clinical experience and utilization management and/or discharge planning experience. Thorough knowledge of managed care..., utilization management, discharges planning, and continuous quality improvement concepts. Computer Literacy. Strong interpersonal...
or exceed cost, quality, and clinical and utilization standards and performance measures. Establishes, implements... fiscal management, and quality improvement activities. Manages and resolves human resource and risk management issues...
, clinical and utilization standards and performance measures. Ensures that unit(s) services meet members, physician... with federal, state, and local regulatory requirements and established departmental policies and procedures, utilization...
, clinical and utilization standards and performance measures. Ensures that unit(s) services meet members, physician... with federal, state, and local regulatory requirements and established departmental policies and procedures, utilization...
, required Current valid California RN license, required Two or more years of experience in utilization management, preferably...) and utilization management software Excellent written and verbal communication skills...
carrier of all injured worker cases receiving case management services. Ensures appropriate utilization of medical services... for the case management of patient while hospitalized and upon discharge from various care settings. In collaboration with the...
which are integrated with business plans and meet or exceed cost, quality,clinical and utilization standards and performance measures... the development, evaluation and utilization of safe, cost effective, high quality nursing practices. With Kaiser...
’ experience as a clinical nurse. Three (3) years relevant management experience required. Minimum two (2) years' experience... management and wellbeing solutions to enable our clients to operate safely and effectively in environments far from home. Founded...
management and wellbeing solutions to enable our clients to operate safely and effectively in environments far from home. Founded... and their medical credentials. Personnel Management/Staffing Identifies staffing needs and continuously monitors staffing levels...
Management and the utilization of opportunities within the local healthcare system. The Lead MCM will utilize and maintain... management and wellbeing solutions to enable our clients to operate safely and effectively in environments far from home. Founded...
Position Overview: The Nurse Department Manager oversees the delivery of nursing services and ensures safe, high... Management of Patient Care: Ensure nursing services meet or exceed standards for cost, quality, clinical performance...
management and wellbeing solutions to enable our clients to operate safely and effectively in environments far from home. Founded... Management/Staffing Identifies staffing needs and continuously monitors staffing levels and adjusts as appropriate to meet...
or more years of clinical hospital experience; or equivalent of education and experience in case management, utilization management... Management and the Quality team, you will gather/analyze information to provide comprehensive medical record documentation...
or exceed cost, quality, and clinical and utilization standards and performance measures. Establishes, implements... and business objectives and ensures they are met. Develops standards of care and standards of practice, directs fiscal management...
across most major verticals, including institutional & corporate, wealth management, private client, commercial banking, treasury... delivery of nursing services and safe patient care which meet or exceed cost, quality, and clinical and utilization standards...
, quality, and clinical and utilization standards and performance measures. Establishes, implements, and maintains patient care... they are met. Develops standards of care and standards of practice, directs fiscal management, and quality improvement activities. Manages...
, quality, and clinical and utilization standards and performance measures. Establishes, implements, and maintains patient care... they are met. Develops standards of care and standards of practice, directs fiscal management, and quality improvement activities. Manages...
of utilization management, care progression and care transition. The Case Manager I is accountable for a designated patient... caseload and plans effectively to meet patient needs, manage the length of stay, and promote efficient utilization of resources...
, utilization review and management, and discharge planning. Essential Functions Care Coordination Coordinates clinical... and effectively. Utilization Management Conducts medical necessity review for appropriate utilization of services from admission...
of accuracy and attention to detail. 6) Actively participates in Quality Management and PIE programs where appropriate. 7...) Maintains a positive attitude and behavior: efficient and productive with time utilization. Strives to be a team player. Adapts...
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