in discharge. Documents all Avoidable Days in CANOPY system. Performs clinical review on admission and/or continued stay using.... The Care Manager (CM) coordinates the clinical and financial plan for patients. Performs overall 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...
and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service and severity... is designed to facilitate and insure the achievement of quality, clinical and cost effective outcomes and to perform a holistic...
with demonstration, practice, remediation, reinforcement, review, skill and clinical make-up days, and simulation in skills lab. Receive... Nurse Licensure Compact (NLC) Required Experience Three (3) years of clinical nursing experience, including at least two...
patients to be admitted for discharge needs. Concurrent review of patients clinical information for efficiency and correct... to deliver world-class care. Here, you'll work alongside some of the best clinical talent in the nation leading the way...
review per Kaiser policy Ensures timely communication of clinical data to various payers to support admission, level of care... collaboratively with the interdisciplinary team to provide care coordination for patients under the direction of a Registered Nurse...
with demonstration, practice, remediation, reinforcement, review, skill and clinical make-up days, and simulation in skills lab. Receive... Nurse Licensure Compact (NLC) Required Experience Three (3) years of clinical nursing experience, including at least two...
. Conducts initial and concurrent review for prior authorization of higher levels of care against medical necessity criteria..., and Whole Health markets. Possesses clinical knowledge, understands best practices and continuous learning skills, reviews...
experience or equivalent combination of clinical and educator experience. (Can be concurrent) Knowledge of medical terminology... and medical review by use of written advisories, reports, letters, and telephone contacts. Document all provider contacts...
. Concurrent review of patients clinical information for efficiency and correct level of care and admission status. Interface... to deliver world-class care. Here, you'll work alongside some of the best clinical talent in the nation leading the way...
with payors as needed. Uses quality screens to identify potential issues and forwards information to Clinical Quality Review.... Facilitates patient care, with the underlying objective of enhancing the quality of clinical outcomes and patient satisfaction...
with payors as needed. Uses quality screens to identify potential issues and forwards information to Clinical Quality Review.... Facilitates patient care, with the underlying objective of enhancing the quality of clinical outcomes and patient satisfaction...
with payors as needed. Uses quality screens to identify potential issues and forwards information to Clinical Quality Review.... Facilitates patient care, with the underlying objective of enhancing the quality of clinical outcomes and patient satisfaction...
We are looking for a Clinical Director to lead all aspects of utilization management (UM) within our Healthcare... for pre-service, concurrent, and post-service medical necessity reviews. You will also provide leadership and oversight of the...
to include providing clinical updates to payers and/or external review organizations, collecting data, coordinating denial... interventions and utilization review activity per department and medical center standards in a timely manner. Performs and documents...
to include providing clinical updates to payers and/or external review organizations, collecting data, coordinating denial... interventions and utilization review activity per department and medical center standards in a timely manner. Performs and documents...
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...
for the purpose of completing initial and concurrent utilization review to ensure certification/approval of in-patient... and the ability to manage multiple tasks effectively, supporting both clinical and administrative functions within the...
Job Description: Responsibilities We are currently looking for a qualified Utilization Review Coordinator... UR Coordinator conducts initial and concurrent reviews with insurance companies. The Vines Hospital, located in Ocala...
Job Description: Responsibilities We are currently looking for a qualified Utilization Review Coordinator... UR Coordinator conducts initial and concurrent reviews with insurance companies. The Vines Hospital, located in Ocala...