UTILIZATION REVIEW CASE MANAGEMENT jobs in MIAMI FL, United Kingdom

and Facility Case Management Director regarding departmental functions. The CM coordinates efforts within the Rehabilitation team... to those with acute care (ICU, Med-Surg. Tele etc) experience Case Management experience a plus Certification in Case Management...

case management or utilization review preferred InterQual experience preferred HCA Florida Mercy Hospital is a 488-bed... Case Management Director regarding departmental functions. The CM coordinates efforts within the Rehabilitation team...

Department: Jackson Memorial Hospital - Utilization Review Case Management Leadership Address: 1611 NW 12 Ave., Miami... patients within the Designated Services Area(s). Ensures staff participation in an effective and efficient case management...

Department: Jackson Memorial Hospital- Case Management, Utilization Review Address: 1611 NW 12 Ave, Miami, FL 33136..., current concepts/principles of case management/utilization management/disease management, education, quality improvement...

Department: Jackson Memorial Hospital - Utilization Review Case Management (two openings) Address: 1611 NW 12 Ave... expertise, the nursing process, current concepts/principles of case management/utilization management/disease management...

years of related experience. Preferred Experience Experience in Utilization Review/Case Management, Interqual, level...Department: Jackson Memorial Hospital Case Management Acute Address: 1611 NW 12 Ave, Miami, FL 33136 Shift...

or payor Case management or Utilization management review experience preferred. Excellent interpersonal communication..., utilization management, case management and performance improvement preferred. Understanding of pre-acute and post-acute venues...

Miami, FL Full-Time Case Management Jackson South and Jackson West Medical Center Summary The Physician Advisor (PA... determination, improved documentation, appropriate utilization, and discharge planning. Participates in review of long-stay patients...

process, current concepts/principles of case management/utilization management/disease management, quality improvement... Utilization Officer related to the Utilization Management Committee, case consultation activities, negotiation of patient...

with appropriate service management. Documents case management activities (i.e. HIS managed care notes, HBOC, PRO internet websites..., REHAB, HHC, DME, community case management, transportation, financial assistance, emotional support, medication, supplies...

population health, utilization review, managed care organization quality review, and quality assurance for programs serving... providers to establish interview and review schedules and discuss associated protocols, expectations, and responsibilities...

the ongoing hiring, training, development, and performance management of this team. Periodically, ALPMs may need... risks through regular review of indicator reports; partner with stores to develop action plans to address/minimize...

criteria/disease management protocols), and intervenes as necessary with appropriate service management. Documents case... for appropriate services post-discharge as indicated (i.e.ACLF, SNF, REHAB, HHC, DME, community case management, transportation...

Protection Specialists or SPS) and are involved in the ongoing hiring, training, development, and performance management.... Identify shortage risks through regular review of indicator reports; partner with stores to develop action plans to address...

. Review and analyze information in our EHR Develops interdisciplinary care plan and other case management tools... and performance issues to the unit manager; maintaining ongoing communication with utilization review staff regarding variances...

through utilization of case management and billing systems, run reports as needed, and assist with review of cases. Work... with government agencies, including document gathering, document review, case analysis, case drafting, etc. Oversee status of cases...

scheduling, resource forecasting and overall production capacity utilization. Assign the daily work to ensure schedule... completion while leading utilization and efficiency. Handle shift-to-shift communications and reports shift metrics and issues...