. Two to four years of Utilization Review/Case Management experience. Two-three years’ experience in the denial and appeal.... This associate will be a liaison and point of contact for clinical denials and appeal inquiries. The Clinical Appeals Nurse...
Christus Healthexperience in utilization review, resource management, discharge planning or case management. Methodist Hospital Stone Oak... and appropriate utilization of services; 3) facilitate communication and coordination of efforts among health care team members; and 4...
Methodist Hospital Stone Oakuse of appropriate sanitation methods. 6. Practice basic cost containment and utilization management for detainee care and facility... operations. 7. Maintain absolute security and confidentiality of all medical records. Observe applicable HIPAA rules. 8. Review...
Management & Training Corporationmethods. 6. Practice basic cost containment and utilization management for detainee care and facility operations. 7.... Maintain absolute security and confidentiality of all medical records. Observe applicable HIPAA rules. 8. Review medical files...
Management & Training Corporationor demonstrated success in CHRISTUS RN Care Manager I position Case management and Utilization Review experience preferred RN... effective patient care. The CM plans effectively to meet patient need, manage length of stay and promote efficient utilization...
Christus Healthwith 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...
Fresenius Medical Caremeaning behind Caring. Connecting. Growing together. The Case Manager II - Inpatient Services performs onsite review... or telephonic clinical review of inpatient admissions in an acute hospital, rehabilitation facility, LTAC or skilled nursing...
UnitedHealth Groupmeaning behind Caring. Connecting. Growing together. The Case Manager II - Inpatient Services performs onsite review... or telephonic clinical review of inpatient admissions in an acute hospital, rehabilitation facility, LTAC or skilled nursing...
UnitedHealth Groupwith 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...
Fresenius Medical CareCase Manager II - Inpatient Services performs onsite review or telephonic clinical review of inpatient admissions in... participates in Patient Care Conferences to review clinical status, update/finalize transition discharge needs, and identify...
UnitedHealth Grouppartners, improve accessibility and enhance utilization of critical care resources, reduce adult in-patient cardiac arrests...’s Hospital Review, 2023 Top 10 Military Friendly® Employer, Gold Designation, 2023 Top 10 Military Spouse Friendly® Employer...
Methodist Health System, assessment, review, assurance and technical advice. Actively contribute to the delivery of HP&C Components (including Care... implementation & utilization of standardized health processes Reports and maintains protocols of Supervision with contract Physician...
PEMEX Deer Parkcoordination of care for identified members. This position is REMOTE JOB REQUIREMENTS: Registered Nurse (RN) with current... all functions of Utilization Management (UM), Case Management (CM) and Disease Management (DM) and is a single source...
Health Care Service Corporationtime. This is a remote position, but we do require that you have unencumbered licensure as a Registered Nurse in Texas... to ensure high quality, prompt utilization review, successful case management engagement, and high-value care navigation Act in...
SANAthough industry contacts, review of pertinent literature and utilization of available educational resources. Maintains... diploma or its equivalent Currently licensed as a registered nurse in Texas. Current certifications in BCLS, ACLS, PALS...
Careflite) of which in in acute care setting Current RN (Registered Nurse) license – to maintain throughout the duration of employment in... Basic Life Support Registered Nurse...
Post Acute Medicalsavings. What qualifications you will need: Basic Cardiac Life Support Registered Nurse Associate Degree, or Bachelors... our communities. As a(an) Surgical Oncology Nurse Manager with St. David's South Austin Medical Center, you can be a manager in...
St. David's HealthCare