weight objects. Concurrent Clinical Management Coordinates care with the multi-disciplinary team to facilitate... and integration of quality measures/evidence into clinical practice. Utilization Review: Performs an initial comprehensive...
in Human or Health Services Field Registered Nurse or Licensed Clinical Social Worker (LCSW) or LPC with active.../exposure with discharge planning Experience in utilization review, concurrent review and/or risk management Case Management...
Experience with discharge planning Experience with utilization review, concurrent review and/or risk management Experience... development for other roles you may be interested in. Required Qualifications: Active, unrestricted Registered Nurse KY...
in Human or Health Services Field Registered Nurse or Licensed Clinical Social Worker (LCSW) or LPC with active.../exposure with discharge planning Experience in utilization review, concurrent review and/or risk management Case Management...
to successfully substantiate code assignments Perform clinical coding review to ensure accuracy of medical coding and utilizes... daily case review assignments, with a high emphasis on quality Provide clinical support and expertise to the...
Experience with discharge planning Experience with utilization review, concurrent review and/or risk management Experience... development for other roles you may be interested in. Required Qualifications: Active, unrestricted Registered Nurse KY...
understanding of third-party payor guidelines. Conducts continued stay review as indicated based on clinical condition and third... education Implementation is accomplished through patient assessment monitoring of the plan of care review activities...
At Optum, you’ll have the clinical resources, data and support of a global organization behind you so you can help... and counseling, as appropriate to the clinical situation Care Plan Development. Works with designated physicians to develop...
of utilization management or concurrent review experience Experience in a remote work setting New Jersey Residents Only: The...At Optum, you’ll have the clinical resources, data and support of a global organization behind you so you can help...
to successfully substantiate code assignments Perform clinical coding review to ensure accuracy of medical coding and utilizes... daily case review assignments, with a high emphasis on quality Provide clinical support and expertise to the...
as defined by the Nebraska Nurse Practice Act. Minimum of two (2) years recent clinical experience required. Prior care... review activities, including concurrent and retrospective reviews as required. Determines the medical necessity of request...
and/or provider of patient’s/family’s questions or issues related to vaccine administration. Review medical records for up.... Contribute to individual patient care planning. Participate in the review of schedules and space needs; anticipate and suggest...
on local structure to include providing clinical updates to payers and/or external review organizations, collecting data... planning interventions and utilization review activity per department and medical center standards in a timely manner. Performs...
to include providing clinical updates to payers and/or external review organizations, collecting data, coordinating denial... and utilization review activity per department and medical center standards in a timely manner. Performs and documents accurate...
for additional review as determined by department standards. Additionally, the RN Utilization Management Nurse is responsible...: Registered Nurse ADN or BSN required 3 years Acute Care Clinical Nursing experience required 2 years Utilization Management...
effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the... seamless delivery of care. The methodology is designed to facilitate and insure the achievement of quality, clinical and cost...
on local structure to include providing clinical updates to payers and/or external review organizations, collecting data... planning interventions and utilization review activity per department and medical center standards in a timely manner. Performs...
of quality, clinical and cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review..., EXPERIENCE, TRAINING A current California State Registered Nurse (RN) license is required. Five years acute care nursing...
on local structure to include providing clinical updates to payers and/or external review organizations, collecting data... planning interventions and utilization review activity per department and medical center standards in a timely manner. Performs...
review for inpatient, observation or SNF services. Conducts clinical reviews of proposed services against appropriate... Nurse in Florida. A minimum of three to five years clinical experience as a Registered Nurse in a clinical setting...