care or clinical experience in area of specialty. 2 Years Utilization/Case Management experience, preferably in a Managed... Care setting. California Registered Nurse (RN) - CA Board of Registered Nursing -REQUIRED AHA Basic Life Support...
for keeping current on any regulation changes and disseminating this information appropriately. Participate in QA, Utilization... Review and Patient Care conferences. Actively participate in and assist with all state surveys and required follow up...
, current and discharging residents needs in area(s) of responsibility. Complete documentation as required. Performs utilization... review activities to provide resident appropriate, timely and cost effective care. Coordinate care with resident, care...
responsibility for staffing and scheduling personnel. Assignments reflect appropriate utilization of personnel, considering scope... in organization and department initiatives Runs reports, performs data review and analysis, and assists the Director...
. This position requires the ability to combine clinical/quality considerations with regulatory/financial/utilization review demands..., plan of care, application of utilization review using appropriate, evidenced based tool (InterQual, MCG and/or health plan...
management within a managed care environment. Comprehensive knowledge of Utilization Review, levels of care, and observation... Position Overview: Coordinates the utilization management, resource management, discharge planning, post-acute care referrals...
. Assignments reflect appropriate utilization of personnel, considering scope of practice, competencies, patient/client/resident..., performs data review and analysis, and assists the Director as needed. Qualifications: One (1) year of Cardiac Cath Lab...
, current and discharging residents needs in area(s) of responsibility. Complete documentation as required. Performs utilization... review activities to provide resident appropriate, timely and cost effective care. Coordinate care with resident, care...
+ years of care management, utilization review or discharge planning experience HMO Experience *All employees working... under the supervision of a clinician or RN, Supervisor, or RN Charge Nurse. Delegates tasks as needed to professionals...
, utilization review and social work interventions resulting in quality patient care. Consults and collaborates with other managers... and a Certificate of Excellence for Hip and Knee Replacements. Responsibilities Nurse Manager of Care Coordination / Case Management...
Valid California Registered Nurse license Minimum 1 year of experience in utilization review/discharge planning in an acute... as a dedicated and experienced Registered Nurse specializing in Case Management in Bakersfield, CA. This role focuses on utilization...
, skilled nursing, as well as outpatient therapy, hand and lymphedema clinics. GENERAL DUTIES: The Clinical Nurse assumes.... The staff nurse initiates teaching and educates the patient and family/or significant other to attain optimal health...
as a liaison between the patient, family, nurse, physicians, multidisciplinary team and patient's healthcare benefactor to optimize... in Nursing (BSN): Preferred Experience in a care management role: Preferred Licenses/Certifications: Registered Nurse (RN...
collaboratively with the interdisciplinary team to provide care coordination for patients under the direction of a Registered Nurse... by the Licensed Vocational /Practical Nurse LVN/LPN state licensure requirements. This position integrates national standards...
, current and discharging residents needs in area(s) of responsibility. Complete documentation as required. Performs utilization... review activities to provide resident appropriate, timely and cost effective care. Coordinate care with resident, care...
Management and Utilization Review strategy Lead Group hospital Case Management and Utilization Review operations for cost... Case Management, and centralized utilization review Participate in new hospital Director of Case Management selection...
) Preferred Qualifications: 1+ years of care management, utilization review or discharge planning experience Experience... of a Registered Nurse, this position is responsible for ensuring the continuity of care in both the inpatient and outpatient settings...
. Acts as a liaison between the patient, family, nurse, physicians, multidisciplinary team and patient's healthcare... Nurse (RN) licensure in the state of practice: Required Case management certification: Preferred Essential Functions...
and utilization review or social work experience: Preferred One years' leadership experience: Preferred Licenses/Certifications...: Registered Nurse (RN) licensure in the state of practice: Preferred Licensed Master Social Worker (LMSW) - State Board...
and or the Operations Manager of Case Management performs Utilization Review and Discharge Planning for assigned patients... acute medical surgical nursing and at least one (1) year of utilization review, case management, or discharge planning...