Job Summary: Responsible for working collaboratively with physician partners to optimize quality and efficiency... of care for hospitalized members by carrying out daily utilization and quality review, monitoring for inefficiencies...
to rebates, physician utilization, Beers Criteria, Reliance members, and other ad hoc reports. Maintains record keeping... preferred. Job Level: Non-Management Non-Exempt Workshift: Job Family: MED Licensed/Certified Allied Health Professional...
Must be able to successfully pass the Basic Windows Skill Assessment at 80% or higher rating Knowledge and utilization of patient... with other areas for positive patient flow and responds to issues that may arise related to safety, security, and disaster management...
of residents after a written order received from physician · Screening of facility residents · Completes all necessary..., utilization review · In conjunction with Director of Rehabilitation, develop programs appropriate to the needs of the facility...
system capacity management and referral acceptance to the most appropriate EHC operating unit. Manages real-time quality... Coordination: - Collaborates with bed planning, physician, nursing leadership and other healthcare providers to resolve patient...
system capacity management and referral acceptance to the most appropriate EHC operating unit. Manages real-time quality... Coordination: - Collaborates with bed planning, physician, nursing leadership and other healthcare providers to resolve patient...
preferred. Previous experience as Charge Nurse or House Supervisor Preferred. May consider case management experience... coordination of health system capacity management and referral acceptance to the most appropriate EHC operating unit. Manages real...
preferred. Previous experience as Charge Nurse or House Supervisor Preferred. May consider case management experience... coordination of health system capacity management and referral acceptance to the most appropriate EHC operating unit. Manages real...
, volume and utilization data. Coordinate with market partners to implement optimization strategies that drive operational... in Data Analytics, Business Administration or Healthcare Management. Three or more years of Patient Access experience...
Must be able to successfully pass the Basic Windows Skill Assessment at 80% or higher rating Knowledge and utilization of patient... with other areas for positive patient flow and responds to issues that may arise related to safety, security, and disaster management...
with one provider type, e.g. physician, ancillary, or medical group. Provides advice and analytic support to Medical Directors, contract... negotiators and management on cost of care issues to help reduce costs without compromising quality of care. How you will make...
compliance with policies and procedures. Serve as a member of the management team in order to address problems associated... in policies and procedures and to give peer input to enhance and improve the management function. Supervise the maintenance...
system capacity management and referral acceptance to the most appropriate EHC operating unit. Manages real-time quality... Coordination: - Collaborates with bed planning, physician, nursing leadership and other healthcare providers to resolve patient...
system capacity management and referral acceptance to the most appropriate EHC operating unit. Manages real-time quality... Coordination: - Collaborates with bed planning, physician, nursing leadership and other healthcare providers to resolve patient...
system capacity management and referral acceptance to the most appropriate EHC operating unit. Manages real-time quality... Coordination: - Collaborates with bed planning, physician, nursing leadership and other healthcare providers to resolve patient...
system capacity management and referral acceptance to the most appropriate EHC operating unit. Manages real-time quality... Coordination: - Collaborates with bed planning, physician, nursing leadership and other healthcare providers to resolve patient...
· Responsible for the evaluation and treatment of residents after a written order received from physician · Screening of facility... to family meetings, care plans, staffing, utilization review · In conjunction with Director of Rehabilitation, develop...
years clinical documentation improvement experience Preferred and Experience with care coordination/utilization management... that clinical information in the medical record is present and accurate so that the appropriate utilization, clinical severity...
, and customer service. Partner with the physician chief to direct the overall clinical management of the service line... dollars to ensure proper utilization. Ensure appropriate information systems and databases are available to support service...
with physician partners to optimize quality and efficiency of care for hospitalized members by carrying out daily utilization... are not referred to an ambulatory case/care management program. Attends scheduled rounds 2 times/week with the Physician Director...