. Leveraging clinical expertise and critical thinking skills, the Utilization Review Specialist, will analyze clinical information... Nurse - State Licensure CNS-Clinical Nurse Specialist Pref...
of third party payor guidelines nbsp; Conducts continued stay review as indicated based on clinical condition and third party... of the plan of care review activities coordination with the interdisciplinary team and any outside third party payers...
nbsp; Conducts continued stay review as indicated based on clinical condition and third party payor requirements nbsp...; On a concurrent basis assesses the appropriateness and timeliness of the level of care diagnostic testing and clinical procedures...
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...
of clinical care and processes for trauma patients. Obtains concurrent and retrospective process and outcomes focused information...Job Description: Responsibilities POSITION SUMMARY: A Registered Nurse who is responsible for developing...
of clinical care and processes for trauma patients. Obtains concurrent and retrospective process and outcomes focused information...Job Description: Responsibilities POSITION SUMMARY: A Registered Nurse who is responsible for developing...
facilities. Conduct concurrent medical record review using specific indicators and criteria as approved by medical staff, TJC..., to promote continuity of care and cost effectiveness through the integrating and functions of case management, utilization review...
facilities. Conduct concurrent medical record review using specific indicators and criteria as approved by medical staff, TJC..., to promote continuity of care and cost effectiveness through the integrating and functions of case management, utilization review...
timely prospective, concurrent, and retrospective review activities. Complies with all Administrative, Clinical, and HR..., review, and evaluation of clinical criteria as it relates to patient treatment and length of stay. Reviewing cases...
Under general supervision, provides utilization review and denials management for an assigned patient case load. This role utilizes... as an exhaustive list of all job duties performed by personnel so classified. 1. Performs timely and accurate utilization review...
timely prospective, concurrent, and retrospective review activities. Complies with all Administrative, Clinical, and HR..., review, and evaluation of clinical criteria as it relates to patient treatment and length of stay. Reviewing cases...
, concurrent review, retrospective review, development of discharge plans, assurance of quality and cost effectiveness. Act... case review and visit prep for clinicians. This includes gathering all necessary documents for these appointments, prepping...
concurrent oversight and review of clinical quality measures and evidence-based standards of care for high risk, high volume..., etc.) in the monitoring and evaluation of processes for clinical performance improvement and peer review. The Coordinator supports...
for appropriateness of admission and continued hospital stay applying appropriate clinical criteria. Performs admission review within 24... and is responsible for coordinating, communicating, and facilitating the clinical progression of the patient's treatment. Accountable...
integrating and functions of case management, utilization review and management of discharge planning. Accountable for the care... processes with other hospital departments, external service organizations, agencies and healthcare facilities.Conduct concurrent...
services between hospital departments to facilitate timely patient discharge. Conducts concurrent review of patient records... review process by contacting patients' insurance companies to provide clinical information to authorize patient treatment...
of progress in meeting treatment goals. The QP assists the clinical team with arranging and providing psychoeducation as indicated... provision of concrete services to the child/adolescent/family. Complete all non-clinical intake paperwork for case management...