Overview Presbyterian is seeking a Utlization Review RN with strong Hospital Utlizaiton Review experience for Care.... The role integrates utilization management, care coordination, and transition planning functions. The Case Manager has the...
. Performs care review both prospectively and retrospectively. Prospective review includes pre-service and concurrent services... and procedures. Assists providers and members with coordination of care to in plan providers and preferred out of plan providers...
. Performs care review both prospectively and retrospectively. Prospective review includes pre-service and concurrent services... and procedures. Assists providers and members with coordination of care to in plan providers and preferred out of plan providers...
recognized as a Center of Excellence in Robotic Surgery by Surgical Review Corporation. Responsibilities The patient care..., preventive health maintenance, national evidence based guidelines, patient safety, and care coordination activities...
patient care across the continuum using assessment, care planning, implementation, coordination, monitoring and evaluation... Utilization Management clinical review to ensure that services rendered to members meet clinical criteria and are delivered in the...
patient care across the continuum using assessment, care planning, implementation, coordination, monitoring and evaluation... Utilization Management clinical review to ensure that services rendered to members meet clinical criteria and are delivered in the...