level reviews within the scope of practice relevant to the clinical area(s) addressed in the initial clinical review... understanding of criteria sets and their limitations including when a second level review is required. Evaluates appropriateness...
level reviews within the scope of practice relevant to the clinical area(s) addressed in the initial clinical review... understanding of criteria sets and their limitations including when a second level review is required. Evaluates appropriateness...
Management and Chronic Condition Management. Knowledge of utilization review, quality improvement, managed care... in their health care team. As an RN Case Manager, the RN will work closely with client and members alike to promote wellness, problem...
for core measures have been met prior to discharge. Conducts clinical review process according to Utilization Management Plan... better An atmosphere of caring and quality that cascades throughout the organization The RN Patient Navigator coordinates...
clinical review process according to Utilization Management Plan. Identifies and intervenes in situations that pose financial... for making lives better An atmosphere of caring and quality that cascades throughout the organization The RN Patient...
of an effective, highly reliable Recall process and program. Identifies and executes supply standardization, utilization, and sourcing... strategies for cost reduction and utilization efficiencies Works to develop consistent, uniform analytics for every departmental...
of an effective, highly reliable Recall process and program. Identifies and executes supply standardization, utilization, and sourcing... strategies for cost reduction and utilization efficiencies Works to develop consistent, uniform analytics for every departmental...