* Conducts admission and continued stay reviews per the Care Coordination Utilization Review guidelines to ensure that the... discharge for appropriate status determination. Ensures compliance with principles of utilization review, hospital policies...
and continued stay reviews per the Care Coordination Utilization Review guidelines to ensure that the hospitalization is warranted... for appropriate status determination. Ensures compliance with principles of utilization review, hospital policies and external...
with all data collections and auditing activities. Accountable for completion of the Annual Standing Order Review and Internal... Classification of Disease (ICD) coding. Manages clinic financials including efficient utilization of supplies or equipment...
, and monitoring of quality of service throughout the case management process. Performs direct Interqual/M&R utilization review.... Required Licensure and Certifications RN:KY Required Minimum Knowledge, Skills, Abilities, and Training Prefer 2 years of recent...
, and monitoring of quality of service throughout the case management process. Performs direct Interqual/M&R utilization review.... Required Licensure and Certifications RN:KY Required Minimum Knowledge, Skills, Abilities, and Training Prefer 2 years of recent...
with all data collections and auditing activities. Accountable for completion of the Annual Standing Order Review and Internal... Classification of Disease (ICD) coding. Manages clinic financials including efficient utilization of supplies or equipment...
and forwarding to appropriate agencies, in conjunction with Business Office and Utilization Review.... Certifications/Licensure Human Services related field; Must be eligible for supervision if not independently licensed Current RN...
and forwarding to appropriate agencies, in conjunction with Business Office and Utilization Review.... Certifications/Licensure Human Services related field; Must be eligible for supervision if not independently licensed Current RN...
. Implements the developed case management programs including utilization review and intake or discharge planning. The Manager.... The Manager oversees a staff of RN’s and social workers responsible for patient care coordination and patient flow...
, including Utilization Review and Discharge Planning experience. May be required to work weekdays and/or weekends, evenings... procedures, and objectives. Review operations to ensure a high level of quality consistent with organizational standards. Build...
facility. BSN preferred. Previous experience in the area of utilization review and case management preferred. Working.... Ability to work remotely and maintain deadlines and target. Qualifications Minimum Education LPN, RN, Bachelors...
Overview: Under the general supervision of system director of care management/utilization review, acts as a patient... in the area of utilization review and case management preferred. Working knowledge of federal, state, and regulatory...
and forwarding to appropriate agencies, in conjunction with Business Office and Utilization Review.... Certifications/Licensure Human Services related field; Must be eligible for supervision if not independently licensed Current RN...
and forwarding to appropriate agencies, in conjunction with Business Office and Utilization Review.... Certifications/Licensure Human Services related field; Must be eligible for supervision if not independently licensed Current RN...