responsible for efficient utilization of medication...
! We are searching for a talented RN-Case Coordinator Hours: 32hrs Shift: Day shift with weekend and holiday rotation; 7:30am - 4... assessment and review. Apply organization standards, standing orders and/or guidelines specific to patients diagnoses...
management, utilization review, and discharge planning experience preferred Certified Case Manager (CCM) or Board Certification...Job Description: Position Summary The RN Case Manager is responsible for the coordination of the patient's care...
’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...
for the Medical/Surgical patient. Activities include, but are not limited to, use of the nursing process in the utilization... Qualifications: Successfully completed Board Certified Nursing Program. Current LA RN licensure. Current BLS certification through...
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...
: Job Description Summary: The RN: Case Manager promotes optimal health care outcomes in accordance with the policies, procedures, applicable... for the appropriate utilization of facilities and services; serves as a resource to physicians, nurses and ancillary staff...
with government and commercial payer regulations and incorporating the Utilization Review Management Policy in initial reviews... care reimbursement, utilization review process, and applicable community resources preferred. Case management...
as specified by the facility's Utilization Management/Review Committee for documentation completeness and compliance with patient... as a leader of positive change. The Clinical Documentation Specialist RN facilitates improvement in the overall quality...
cost while ensuring the highest quality of care is maintained. Applies review criteria to determine medical necessity... the delivery of cost-effective quality health-care and assists in the identification of appropriate utilization...
worker's compensation cases etc. Identifies quality risk or utilization issues to appropriate MedStar personnel. Identifies... clinical software system per Clinical Operation department's policy. Monitors utilization of all services for fraud waste...
activities relevant to identified opportunities. · Actively collaborates with utilization review team to facilitate and meet... - for you and every person we serve together. Visit nchjobs.org to learn more. JOB SUMMARY The RN Case Manager serves as a patient...
Overview: QUALITY ASSURANCE RN COORDINATOR We are seeking a Quality Assurance RN Coordinator, also referred... to as a Performance Improvement Nurse Coordinator or Stroke Program Nurse Coordinator. Quality Assurance RN Coordinator...